Access Suspension. TennCare reserves the right to suspend Procuring Party's access in the event of Procuring Party's inappropriate use or access as determined by TennCare, including, but not limited to, in the event fifty percent (50%) of Procuring Party's requests received are not matched. TennCare may evaluate such patterns for indications of inappropriate use, including inquiry outside of the context of immediate treatment, payment or healthcare operations, or where the Procuring Party has no reasonable cause to believe that information requested was for individuals eligible for TennCare.
Appears in 4 contracts
Samples: Trading Partner Agreement, Trading Partner Agreement, Trading Partner Agreement
