Submission Agreement Sample With Service Provider In Ohio

State:
Multi-State
Control #:
US-0010BG
Format:
Word; 
Rich Text
Instant download

Description

An agreement to arbitrate a dispute that has already arisen is sometimes called a ?ˆ?submission agreement.?ˆ A submission agreement is needed when the parties don?ˆ™t have an existing written contract or a clause in an existing contract that provides that arbitration will be used to settle disputes between them. The submission agreement is used to start the arbitration with the selected arbitrator.
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FAQ

If you're a provider, call our Provider Hotline at 800-686-1516. If you're an Ohio Medicaid member, call our Consumer Hotline at 800-324-8680.

Find and compare doctors and other providers near you. If you have trouble accessing the website or the search tool, please call 1-800-MEDICARE (1-800-633-4227) and a representative will be able to help you. TTY users can call 1-877-486-2048.

Each managed care plan has a member website that you can visit to learn more about their approach to serving Ohio Medicaid managed care members: AmeriHealth Caritas Ohio, Inc. Anthem Blue Cross and Blue Shield. Buckeye Health Plan. CareSource Ohio, Inc. Humana Healthy Horizons in Ohio. Molina HealthCare of Ohio, Inc.

The Ohio Medicaid Hotline is available on Monday through Friday between the hours of am and pm as well as Saturday between am and pm at 1-800-324-8680. Online Portal: If you have an Ohio Benefits Self-Service Portal account, you can login and report changes to your contact information.

If you are unsure of what provider type to request, you should contact the Integrated Help Desk at 1-800-686-1516 for additional information on additional resources that can help you make this determination. After you have entered your basic demographic information, the system will issue you a Registration ID.

This Services Agreement outlines the terms and conditions between a service provider and a customer for the provision of specified services. The agreement details the scope of services, service provider obligations, and customer responsibilities, ensuring compliance with industry standards and legal requirements.

An SLA is a documented agreement between a service provider and a customer that defines: (i) the level of service a customer should expect, while laying out the metrics by which service is measured, as well as (ii) remedies or penalties should agreed-upon service levels not be achieved.

The Contractor hereby agrees to provide such Services to the Client. Term of Agreement. The term of this Agreement (the "Term") will begin on the date of this Agreement and will remain in full force and effect until the completion of the Services, subject to earlier termination as provided in this Agreement.

How do I write a Service Agreement? State how long the services are needed. Include the state where the work is taking place. Provide the contractor's and client's information. Describe the service being provided. Outline the compensation. State the agreement's terms. Include any additional clauses.

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Submission Agreement Sample With Service Provider In Ohio