Subcontracted Providers. For purposes of this section only, “Subcontracted Provider” means a provider who renders Covered Services to Members within the scope of this Agreement, and has a contractual relationship with Contracted Provider but is not Contracted Provider’s employee. If Contracted Provider uses Subcontracted Providers to provide or arrange for the provision of health care items and services to Health Plan’s Members, Contracted Provider must secure prior written approval from Health Plan and follow Health Plan’s procedures with respect to adding Subcontracted Providers to this Agreement. If Contracted Provider has not obtained proper approval by Health Plan or followed the requisite procedures, Contracted Provider’s Subcontracted Providers may be deemed, at Health Plan’s sole discretion, to be participating under this Agreement and Contracting Provider and its Subcontracted Providers shall assume all applicable obligations stated herein:
Appears in 2 contracts
Samples: Participating Provider Agreement, Participating Provider Agreement
Subcontracted Providers. For purposes of this section only, “Subcontracted Provider” means a provider who renders Covered Services to Members within the scope of this Agreement, and has a contractual relationship with Contracted Provider but is not Contracted Provider’s employee. If Contracted Provider uses Subcontracted Providers to provide or arrange for the provision of health care items and services to Health Plan’s Members, Contracted Provider must secure prior written approval from Health Plan and follow Health Plan’s procedures with respect to adding Subcontracted Providers to this Agreement. If Contracted Provider has not obtained proper approval by Health Plan or followed the requisite procedures, Contracted Provider’s Subcontracted Providers Providers, may be deemed, at Health Plan’s sole discretion, to be participating under this Agreement and Contracting Provider and its Subcontracted Providers shall assume all applicable obligations stated herein:
Appears in 2 contracts
Samples: Participating Provider Agreement, Participating Provider Agreement