Examples of Provider Representative in a sentence
The provider must complete and keep on file the Appointment of Authorized Provider Representative or Agent Form included in the Mississippi Medicaid Provider Billing Handbook.
Modifications may only be made to the WIOA Worksite Terms and Conditions in the event that either the Worksite Representative or the WIOA Grantee and/or Service Provider Representative change.
By: Xxxxxxx Xxxxx, Acting Deputy Commissioner of Finance Date: _____________ and By: _____________________________ Name and Title, Provider Representative Date: _____________ Total Agreement Amount: $___________________ The approval and encumbrance of this Agreement by the Chair of the State Procurement Review Committee and the State Controller is evidenced only by a stamp affixed to this page or by a Case Details Page from the Division of Procurement Services.
The parties shall then attempt to resolve the dispute through good faith efforts and negotiation between the City of Nashua Representative and a Service Provider Representative.
Name: ___________________________________ Title: ___________________________________ Contact Details: ___________________________________ The Provider may replace the Provider Representative and the Authority may replace the Authority Representative at any time by giving written notice to the other Party.