Subject and Order of Addenda Sample Clauses

Subject and Order of Addenda. Provider Organization Agreement (Opt-In) Appendix 1 (Opt-In Form) Appendix 1-A (Participating Provider Service Locations and Participating Professional Roster Participating Facility Requirements Appendix (PHOs only) Appendix 2 – Benefit Plan Descriptions Appendix Additional Manuals Appendix Payment Appendix(ices) Medicare Advantage Regulatory Appendix Medicaid Regulatory Appendix, including Medicaid Addendum Ohio Regulatory Appendix Provider Organization Agreement (Single Signature) Appendix 1 (List of Participating Providers) Appendix 1-A (Participating Provider Service Locations and Participating Professional Roster Participating Facility Requirements Appendix (PHOs only) Appendix 2 – Benefit Plan Descriptions Appendix Additional Manuals Appendix Payment Appendix(ices) Medicare Advantage Regulatory Appendix Medicaid Regulatory Appendix, including Medicaid Addendum Ohio Regulatory Appendix IMPORTANT INFORMATION - PLEASE READ CAREFULLY The information provided in this Summary Disclosure Form is a guide to the attached Health Care Contract as defined in section 3963.01(G) of the Ohio Revised Code. The terms and conditions of the attached Health Care Contract constitute the contract rights of the parties. Reading this Summary Disclosure Form is not a substitute for reading the entire Health Care Contract. When you sign the Health Care Contract, you will be bound by its terms and conditions. These terms and conditions may be amended over time pursuant to section 3963.04 of the Ohio Revised Code. You are encouraged to read any proposed amendments that are sent to you after execution of the Health Care Contract. Nothing in this Summary Disclosure Form creates any additional rights or causes of action in favor of either party.

Subject and Order of Addenda. Appendix 1 – Standard Payment Appendix, Outpatient Fee Schedule/Fee Maximum Medicare Regulatory Appendix Medicaid Regulatory Appendix Ohio Regulatory Appendix United Behavioral Health operating under the brand Optum This summary disclosure form is for informational purposes only and does not constitute a term and condition of the Provider Agreement. This form; however, does reasonably summarize the applicable Provider Agreement provisions as required under Ohio law. “Appendix”) supplements and is made part of the provider agreement (the “Agreement”) between United Behavioral Health (“Subcontractor”), and the provider named in the Agreement (“Provider”).

Subject and Order of Addenda. The current edition of the Delta Dental Dentist Handbook is included in the participating dentist agreement as addendum A.