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Asuris Agreement
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2018-06-05 10:00 AM - Commissioners' Agenda
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Asuris Agreement
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Entry Properties
Last modified
1/18/2019 2:03:50 PM
Creation date
1/18/2019 2:03:02 PM
Metadata
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Meeting
Date
6/5/2018
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
k
Item
Request to Approve an Agreement between Asuris Northwest Health and the Kittitas County Public Health Department
Order
11
Placement
Consent Agenda
Row ID
45299
Type
Agreement
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7.3.4 Medical Group's professional liability insurance. as required by this Agreement, i& <br />cancelled or terminated wilhoul replacement coverage hav.1,ig been secured ; <br />7.3.5 Loss or restriction of Medical Group Provider's prtvlleges at any hospital; <br />7.3.6 Med ical "Group or Med ical Group Provider fails or refuses to prov id e or arrange <br />for the prov is ion of Covered Services to Members in a professionally acceptable <br />manner: <br />7 .3. 7 Medical Group or Medical Group Prov der is suspended or e,cpelled from <br />Medicare , Med ica id or o.lher govemme nt programs; <br />7 .3.8 Medical Group Provider fails to meet Company's Credentialing criteria al any <br />time. <br />7.4 ~Q.N~~T T fLCWlREO-Thi s Agreement may be terminated without the consent of <br />any Member, Partrdpallng Provider or-any other third party. <br />7 .5 !;F.FE Ll.l;,BMINa 1O,N -Termirrci,t on will have no effect upon the rights and <br />ob!lgatloos of the parties arisfng out of any tr.ensactlons .occurring · prior to Iha effective <br />dale of te rminati on . The Medical Group may notify their Members Ir term nat ed. as a <br />Part.iclpating Provid er. The Medlcal Gro1:1p n,ay accon,plish tl\ls not ce with in fift een (15) <br />working. days or Issuance or a notice of term lnal ion lo or riom the Company and will <br />provide lhe Company with a copy of the notiflcallon sent lo lls Members . In addition , the <br />Company shaU make ·a ,good fall h effort lo assure, that wrllten not ice of a term ination <br />within fifteen (15) working days of receipt or Issuance of a notice of terminaUon is <br />provide d to all Members who are -seen on a regular bas is by the· Med ica l Group. If <br />Med ical Group has one o more practi tl oner9 wh.o are primary care providers , the <br />Company shall make a good faith effort t.o assure that notice Is prov ided to all Members <br />of that primary care provider . <br />Medical Group wm cooperate with ·company In lhe orderly tf'ilnafer of Members · care . <br />Including ecords, to other Pa rtic ipating Providers in the IIJlplicable Provider Network. <br />The part ies wlll cooi;ierale on promptly re.soMng an~ outs tanding financial. -adm!"lsb'atlve <br />or patient care 15:sues upon the term ln allon or this Agreement or Medical Group's <br />Pa,11clpatlng Provt~er status In any one or more or Company 's Provi der Networks . <br />Ourtng the lerm of lti ls Agreement, a.rid following its terminal.ion or te rminalion or Medical <br />Group's Participating Provider status· In any one or more of Company's Provider <br />Network's , Med ical Group agrees to refrain from any action that Interferes wilh tne <br />relationship between Company and its .exi sting or progpectlve Members. o~ other <br />providers. <br />7.6 0 T U TION Q f. SE."VICES AND PAYMENTS -Upon 1ermlnatlon of this · <br />Agreement without cause , Medical Group will ·continue to render Covered Services as If <br />still a Participating Provider, ,o primary care Membars ur,til the earl/est of the following : 1) <br />the date lllirvlces be ing re ndered lo lhe-Member by Medical Group are completed or <br />medically appropriate pro11lslona have been made ror another provider to as:sume <br />responslblUty for providing such services ; 2) sJxly (BO) days following notice lo Members <br />or, lfle term fnall on of Medlcal Group's status as a Part icipating Provider; or 3) the end of <br />the Member's group health plan open enrollment period . Toe provision Of such serv rces <br />and the re lmbursement to Medical Group fur these services wm be subject to all <br />appllcrabte terms of th )s Agreement on the same basi s as those servlcff prov ided during <br />the term of this A_groemen t. <br />7. 7 PBIOR AC,:T~ -In the event or term nation of this Agreement, for whatever reason , each <br />party wlll remain li able for its acllvities or the activities of Its employees or representa Iv es <br />during the term o(the Agreement <br />Asutls Ml3A Agreemer,t (Rev . 05/2017) A1BB1685>4AA Page 14 ot 20
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