Common use of Verification of Eligibility Clause in Contracts

Verification of Eligibility. XXXXX shall make available to PROVIDER a system for determining eligibility of Members seeking services under benefit programs hereunder. PROVIDER agrees to comply with the eligibility system requirements and to obtain a valid, confirmation of eligibility number prior to rendering services to any Member. To verify eligibility of Member(s) PROVIDER shall call the appropriate toll-free (800/888) number supplied by XXXXX, or access the XXXXX website (xxx.xxxxxxxxxxx.xxx), or receive from Member(s) a valid pre-certified voucher. In order for PROVIDER to receive reimbursement for services rendered to a Member, services must be provided within the timeframe communicated to PROVIDER upon receipt of a confirmation of eligibility number, or upon PROVIDER’s receipt of an extension of the original confirmation of eligibility number. Neither XXXXX nor Plan(s) shall have any obligation to reimburse PROVIDER for any services rendered without a valid confirmation of eligibility number. However, if XXXXX provides erroneous eligibility information to PROVIDER, and if benefits under the program(s) are provided to a Member, XXXXX shall reimburse PROVIDER for any benefits provided to a Member.

Verification of Eligibility. XXXXX shall make available to PROVIDER a system for determining eligibility of Members seeking services under benefit programs hereunder. PROVIDER agrees to comply with the eligibility system requirements and to obtain a valid, valid confirmation of eligibility number prior to rendering services to any Member. To verify eligibility of Member(s) PROVIDER shall call the appropriate toll-free (800/888) number supplied by XXXXX, or access the XXXXX website (xxx.xxxxxxxxxxx.xxx), or receive from Member(s) a valid pre-certified voucher. In order for PROVIDER to receive reimbursement for services rendered to a Member, services must be provided rendered within the timeframe communicated to PROVIDER upon receipt of a confirmation of eligibility number, or upon PROVIDER’s receipt of an extension of the original confirmation of eligibility number. Neither XXXXX nor Plan(s) shall have any obligation to reimburse PROVIDER for any services rendered without a valid confirmation of eligibility number. However, if XXXXX provides erroneous eligibility information to PROVIDER, PROVIDER and if benefits under the program(s) are provided to a Member, XXXXX shall reimburse PROVIDER for any benefits provided to a such Member.

Verification of Eligibility. XXXXX shall make available to PROVIDER a system for determining eligibility of Members seeking services under benefit programs hereunder. PROVIDER agrees to comply with the eligibility system requirements and to obtain a valid, confirmation of eligibility number prior to rendering services to any Member. To verify eligibility of Member(s) ), PROVIDER shall call the appropriate toll-free (800/888) number supplied by XXXXX, or access the XXXXX website (xxx.xxxxxxxxxxx.xxx), or receive from Member(s) a valid pre-certified voucher. In order for PROVIDER to receive reimbursement for services rendered to a Member, services must be provided rendered within the timeframe communicated to PROVIDER upon receipt of a confirmation of eligibility number, or upon PROVIDER’s receipt of an extension of the original confirmation of eligibility number. Neither XXXXX nor Plan(s) shall have any obligation to reimburse PROVIDER for any services rendered without a valid confirmation of eligibility number. However, if XXXXX provides erroneous eligibility information to PROVIDER, and if benefits under the program(s) are provided to a Member, XXXXX shall reimburse PROVIDER for any benefits provided to a Member.

Verification of Eligibility. XXXXX shall make available to PROVIDER a system for determining eligibility of Members seeking services under benefit programs hereunder. PROVIDER agrees to comply with the eligibility system requirements and to obtain a valid, confirmation of eligibility number prior to rendering services to any Member. To verify eligibility of Member(s) PROVIDER shall call the appropriate toll-free (800/888) number supplied by XXXXX, or access the XXXXX website (xxx.xxxxxxxxxxx.xxx), or receive from Member(s) a valid pre-certified voucher. In order for PROVIDER to receive reimbursement for services rendered to a Member, services must be provided rendered within the timeframe communicated to PROVIDER upon receipt of a confirmation of eligibility number, or upon PROVIDER’s receipt of an extension of the original confirmation of eligibility number. Neither XXXXX nor Plan(s) shall have any obligation to reimburse PROVIDER for any services rendered without a valid confirmation of eligibility number. However, if XXXXX provides erroneous eligibility information to PROVIDER, and if benefits under the program(s) are provided to a Member, XXXXX shall reimburse PROVIDER for any benefits provided to a Member.