QHP Issuer definition
Examples of QHP Issuer in a sentence
In the event that a Covered California Enrollee requires immediate care, the QHP Issuer will work closely with Covered California to implement any eligibility or enrollment changes as soon as reasonably possible.
In the event that an Employee and/or Dependent requires immediate care, the QHP Issuer will work closely with Covered California to implement any eligibility or enrollment changes as soon as reasonably possible.
Activities are the routine activities and processes conducted by a QHP Issuer, Agent, Broker, or Web-broker as related to ensuring operational integrity, including but not limited to internal reviews and audits of business procedures and processes and maintaining records as required by State or Federal law.
In the event that an Enrollee requires immediate care, the QHP Issuer will work closely with Covered California to implement any eligibility or enrollment changes as soon as reasonably possible.
The dollar amount payable by the Employer and transmitted by CCSB to the QHP Issuer to effectuate and maintain coverage.
In the event that an Enrollee requires immediate care, the QHP Issuer will work closely with the Exchange to implement the appeals decision as soon as reasonably possible.
When Agent assists Consumers with a paper application, neither the Agent nor Agency shall accept any payments and the Consumer shall be instructed by Agent and/or Agency to pay the premium statement issued by the QHP Issuer.
This notice obligation only applies to network providers who have submitted claims to the QHP Issuer within the previous two months, any provider who is an assigned Primary Care Provider for that Enrollee, and providers who have an outstanding prior authorization to provide services to the APTC Enrollee.
In the event that an Employee and/or Dependent requires immediate care, the QHP Issuer will work closely with the Exchange to implement the appeals decision as soon as reasonably possible.
These audit and review rights include the right to audit EDE Entity’s compliance with and implementation of the privacy and security requirements under this Agreement, the ISA, EDE Entity’s respective agreement(s) with CMS (including the QHP Issuer Agreement or the Web-broker Agreement), and applicable program requirements.