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Asuris Agreement
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06. June
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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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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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D. Medical Group agrees to maintain Participating Provider status in the Company'$ <br />Participating Provider Network. <br />E. Medical Group agrees to comply with the terms and conditions for Preferred Plan <br />Providers set forth In the Adm inistrative Manual, which can be found on the Company 's <br />website at http ://www.asuris.com/providernibrarylmanual/index. html. <br />F. If a Medical Group Provider has admitting privileges, the Medical Group Provider shall <br />maintain admitting privileges In at least one hospital within the Preferred Plan Provider <br />Network . <br />G, Medical Group shall admit or arrange for hospital admissions and referral serv ices of <br />Preferred Members only to Preferred Plan Providers, unless the Preferred Member is <br />covered under a Subscriber Agreement that provides incentives for Preferred Members <br />to seek services from Preferred Plan Providers and Participating Providers in the <br />Company's Participating Provider Network and the Preferred Member is being admllted <br />or referred to a Participating Provider in the Company's Participating Provider Network; <br />the Preferred Member's condition makes II impossible; the service is not available <br />through the Preferred Plan Provider Network ; or the Preferred Member chooses care <br />outside the Preferred Plan Provider Network. Medical Group should advise the Preferred <br />Member whenever health care services are to be obtained outside of the Preferred Plan <br />Provider Network that the Preferred Member may be subject to additional out-of-pocket <br />expense. Any questions regarding network participation and benefit levels should be <br />directed to the Company. <br />H Medical Group agrees to a~ept the Preferred payment set forth on the payment exhibit <br />as payment in full for covered services rendered to Preferred Members. <br />I. This Addendum shall continue in effect, unless terminated according to the proce&& set forth <br />in the Medical Group Agreement . Either party may terminate this Addendum w ithout <br />terminating the remainder of the Medical Group Agreement However, in the evenl either <br />party temiinates the Medical Group Agreement, this Addendum terminates as well. <br />The terms of this Addendum shall become a part of, and shall be specificaHy incorporated Into . the <br />terms of the Medical Group Agreement. In the event of any conflict or inconsistency between the <br />terms of this Addendum and the terms of the Medical Group Agreement, the terms or this Addendum <br />shaH prevail. <br />.C OUNTY HEAL TH DEPT <br />ytce President. Network Mana9.!!!lent __ _ <br />Title <br />l~I---Signature / <br />Il'l tl lJt Y1-~-, -· -- <br />Print Name <br />) n ±ev1 m AA mi r11 tmtw <br />Title <br />_\~LL~-\-r.~--- <br />oate <br />_\ \ q l <br />Da te <br />Aauris Medical Standard MGA Preferred Plan AddandUtn A18816864AA Page 2 of 2
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