Common use of Provide or Arrange for Covered Services Clause in Contracts

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.

Appears in 1 contract

Sources: Healthcare Facility Agreement

Provide or Arrange for Covered Services. For each Participant, Facility 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 Provider Policies and Procedures. Facility Provider agrees to verify each Participant's eligibility prior to providing Covered Services except in the case of Emergency Services. Facility Provider 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 Provider 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 Provider 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 practicespractices in Provider’s medical specialty. Facility Provider shall exercise its his or her 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 Provider may withdraw from the care of a Participant when, in the professional judgment of FacilityProvider, it is in the best interest of the Participant to do so; provided, however that Facility Provider agrees to provide reasonable notice to FCHN and Payors of such withdrawal and to facilitate appropriate transfer of care.

Appears in 1 contract

Sources: Preferred Provider/Group Agreement