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Section 4: Operational Processes
4.2 Effective Date of Contract
The effective date of the contract is contingent on two activities:
- Both parties have agreed to the contract terms and signed the agreement, and
- There is at least one Provider at the clinic that has been successfully credentialed by AHP (please refer to Section 5.3, Credentialing Process, for a definition of effective date of participation).
The effective date will be the date when both of these activities have been completed. This date defines when claims are eligible to be paid at the in-network benefit level should should the Provider see one of our Members. The effective date will be noted in the recitals (first section of the contract) of the executed contract. AHP Network Services Representatives will work closely with Providers to ensure clear communication during this process.
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Note: Based on requests from either party, there may be situations that require more than one Provider be successfully credentialed before AHP Members can receive services.
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