№ files_lp_4_process_3_123495
File format: docx
Character count: 4372
File size: 80 KB
Structured application form for healthcare providers to register with ESI Employee Services, detailing personal, professional, and service information for participation in the provider network.
Year:
2026
Region / City:
Wellsville, NY, US
Document Type:
Application Form
Organization:
ESI Employee Services
Author:
Human Resources Department
Target Audience:
Healthcare providers and licensed practitioners
Purpose:
Enrollment and information collection for provider network
Modality:
Telehealth, Face to Face
Specializations:
Affective Disorders, Marriage/Couples, Grief, Phobias, Drug/Alcohol Evaluation and Treatment, Trauma/PTSD, Family Counseling, Christian Counseling, Children, LGBTQ, EMDR, Military/Veteran, Administrative Referrals
Insurance Panels:
Aetna, Fidelis, Independent Health, MVP, BCBS, Geisinger, Kaiser, NYSHIP, Beacon/Carelon, Harvard Pilgrim, Magellan, Optum, Medicaid, Medicare, Tricare/Champus, Cigna, Health Net, Tufts, Humana, Moda, UHC/UBH/UMR/Optum
Optional Demographics:
Gender, Religion, Ethnicity, Military Experience, Languages, Sign Language
Workplace Services:
On-site services, Direct services to employers
Authorization:
Verification of professional competence and release of relevant information
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2025
Location:
Wellsville, NY, USA
Type of document:
Meeting minutes
Organization:
Wellsville Joint Recreation Commission
Participants:
Dustin Gardner, Dustin Donovan, Mindi Nelson, Zach Devorss, Bernie Smith
Audience:
Public attendees (none present)
Topics:
Agenda adoption, public forum, business by consent, information items, discussion items, administrative reports, executive session, adjournment
Date of meeting:
March 5, 2025
Time of meeting:
6:00 PM – 7:15 PM
Year:
2026
Region / City:
Wellsville, NY, USA
Type of Document:
Application Form
Organization / Institution:
ESI Employee Assistance Program
Intended Audience:
Health service providers and clinicians
Fields of Service:
Mental health, counseling, telehealth, workplace services
Licenses/Certifications:
Professional licenses and certifications required for practice
Insurance Panels:
Aetna, BCBS, Cigna, Medicaid, Medicare, and other listed insurers
Optional Demographics:
Gender, religion, ethnicity, military experience, languages, sign language
Availability:
Days, evenings, weekends
Submission Methods:
Email, Fax, Mail
Authorization:
Verification of professional information and consent for information sharing
Signature Requirement:
Applicant signature and date
Note:
Year
Topic:
KiwiSaver, default provider, investment mandate, responsible investment
Document type:
Submission template
Year:
Not specified
Region / City:
Not specified
Theme:
Health care reimbursement
Document type:
Agreement
Organization / Institution:
Department of Veterans Affairs, Tribal Health Program
Author:
Not specified
Target audience:
American Indian/Alaska Native Veterans, Health Care Providers
Validity period:
Not specified
Approval date:
Not specified
Date of amendments:
Not specified
Note:
Year
Theme:
Child development, Early Years Education
Document type:
Progress Check
Target audience:
Parents, caregivers, childcare providers
Contextual description:
A progress check document assessing the developmental milestones of a child at age two, focusing on key areas such as communication, physical, social, and emotional development, completed by the childcare provider.
Year:
2023
Region / City:
Pretoria, South Africa
Subject:
SAP Enterprise Support and Maintenance Agreement
Document Type:
Invitation to Bid
Institution:
South African government
Author:
Not specified
Target Audience:
Potential bidders
Validity Period:
5 years
Submission Date:
22 September 2023, 11:00am (South African Time)
Amendment Date:
Not specified
Closing Date for questions:
01 September 2023
Closing Date for Submission:
22 September 2023
RFB Validity Period:
200 days from the closing date
Year:
2025
Region / city:
Pretoria, South Africa
Subject:
Brand audit, tender process
Document type:
Request for Bid (RFB)
Organization:
SITA
Author:
Lesley Chauke
Target audience:
Service providers, prospective bidders
Validity period:
200 days from the closing date
Approval date:
19 November 2025
Closing date:
03 December 2025
Date of amendments:
None specified
Year:
2022
Region / City:
Gauteng
Subject:
Broadband Network, Telecommunications
Document Type:
Invitation to Bid
Organization / Institution:
SITA
Author:
Not specified
Target Audience:
Bidders
Period of Validity:
120 days from the Closing Date
Approval Date:
26 October 2022
Modification Date:
Not specified
Year:
2016
Region / City:
Sheffield
Topic:
Healthcare, Autism and Neurodevelopmental Services
Document Type:
Procurement Invitation
Authority:
NHS Sheffield Clinical Commissioning Group
Target Audience:
Potential Service Providers
Period of Validity:
2 years (with potential 12-month extension)
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2022
Region / City:
Free State, Bloemfontein
Theme:
Tender, Fleet Management, Internal Controls, Financial Administration
Document Type:
Tender Document
Organization / Institution:
Free State Fleet Management
Author:
Not specified
Target Audience:
Bidders
Period of Action:
2 years
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2026
Region / City:
Maine
Subject:
Health Care, Insurance, Provider Contracts
Document Type:
Legislative Act
Agency / Organization:
State of Maine
Author:
The People of the State of Maine
Target Audience:
Health care providers, insurance carriers
Effective Period:
Starting January 1, 2026
Approval Date:
2026
Amendment Date:
N/A
Note:
Year
Theme:
Special Religious Education, Child Protection
Document Type:
Authorisation Letter
Organisation / Institution:
Department of Education
Target Audience:
Approved Providers, School Coordinators
Year:
2021
Note:
Region / City
Topic:
Medical Software, Healthcare Management
Document Type:
User Guide
Organization / Institution:
Department of Veterans Affairs Office of Information and Technology (OI&T)
Author:
CPRS Development Team
Target Audience:
Authorized users designated by the site
Year:
2024
Region / City:
North Carolina
Topic:
Health care assessment submission
Document Type:
User guide
Organization:
North Carolina Department of Health and Human Services (NC DHHS)
Author:
NC DHHS
Target Audience:
Providers in Skilled Nursing Facility and Intermediate Care Facility for Individuals with Intellectual Disabilities
Period of Validity:
June 2024 and onward
Approval Date:
May 31, 2024
Date of Changes:
N/A
Year:
2018
Period:
1 April 2018 to 30 March 2022 with option to extend once until 31 March 2024
Date of Review:
30 October 2021
Commissioner Lead:
Merton and Wandsworth CCGs
Provider Lead:
Subject to Any Qualified Provider Selection (AQP) Process
Population Needs:
National context and evidence base
Service Scope:
Diagnostic tests and clinical decision-making
Geographical Areas:
NHS Merton CCG, NHS Wandsworth CCG
NHS Merton CCG Population:
226,532
NHS Wandsworth CCG Population:
390,786
Total Population:
617,318
Local Context:
South West London Sustainability & Transformation Plan
Service Delivery Area:
London Borough of Merton and Wandsworth
Provider Participation:
Standardised referral form for MRI and Non Obstetric Ultrasound Scan
Framework:
AQP Direct Access Diagnostic Framework
AQP Framework Prices:
Public sector austerity considerations
Contract Review:
Year 3 of contract for price adjustments
Service Improvement:
Annual commissioner and provider diagnostic services forum, biannual audit programme
Outcomes:
NHS Outcomes Framework Domains & Indicators (Domain 1 to Domain 5)
Links to South West London Sustainability Transformation Programme:
Improved care standards, diagnostics, and financial sustainability
Issue date:
January 22, 2026
Closing date:
February 20, 2026, 4:00pm MT
Year:
2026
Region / City:
El Paso County, Colorado
Theme:
Enterprise Resource Planning Implementation
Document Type:
Request for Proposal
Organization / Institution:
El Paso County, Colorado
Author:
El Paso County Government
Target Audience:
Potential bidders for ERP implementation
Period of Action:
January 22, 2026 – February 20, 2026
Approval Date:
January 22, 2026
Amendment Date:
February 20, 2026
Year:
2023
Region / City:
N/A
Topic:
Registration Service, Operational Choreography
Document Type:
Change Request
Organization:
MHHS Programme
Author:
N/A
Target Audience:
Programme Participants
Period of Validity:
N/A
Approval Date:
08/02/2023
Date of Changes:
N/A
Year:
Tbc
Region / City:
North West London
Theme:
Musculoskeletal (MSK) Services
Document Type:
Service Specification
Organization:
NHS North West London Integrated Care System
Author:
Tbc
Target Audience:
Healthcare professionals, commissioners, service providers
Period of Validity:
Tbc
Approval Date:
Tbc
Review Date:
Tbc
Year:
2023
Region / City:
United States
Theme:
Racial and gender discrimination, military climate, sexual harassment, sexual assault
Document Type:
Research Protocol
Organization / Institution:
Department of Defense, Office of People Analytics (OPA)
Author:
Unknown
Target Audience:
Racial/ethnic minority service members in the U.S. military
Period of Action:
2023
Approval Date:
Unknown
Date of Changes:
Unknown