Common use of Action Due to Failure to Provide Covered Services in a Timely Manner Clause in Contracts

Action Due to Failure to Provide Covered Services in a Timely Manner. Any failure of the Contractor’s Participating Providers to provide services in a timely manner constitutes an Action. The Contractor shall provide a Notice of Action to the Enrollee at the time either the Enrollee or provider informs the Contractor that the provider failed to meet the performance benchmarks for appointment waiting times found in Article 10.2.6.

Action Due to Failure to Provide Covered Services in a Timely Manner. Any failure of the Contractor’s Participating Providers to provide services in a timely manner constitutes an Action. The Contractor shall provide a Notice of Action to the Enrollee at the time either the Enrollee or provider informs the Contractor that the provider failed to meet the performance benchmarks standards for offering face-to-face appointment waiting times found in Article 10.2.610.4.

Action Due to Failure to Provide Covered Services in a Timely Manner. Any failure of the Contractor’s Participating Network Providers to provide services in a timely manner constitutes an Action. The Contractor shall provide a Notice of Action to the Enrollee at the time either the Enrollee or provider informs the Contractor that the provider failed to meet the performance benchmarks standards for offering face-to-face appointment waiting times found in Article 10.2.610.4.