De-empanelment of Health Care Providers Clause Samples
De-empanelment of Health Care Providers a. The TPA with prior consent of OICL shall suspend or de-empanel an EHCP ,
b. Notwithstanding a suspension or de-empanelment of an EHCP, the TPA shall ensure that it shall honour all Claims for any expenses that have been pre-authorised or are legitimately due before the effectiveness of such suspension or de-empanelment as if such de-empanelled EHCP continues to be an EHCP.
De-empanelment of Health Care Providers a. De-empanelment of HCPs shall only be done by the respective SHA or NHA, as per applicable guidelines and/or as per Applicable Laws and/or rules.
b. Notwithstanding a suspension or de-empanelment of an HCP by the respective SHA or NHA, the ISA shall ensure that it shall honor all Claims for any expenses that have been pre-authorised or are legitimately due before the effectiveness of such suspension or de-empanelment as if such de-empanelled HCP continues to be an HCP.