My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SHJ25-007 Kittitas County and Wellpoint Agreement - PARTIALLY EXECUTED
>
Meetings
>
2025
>
06. June
>
2025-06-17 10:00 AM - Commissioners' Agenda
>
SHJ25-007 Kittitas County and Wellpoint Agreement - PARTIALLY EXECUTED
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/12/2025 12:53:35 PM
Creation date
6/12/2025 12:49:58 PM
Metadata
Fields
Template:
Meeting
Date
6/17/2025
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve Agreement SHJ25-007 WELLPOINT - 1115 Medicaid Re-Entry Initiative
Order
14
Placement
Consent Agenda
Row ID
132242
Type
Contract
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
37
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
for payment purposes, for health care operations purposes consistent with those enumerated in the first two <br />paragraphs of the health care operations definition in HIPAA (45 CFR 164.501), or for purposes of health care <br />fraud and abuse detection or compliance. Such data shall be in the form of an automated transfer of Provider's <br />Electronic Medical Record ("EMIR") clinical data for closed encounters in the industry -standard Clinical <br />Document Architecture ("CDA") format for the aforementioned uses, which shall be via Epic Payer Platform <br />("EPP") Clinical Data Exchange ("CDE") for providers on the Epic EMR, or materially similar connectivity <br />interface for alternate EMIR platform (e.g. Carrier, Allscripts). Automated transfer of the data shall occur ("go - <br />live") within three (3) months after the Effective Date of this Agreement. Configuration shall be enabled such <br />that clinical information is made available timely during and throughout inpatient encounters. Provider shall <br />provide data as set forth in Policies or the provider manual(s), as applicable. <br />ARTICLE IV <br />INSURANCE <br />4.1 Wellpoint Insurance. Wellpoint shall self -insure or maintain insurance as required underapplicable Regulatory <br />Requirements to insure Wellpoint and its employees, acting within the scope of their duties. <br />4.2 Provider Insurance. Provider shall self -insure or maintain insurance in types and amounts reasonably <br />determined by Provider, or as required under applicable Regulatory Requirements. <br />ARTICLE V <br />RELATIONSHIP OF THE PARTIES <br />5.1 Relationship of the Parties. For purposes of this Agreement, Wellpoint and Provider are and will act at all times <br />as independent contractors. Nothing in this Agreement shall be construed, or be deemed to create, a <br />relationship of employer or employee or principal and agent, partnership, joint venture, or any relationship <br />other than that of independent entities contracting with each other for the purposes of effectuating this <br />Agreement. <br />5.2 Provider Representations and Warranties. Provider represents and warrants that it has the corporate power <br />and authority to execute and deliver this Agreement on its own behalf, and on behalf of any other individuals <br />or entities that are owned, or employed or subcontracted with or by Provider to provide services under this <br />Agreement. Provider further certifies that individuals or entities that are owned, employed or subcontracted <br />with Provider agree to comply with the terms and conditions of this Agreement. <br />ARTICLE VI <br />INDEMNIFICATION AND LIMITATION OF LIABILITY <br />6.1 Indemnification. Wellpoint and Provider shall each indemnify, defend and hold harmless the other party, and <br />his/her/its directors, officers, employees, agents, Affiliates and subsidiaries ("Representatives"), from and <br />against any and all losses, claims, damages, liabilities, costs and expenses (including without limitation, <br />reasonable attorneys' fees and costs) arising from third party claims resulting from the indemnifying parry's or <br />his/her/its Representative's failure to perform the indemnifying party's obligations under this Agreement, <br />and/or the indemnifying party's or his/her/its Representative's violation of any law, statute, ordinance, order, <br />standard of care, rule or regulation. The obligation to provide indemnification under this Agreement shall be <br />contingent upon the party seeking indemnification providing the indemnifying party with prompt written notice <br />of any claim for which indemnification is sought, allowing the indemnifying party to control the defense and <br />settlement of such claim, provided however that the indemnifying party agrees not to enter into any settlement <br />or compromise of any claim or action in a manner that admits fault or imposes any restrictions or obligations <br />on an indemnified party without that indemnified parry's prior written consent which will not be unreasonably <br />withheld, and cooperating fully with the indemnifying party in connection with such defense and settlement. <br />6.2 This provision intentionally left blank. <br />ARTICLE VII <br />DISPUTE RESOLUTION <br />7.1 Complaints of Members. Wellpoint shall notify the Provider concerning any complaint by a Member involving <br />that Provideror a Participating Providerof that Provider in accordance with procedures set forth in the provider <br />manual. The provisions of this Article shall only apply to disputes that have complied fully with all grievance <br />and appeal procedures set forth in the provider manual. <br />Washington Enterprise Provider Agreement PCs g 1183932156 <br />1D2024 July— Wellpoint Washington, Inc. 05/05/2025 <br />
The URL can be used to link to this page
Your browser does not support the video tag.