Provider Communications Clause Samples
The Provider Communications clause establishes the rules and expectations for how the provider will communicate with the client or other relevant parties during the course of their engagement. Typically, this clause outlines the acceptable methods of communication, such as email, phone, or written notices, and may specify response times or designate points of contact. Its core practical function is to ensure clear, consistent, and reliable information exchange, reducing misunderstandings and facilitating smooth collaboration between the parties.
Provider Communications. The PHP shall post through appropriate channels provider-focused guidance developed by the Department in response to COVID-19 including changes to eligibility, benefits, new Federal and State flexibilities, payment processes and how to comply with Federal and/or State guidance.
Provider Communications. LIBERTY shall not prohibit, attempt to prohibit, or discourage Dental Office from discussing with or communicating to a current, prospective, or former Member, or a party designated by Member with respect to (1) information or opinions regarding Member’s dental care, including the Member’s medical or dental condition or treatment options, (2) information regarding the provisions, terms, requirements, or services of the dental plan as they relate to the dental needs of the Member, (3) the fact that Dental Office’s contract with LIBERTY has terminated or that Dental Office will no longer be providing dental services under LIBERTY’s dental plans, or (4) the fact that, if medically necessary covered services are not available through network Dental Offices, LIBERTY must, upon request of a network Dental Office and, within time appropriate to the circumstances relating to the delivery of the services and condition of the patient, but in no event to exceed five (5) business days after the receipt of reasonable requested documentation, allow referral to a non-network Dental Office.
Provider Communications. The Provider shall ensure that all communications with the Contracting Authority concerning the Goods and / or Service(s) and / or Licensed Materials shall only be between the nominated representatives of both Parties, that is, the Commissioning Manager, and the Provider’s Authorised Officer. The Provider shall ensure that all global communication that refer to the contractual agreement entered into with the Contracting Authority for this Framework Agreement follow the criteria and guidance set out in Annex EIGHT.
Provider Communications. The Contractor is responsible for creating and disseminating, with State approval, all provider communications related to the pharmacy benefits programs, and must maintain current contact information for the provider networks. Communications include information that is shared via the web, provider portals, mail, email, fax, or telephone communications. The Contractor shall be responsible for the education of prescribers on programs specifics and benefits, the preferred drug list, and the program’s utilization review and prior authorization procedures. The Contractor shall perform education of network providers on program specifics, program changes and on claim submissions as defined by the State. The Contractor shall update the pharmacy provider manual as each change program is implemented. The contract shall maintain and communicate educational materials to the provider network as necessary. The Contractor shall be responsible for certain Member education activities, as identified by the State. An example would include such items as prescription drug program announcement letters. The Contractor shall provide text for Member handbooks that provide information about the pharmacy benefits. Emphasis should include, but not be limited to, information regarding the preferred drug list and use of generics. Any member education material must be reviewed and approved by the State prior to distribution. The Contractor shall assign one member of the Account Team to be responsible for the execution of the communication strategies and training plans that shall be developed for each identified impacted group. The Contractor, in conjunction with the State, shall identify the groups to be contacted. The strategies shall be implemented by: • Direct involvement with prescribers and pharmacy providers to educate them about program intent, the process that was used to determine the PDL and the content of the PDL, the processes to be followed to obtain a PA if necessary, resolution of issues that arise, and how they can assist to make them a success. • Direct involvement with constituent groups to help facilitate their understanding of the program and the processes that must be followed. The designed Contractor Key Personnel Team member shall also act as a point of contact for the provider community to get additional information on the program as well as being a focal person for the issues that need to be addressed.