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compensation, or any other program for the payment of healthcare services that is excluded from the definition of
<br />a benefit plan under applicable law.
<br />2.6 Licensing Requirements
<br />At all times during the term of this Agreement, Provider , or if Provider is a Provider Group , all of the licensed
<br />healthcare providers comprising the Provider Group, shall possess and maintain in good standing all necessary
<br />licenses, certifications, registrations, permits, or other approvals required by State and/or Federal law to provide or
<br />arrange for the provision of Covered Services to Participants. Provider shall submit evidence of such licenses,
<br />certifications, registrations, permits, or other approvals to FCHN upon request.
<br />Provider shall immediately notify FCHN, in writing , if any of the following events occur with respect to Provider , or
<br />in the case of a Provider Group, with respect to any licensed healthcare provider that is a member of the Group :
<br />a. Provider's license or certification to practice his or her profession in any state is terminated, revoked,
<br />suspended, restricted or expires, or Provider or is disciplined by the action of any state professional
<br />agency having jurisdiction or authority over a Provider;
<br />b. Provider changes his or her scope of practice or does not obtain or maintain the Board certification
<br />required by this Agreement;
<br />c. Provider's medical staff or other clinical privileges at any hospital, surgery center, or other facility are
<br />denied, terminated , suspended, restricted, revoked, or not renewed, or Provider ceases to be a fully
<br />qualified member of such a medical staff;
<br />d. Provider suffers from physical or mental impairments which would significantly impair Provider 's ability
<br />to carry out the responsibilities under this Agreement or may pose a risk of harm to patients;
<br />e. Provider is or becomes excluded, terminated, or otherwise ineligible to bill one or more government
<br />healthcare programs; or
<br />f. Provider is convicted of a crime related to healthcare .
<br />2.7 Demographic Changes
<br />Provider shall notify FCHN in advance of any demographic updates including, but not limited to, change of
<br />business address, billing address, practice locations, tax identification number, phone numbers, roster of
<br />Participating Providers , NPI numbers, or other information reasonably needed for claims processing. Failure to
<br />provide advance notice of such changes may result in delayed, inaccurate, or non-payment of claims .
<br />2.8 Insurance
<br />2.9
<br />FCHN-PRO-042016
<br />Provider shall provide and maintain, at its sole cost and expense at all times during the term of this Agreement,
<br />policies of general comprehensive liability and professional liability insurance, or a program of self-insurance
<br />compliant with applicable state law, all with minimum limits acceptable to FCHN. Such policies shall insure
<br />against any claim or claims for damage arising by reason of personal injury or death occasioned directly or
<br />indirectly in connection with the acts or omissions of Provider and Provider's agents or employees related to
<br />services rendered pursuant to this Agreement. Provider agrees to maintain the above described insurance after
<br />the expiration or termination of this Agreement for the periods contained in the applicable statutes of limitation.
<br />Provider shall notify FCHN immediately but no more than two (2) business days from notification of any revocation,
<br />reduction in coverage , or termination of any such policy. Upon request, Provider shall provide FCHN with evidence of
<br />compliance wth this insurance requirement in the form of a certificate of insurance or evidence of sen-insurance in an
<br />amount and form acceptable to FCHN .
<br />The provisions of this Section shall survive expiration or termination of this Agreement.
<br />Medical Management, Utilization Review and Quality Improvement
<br />Provider agrees to comply with and participate in FCHN 's or Payors' Medical Management Program, Utilization
<br />Review, and quality improvement programs and requirements, credentialing, grievance, appeal and adverse
<br />benefit determination procedures, whichever is applicable, which may include but are not limited to, pre-
<br />authorization, notification, concurrent review , retrospective review, case management, disease management
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