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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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Last modified
1/18/2019 2:03:50 PM
Creation date
1/18/2019 2:03:02 PM
Metadata
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Template:
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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PARTICIPATING PROVIDER MEDICAL GROUP AGREEMENT <br />between <br />ASURIS NORTHWEST HEAL TH <br />and <br />KITTITAS COUNTY HEALTH DEPT <br />EFFECTIVE DATE: ____ .....__ <br />ASURIS NORTHWEST HEALTH, a Washington health care service contractor, and any <br />successor organizations ("Company"), and KITTITAS COUNTY HEAL TH DEPT a Washington <br />corporation that has entered into contracts with and/or employs pro11iders who are duly licensed to render <br />health care sen/ices in the state (hereinafter referred to as "Medical Group"). This Agreement Is a master <br />agreement that may be amended from time to time pursuant lo Section VIII of the Agreement, and <br />through the addition, alteration or elimination of those Provider Networks in which Medical Group has <br />agreed to become a Participating Provider. <br />By virtue of Medical Group's status as a Participating Provider In a given Provider Network, Medical <br />Group will furnish services to members of those Health Plans offered or administered by the Company (or <br />another entity with access to the applicable Provider Network pursuant to an agreement with Company as <br />allowed by Section 5.6) which rely on that Provider Network for the provision of Covered Services. <br />Medical Group also agrees to provide services to any Member under any Provider Network In which <br />Medical Group participates pursuant to the terms of this Agreement and any addenda attached hereto, <br />Nothing In this Agreement gives Medical Group the right to participate in any new Provider Networks or <br />lines of business developed by Company, unless Medical Group is offered and accepts participation in <br />ttie new Provider Network or line of business. This Participating Medical Group Agreement and the <br />applicable terms and conditions for participation in those Provider Networks, in which Medical Group is a <br />Participating Provider, are collectively referred to herein as the "Agreement." Participation In each <br />Provider Network is enforceable under the terms and conditions contained in the relevant Provider <br />Network addendum and, in the event of a conflict between the language of the Agreement and any <br />addendum relating to a particular Provider Network, the language of the relevant addendum will prevail. <br />IN CONSIDERATION of mutual covenants and promises stated herein and other good and <br />valuable consideration, the undersigned have agreed to be bound by this Agreement as of the Effective <br />Date. <br />RECITALS <br />The Company is a Washington non-profit Company registered with the Washington State Office of the <br />Insurance Commissioner as a health care service contractor, and as such is subject ta laws specifically <br />applicable to health care service contractors. <br />The Medical Group is a legal entity comprised of physicians and/or other health care providers all of <br />whom are licensed and/or certified by the state(s) in which the Medical Group is located. <br />I. DEFINITIONS <br />1.1 BENEFITS means payment by the Company for services and supplies covered under a <br />group or Individual Health Plan. <br />1.2 CERTIFICATE means the evidence of insurance provided to an Insured under a group or <br />Individual Health Plan. <br />Asuria MGA Agreement (Rav. 05/2017) A18816864AA Page 1 0120
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