Examples of Group Provider in a sentence
Group and/or each Group Provider shall provide to Blue Shield, on request, credentialing information, in such form as reasonably required by Blue Shield.
A Group Provider should have the same Federal Tax ID Number for all providers it supports.
Group further agrees that the procedures set forth in this Paragraph 11.1 may be used in the event that a Group Provider has a dispute with Group.
In the event that Government Officials or Blue Shield find any deficiencies in such facilities or records, Group, or Group Provider, as applicable, shall have thirty (30) days to substantially correct such deficiencies which are identified by such Government Officials or Blue Shield.
Thereafter, and within such time frames as set forth in the Provider Manual, Group shall make an initial determination, and so advise Blue Shield in writing, as to which of such claims are for In-Network Services, which are for Out-of-Network Services provided by a Group Provider, and which are for Out-of-Network Services provided by other than a Group Provider.
Enter the New Jersey Medicaid Provider Number or Group Provider Number assigned to the provider by Gainwell Technologies.
The Group may refuse to compensate a Group Provider for such services to the extent permitted in its contract with the Group Provider providing the service.
As set out in Exclusion from Maintained Schools, academies and PRUs in England (DfE) September 2017, the school reserves the right to exclude a student from education if the student is a severe risk to themselves, to others, school property, academic achievement or if they are disturbing the good order of the school, i.e. where allowing the student to remain in school would seriously harm the education or welfare of the student or others in the school.
In the event a Group Provider terminates his/her relationship with a Member, Group shall assist the Member in selecting another Group Provider for the provision of Capitated Professional Services.
In all cases where the Group and/or a Group Provider has made a determination regarding the Medical Necessity of a medical service requested or provided to a Member, Group shall, upon the request of Blue Shield, assist Blue Shield in determining the Medical Necessity of such service and provide relevant medical records to Blue Shield and participate in any grievance, arbitration, and/or other proceedings in which such Medical Necessity determination is an issue.