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CCP 08-12-1996
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CCP 08-12-1996
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<br />.' ~ <br />1 CorCare, Inc. <br />,. Payor Agreement <br /> Page Three <br />. 3. OBLIGATIONS OF PAYOR <br /> 3.1 PAYOR agrees to follow the terms and conditions of this Agreement and the Provider Manual, <br />I particularly those procedures involving the tracking and management of injured workers. <br /> 3.2 PAYOR agrees to offer its covered workers access to CorCare Providers, when medical services <br />I are needed for a compensable injury. <br />I 3.3 PAYOR agrees to comply with all Minnesota's Laws relating to workers' compensation and <br /> managed care organizations. <br />. 3.4 PAYOR agrees to deliver the names of eligible covered workers to CorCare and its Providers, and <br /> notifY in writing CorCare and its Providers of any changes in eligible covered workers or plan coverage. In <br /> the event PAYOR provides identification documents to its workers, PAYOR agrees that CorCare <br />I Providers can reasonably rely that a person in possession of said documents is entitled to covered services <br /> for which PAYOR will pay, pursuant to this Agreement. <br />.. 4. OBLIGATIONS OF CORCARE <br />I 4.1 To make available to PAYOR's covered workers a network of Providers, who will deliver <br /> necessary, appropriate medical care. Each provider is an independent contractor and has agreed to deliver <br />I medical services, pursuant to PAYOR's workers' compensation benefit plans, the CorCareIProvider <br /> agreement, and the state law. <br /> 4.2 To comply with all Minnesota's Laws regarding managed care organizations and workers' <br />I compensation. <br />I 4.3 To report periodically to PAYOR or its third party administrator claims information in content and <br /> form, as agreed to by the parties, and to cooperate with claims administration utilized by PAYOR. <br />I 4.4 To provide a directory of CorCare participating Providers for use by PAYOR and its covered <br /> workers. <br />I 4.5 To assist in developing educational programs for occupational safety and health, and, upon request, <br /> facilitate Provider visits to PAYOR's covered employment sites. <br />. 4.6 To publish a "Provider Manual," setting forth administrative procedures for billing, referrals, <br /> quality, and utilization review. CorCare shall update the manual on a periodic basis. <br />f'4.7 To provide tracking and case management services, as requested by PAYOR. <br />1 <br />
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