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. 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 QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plans; iii. Once fully operational with sufficient health 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 QHPs; 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 QHPs 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 on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.5.
Appears in 10 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Covered California Qualified Health Plan Issuer Contract
Use of Symphony Provider Directory. (a) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering health dental care coverage choices and in choosing QHP 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 QHP QDP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update, provider network data data, including demographic, licensure, and other relevant information with respect to all their QHPsQDPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs 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 QHPsQDPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plansdata;
iii. Once fully operational with sufficient health 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 QHPsQDPs; 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 QHPs 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 on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.5.
Appears in 5 contracts
Samples: Covered California Qualified Dental Plan Issuer Contract, Covered California Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
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.
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 QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plans;
iii. Once fully operational with sufficient health 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 QHPs; 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 QHPs 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 on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.5.
Appears in 4 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Use of Symphony Provider Directory. a1) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering health dental care coverage choices and in choosing QHP 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 QHP QDP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update, provider network data data, including demographic, licensure, and other relevant information with respect to all their QHPsQDPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered by Contractor through Covered California.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPsQDPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plansdata;
iii. (c) Once fully operational with sufficient health 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 QHPsQDPs; and
iv. (d) 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 QHPs 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.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 3 contracts
Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
Use of Symphony Provider Directory. a1) 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.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plans;
iii. (c) Once fully operational with sufficient health 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 QHPs; and
iv. (d) 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 QHPs 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.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 2 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Use of Symphony Provider Directory. a1) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering health dental care coverage choices and in choosing QHP 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 QHP QDP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update, provider network data data, including demographic, licensure, and other relevant information with respect to all their QHPsQDPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered by Contractor through Covered California.
b2) Contractor agrees to participate in the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPsQDPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plansdata;
iii. (c) Once fully operational with sufficient health 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 QHPsQDPs; and
iv. (d) 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 QHPs QDPs and Providers.
v. (e) Agree to participate in testing and validation of Symphony Provider Directory functionality that may be required prior to the Directory becoming fully operational.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 2 contracts
Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
Use of Symphony Provider Directory. a1) 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 updateupdate product, provider network data 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 Covered California.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider provide network data for Contractor’s embedded dental plans;
iii. (c) Once fully operational with sufficient health 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 QHPs; and
iv. (d) 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 QHPs 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.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 2 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
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.
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 QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plans;
iii. Once fully operational with sufficient health 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 QHPs; 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 QHPs 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 on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.534.4.5.
Appears in 2 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
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 updateupdate product, provider network data 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 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 QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider provide network data for Contractor’s embedded dental plans;
iii. Once fully operational with sufficient health 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 QHPs; 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 QHPs 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 on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 2 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Use of Symphony Provider Directory. a1) 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 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, Covered California 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 updateupdate product, provider network data 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 Covered Californiathe Exchange.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providersthe Exchange, and provider provide network data for Contractor’s embedded dental plans;
iii. (c) Once fully operational with sufficient health 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 QHPs; and
iv. (d) Work with Covered Californiathe Exchange, 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 QHPs 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.
c3) At a time and manner mutually agreed upon by Covered California Exchange and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.57.053.4.5.
Appears in 1 contract
Use of Symphony Provider Directory. a1) 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 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, Covered California 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 updateupdate product, provider network data 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 Covered Californiathe Exchange.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providersthe Exchange, and provider network data for Contractor’s embedded dental plans;
iii. (c) Once fully operational with sufficient health 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 QHPs; and
iv. (d) Work with Covered Californiathe Exchange, 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 QHPs 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.
c3) At a time and manner mutually agreed upon by Covered California Exchange and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract
Use of Symphony Provider Directory. a1) 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.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plans;
iii. (c) Once fully operational with sufficient health 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 QHPs; and
iv. (d) 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 QHPs 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.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract
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.
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 QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plans;
iii. Once fully operational with sufficient health 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 QHPs; 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 QHPs 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 on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract
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.
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 QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plans;
iii. Once fully operational with sufficient health 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 QHPs; 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 QHPs 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 on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract
Use of Symphony Provider Directory. a1) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering health dental care coverage choices and in choosing QHP 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 QHP QDP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update, provider network data data, including demographic, licensure, and other relevant information with respect to all their QHPsQDPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered by Contractor through Covered California.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPsQDPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plansdata;
iii. (c) Once fully operational with sufficient health 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 QHPsQDPs; and
iv. (d) 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 QHPs QDPs and Providers.
v. (e) Agree to participate in testing and validation of Symphony Provider Directory functionality that may be required prior to the Directory becoming fully operational.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract
Use of Symphony Provider Directory. a1) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering health dental care coverage choices and in choosing QHP 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 QHP QDP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update, provider network data data, including demographic, licensure, and other relevant information with respect to all their QHPsQDPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered by Contractor through Covered California.
b2) Contractor agrees to participate in the Symphony Provider Directory. Directory In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPsQDPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plansdata;
iii. (c) Once fully operational with sufficient health 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 QHPsQDPs; and
iv. (d) 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 QHPs QDPs and Providers.
v. (e) Agree to participate in testing and validation of Symphony Provider Directory functionality that may be required prior to the Directory becoming fully operational.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract
Use of Symphony Provider Directory. a1) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering health dental care coverage choices and in choosing QHP 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 QHP QDP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually update, provider network data data, including demographic, licensure, and other relevant information with respect to all their QHPsQDPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered by Contractor through Covered California.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPsQDPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plans;
iii. (c) Once fully operational with sufficient health 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 QHPsQDPs; and
iv. (d) 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 QHPs 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.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract
Use of Symphony Provider Directory. a1) 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 updateupdate product, provider network data 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 Covered California.
b2) Contractor agrees to participate in the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider provide network data for Contractor’s embedded dental plans;
iii. (c) Once fully operational with sufficient health 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 QHPs; and
iv. (d) 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 QHPs and Providers.
v. (e) Agree to participate in testing and validation of Symphony Provider Directory functionality that may be required prior to the Directory becoming fully operational.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract
Use of Symphony Provider Directory. a1) In order to fulfill its obligation to assist Enrollees in making informed decisions when considering health dental care coverage choices and in choosing QHP QDP Issuers and their associated network of Providers, Covered California 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, Covered California the Exchange will utilize the Symphony Provider Directory to populate the Covered California Provider Directory. All QHP QDP Issuers shall utilize the Symphony Provider Directory to populate, maintain, and continually updateupdate product, provider network data network, including demographic, licensure, and other relevant information with respect to all their QHPsrespective QDPs, as well as to provide information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered by Contractor through Covered Californiathe Exchange.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPsQDPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs QDPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plansthe Exchange;
iii. (c) Once fully operational with sufficient health 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 QHPsQDPs; and
iv. (d) Work with Covered Californiathe Exchange, 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 QHPs 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.
c3) At a time and manner mutually agreed upon by Covered California Exchange and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract
Use of Symphony Provider Directory. a1) 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 updateupdate product, provider network data 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 Covered California.
b2) Contractor agrees to participate in the Symphony Provider Directory, beginning on the first day of the first month of the full calendar quarter immediately following IHA’s launch of the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider provide network data for Contractor’s embedded dental plans;
iii. (c) Once fully operational with sufficient health 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 QHPs; and
iv. (d) 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 QHPs 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.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.57.053.4.5.
Appears in 1 contract
Use of Symphony Provider Directory. a1) 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.
b2) Contractor agrees to participate in the Symphony Provider Directory. In connection with such participation, Contractor shall:
i. (a) 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. (b) Populate, maintain, and continually update the Symphony Provider Directory with all relevant information with respect to its contracted Providers’ participation in its QHPs, including all information regarding the terms and restrictions governing such Providers’ participation in the QHPs offered through Covered California, identifiers for Covered California providers, and provider network data for Contractor’s embedded dental plans;
iii. (c) Once fully operational with sufficient health 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 QHPs; and
iv. (d) 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 QHPs and Providers.
v. (e) Agree to participate in testing and validation of Symphony Provider Directory functionality that may be required prior to the Directory becoming fully operational.
c3) At a time and manner mutually agreed upon by Covered California and Contractor, Contractor agrees to report on its strategies to ensure that Contractor, and its contracted Providers, maintain compliance with the provisions of this Section 4.4.53.4.5.
Appears in 1 contract