Provide or Arrange for Covered Services Clause Samples

Provide or Arrange for Covered Services. For each Participant, Facility shall provide, or arrange for the provision of Covered Services on a timely basis, without regard to health status or medical condition, and in accordance with generally accepted medical practice guidelines and standards pursuant to the terms of this Agreement, and in accordance with applicable FCHN Provider Policies and Procedures. Facility agrees to verify each Participant's eligibility prior to providing Covered Services except in the case of Emergency Services. Facility will notify FCHN or the appropriate Payor of the provision of Medically Necessary services of either type described above Emergency Services that are provided to a Participant within the twenty-four (24) hour period immediately following the provision of such services. Facility agrees to furnish Covered Services to each Participant on the same basis as such services are made available to individuals who are not Participants, and without regard to the Participant's enrollment in a Payor’s Benefit Plan as a private purchaser or as a participant in publicly financed programs of health care services. In providing services under this Agreement, Facility shall exercise the degree of care, skill, and knowledge expected of a reasonably prudent health care provider and in a manner consistent with currently approved methods and practices. Facility shall exercise its own professional medical judgment, free of any direction or control by FCHN or Payors, and shall remain solely responsible for the quality of services rendered. Facility may withdraw from the care of a Participant when, in the professional judgment of Facility, it is in the best interest of the Participant to do so; provided, however that Facility agrees to provide reasonable notice to FCHN and Payors of such withdrawal and to facilitate appropriate transfer of care.
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Provide or Arrange for Covered Services. For each Participant, Provider shall provide, or arrange for the provision of Covered Services on a timely basis, without regard to health status or medical condition, and in accordance with generally accepted medical practice guidelines and standards pursuant to the terms of this Agreement, and in accordance with applicable FCHN policies and procedures set forth in FCHN's Provider Manual. Except in the case of an Emergency Medical Condition, Provider agrees to verify each Participant's eligibility prior to providing Covered Services. In the case of an Emergency Medical Condition, Provider will use its good faith best efforts to notify FCHN or the appropriate Payor of the provision of Medically Necessary services to treat a Participant’s Emergency Medical Condition during the first business day immediately following the provision of such services.
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Provide or Arrange for Covered Services. For each Participant, Provider shall provide, or arrange for the provision of Covered Services on a timely basis, without regard to health status or medical condition, and in accordance with generally accepted medical practice guidelines and standards pursuant to the terms of this Agreement, and in accordance with applicable FCHN policies and procedures set forth in FCHN's Provider Manual. Except in the case of emergency, Provider agrees to verify each Participant's eligibility prior to providing Covered Services. Provider agrees to furnish Covered Services to Participant on the same basis as such services are made available to individuals who are not Participants, and without regard to the Participant's enrollment in FCHN as a private purchaser or as a participant in publicly financed programs of health care services. In providing services under this Agreement, Provider shall exercise the degree of care, skill and knowledge expected of a prudent health care provider. Provider shall remain solely responsible for the quality of services rendered.
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Provide or Arrange for Covered Services. For each Participant, Facility agrees to provide or arrange for the provision of Covered Services on a timely basis, without regard to health status or medical condition, and in accordance with generally accepted medical practice guidelines and standards pursuant to the terms of this Agreement, and in accordance with applicable FCHN policies and procedures set forth in FCHN's Provider Manual. Except in the case of an Emergency Medical Condition, Facility agrees to verify each Participant's eligibility prior to providing Covered Services. In the case of an Emergency Medical Condition, Facility will use its good faith best efforts to notify FCHN or the appropriate Payor of the provision of Medically Necessary services to treat a Participant’s Emergency Medical Condition during the first business day immediately following the provision of such services. Facility shall use its good faith best efforts to notify Payor of all Participant admissions, whether authorized or not, at the time of admission, or in the event that an admission occurs on a non-business day, no later than noon of the next business day after admission.
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