Use of Symphony Provider Directory a) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering health care coverage choices and in choosing QHP Issuers and their associated network of Providers, Covered California is committed to implementing and participating in the Symphony Provider Directory, formerly known as the California Provider Directory Utility, being developed by the Integrated Health Care Association (IHA). Once fully operational, Covered California will utilize the Symphony Provider Directory to populate the Covered California Provider Directory. All QHP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update, provider network data including demographic, licensure, and other relevant information with respect to all their QHPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered by Contractor through Covered California.
Use of Symphony Provider Directory. (a) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering dental care coverage choices and in choosing QDP Issuers and their associated network of Providers, Covered California is committed to implementing and participating in the Symphony Provider Directory, formerly known as the California Provider Directory Utility, being developed by the Integrated Health Care Association (IHA). Once fully operational, Covered California will utilize the Symphony Provider Directory to populate the Covered California Provider Directory. All QDP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update, provider network data, including demographic, licensure, and other relevant information with respect to all their QDPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QDPs offered by Contractor through Covered California.
(b) Contractor agrees to participate in the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. Execute such reasonable participation, subscription, or other agreements required by Covered California or IHA or their vendors to participate in the Symphony Provider Directory;
ii. Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QDPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QDPs offered through Covered California, identifiers for Covered California providers, and provider network data;
iii. Once fully operational with sufficient dental plan and provider participation, use the Symphony Provider Directory as the exclusive platform to populate and maintain the information published in the Covered California Online Provider Directory concerning its QDPs; and
iv. Work with Covered California, IHA and their respective vendors to ensure that the Symphony Provider Directory serves its primary purpose of effectively and efficiently assisting Enrollees in making informed decisions in selecting QDPs and Providers.
v. Agree to participate in testing and validation of Symphony Provider Directory functionality that may be required prior to the Directory becoming fully operational.
(c) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report o...
Use of Symphony Provider Directory. 1) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering health care coverage choices and in choosing QHP Issuers and their associated network of Providers, the Exchange is committed to implementing and participating in the Symphony Provider Directory, formerly known as the California Provider Directory Utility, being developed by the Integrated Health Care Association (IHA). Once fully operational, the Exchange will utilize the Symphony Provider Directory to populate the Covered California Provider Directory. All QHP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update product, provider network, including demographic, licensure, and other relevant information with respect to all their respective QHPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered by Contractor through the Exchange.
Use of Symphony Provider Directory
