Common use of Enrollment Verification Clause in Contracts

Enrollment Verification. ‌ DOM, or its Agent, shall provide Contractor on a monthly basis a listing of all CHIP Members who have selected or been assigned to Contractor. Contractor must ensure that Non-Contracted Providers can verify Member Enrollment in Contractor’s plan prior to treating a Member for non-emergency services. Within five

Enrollment Verification. ‌ DOM, or its Agent, shall provide Contractor on a monthly basis a listing of all CHIP Members who have selected or been assigned to Contractor. Contractor must ensure that Non-Contracted Providers can verify Member Enrollment in Contractor’s plan prior to treating a Member for non-emergency services. Within fivefive (5) business days of the date on which Contractor receives the Member Listing Report from DOM, Contractor must provide network providers and Non-Contracted Providers the ability to verify Enrollment by telephone or by another timely mechanism.