SHJ25-014 MOLINA HEALTHCARE INTERIM AGREEMENT- PARTIALLY EXECUTED

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of benefits with another carrier or entity responsible for payment of the Claim; or (3) at any time, if required by law or if a third party is found responsible for satisfaction of the Claim as a consequence of liability imposed by law and Health Plan is unable to recover directly from the third party because the third party has either already paid or will pay Provider the health care services covered by the Claim. Provider may contest Health Plan's request in writing by participating in the Claims dispute process as outlined in Section 2.8. Overpayment and duplicate payment disputes must be submitted in writing within thirty (30) days of receipt of request. If it is decided that Health Plan will recover the contested payment, such refund may be recovered by any means permitted by this Agreement or by law, or by way of offset or recoupment from current or future amounts due Provider after six (6) months have passed from the date Health Plan received Provider's written notice contesting the repayment. In addition to any other contractual or legal remedy, if Provider fails to contest Health's Plan's request for a refund in writing within thirty (30) days of receipt of the request or if Provider contested the request and six (6) months has passed from the date Provider received Health Plan's refund request, Health Plan may recover the amounts owed by way of offset or recoupment from current or future amounts due Provider. As a material condition to Health Plan's obligations under this Agreement, Provider agrees that the offset and recoupment rights set forth herein shall be deemed to be and to constitute rights of offset and recoupment authorized in state and federal law or in equity to the maximum extent legally permissible, and that such rights shall not be subject to any requirement of prior or other approval from any court or other governmental authority that may now or hereafter have jurisdiction over Health Plan and/or Provider. Nothing in this section prohibits Provider from choosing at any time to refund to Health Plan any payment previously made by Health Plan to satisfy a Claim either by way of repayment by Provider or a request that Health Plan offset or recoup the money from current or future amounts due Provider. 2.8 Claims Dispute Process. hi the event that Provider determines that a Claim has been improperly denied or underpaid, Provider may make a written request for payment ("Provider Claims Dispute"): (1) within twenty-four (24) months after the date the Claim was denied or payment intended to satisfy the Claim was made; (2) within thirty (30) months after the date the Claim was denied or payment intended to satisfy the Claim was made if the request is related to coordination of benefits with another carrier or entity responsible for payment of the Claim. Provider may not request that payment be made any sooner than six (6) months after Health Plan's receipt of the request. A Provider Claims Dispute submission shall comply with the Provider Dispute Resolution Process stated in the Provider Manual, Health Plan shall consider and make a decision on each Provider Dispute based on the procedures which are described in the Provider Manual. If a Provider is dissatisfied with the result of a Provider Dispute, it may file a request for Non -Binding Mediation as provided in Section 2.18.c, below. 2.9 Term. This Agreement shall have a one-year term, commencing on the date this Agreement is fully executed. Health Plan and Provider agree to meet and confer in good faith to enter into a standard provider agreement to succeed the term of this Agreement. 2.10 Termination without Cause. This Agreement may be terminated without cause by either party on at least ninety (90) days written notice to the other party. 2.11 Termination with Cause. In the event of a breach of any material provision of this Agreement, the party claiming the breach will give the other party written notice of termination setting forth the facts underlying its claim(s) that the other party has breached the Agreement. The party receiving the notice of termination shall have thirty (30) days from the date of receipt of such notice to remedy or cure the claimed breach to the satisfaction of the other party. During this thirty (30) day period, the parties agree to meet as reasonably necessary and to confer in good faith in an attempt to resolve the claimed breach. If the party receiving the notice of termination has not remedied or cured the breach within such thirty (30) day period, the party who provided the notice of termination shall have the right to immediately terminate this Agreement. 2.12 Immediate Termination. Notwithstanding any other provision of this Agreement, Health Plan may immediately terminate this Agreement and transfer Member(s) to another provider by giving notice to Provider in the event of any of the following: Revised Aug 2025 (M11W) Page 5 of 12