Utilization and Quality Programs. Provider will adhere to BCBSM's policies and procedures regarding utilization review, quality assessment, preauthorization and case management, or other programs established or modified by BCBSM, and will retain records as set forth in BCBSM administrative policy. BCBSM agrees to furnish Provider with information necessary to adhere to BCBSM policies and procedures.
Appears in 6 contracts
Samples: Provider Participation Agreement, Provider Participation Agreement, Provider Participation Agreement
Utilization and Quality Programs. Provider will adhere to BCBSM's and BCN’s policies and procedures regarding utilization review, quality assessment, preauthorization and case management, or other programs established or modified by BCBSM, BCBSM or BCN and will retain records as set forth in BCBSM and BCN administrative policy. BCBSM agrees and BCN agree to furnish Provider with information necessary to adhere to BCBSM and BCN policies and procedures.
Appears in 1 contract
Utilization and Quality Programs. Provider will adhere to BCBSM's policies and procedures regarding utilization review, quality assessment, preauthorization precertification and case management, or other programs established or modified by BCBSM, and will retain records as set forth in BCBSM administrative policy. BCBSM agrees to furnish Provider with information necessary to adhere to BCBSM policies and procedures.
Appears in 1 contract
Samples: Provider Participation Agreement
