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.
Appears in 2 contracts
Sources: Provider Agreement, Provider Agreement