Delivery of Patient Care Information. Provider shall promptly deliver to Health Plan, upon request and/or as may be required by state or federal law, Health Plan’s policies and procedures, applicable government sponsored health programs, Health Plan’s contracts with the government agencies, or third party payers, any information, statistical data, encounter data, or patient treatment information pertaining to Members served by Provider, including but not limited to, any and all information requested by Health Plan in conjunction with utilization review and management, grievances, peer review, HEDIS Studies, Health Plan’s Quality Improvement Program, or claims payment. Provider shall further provide direct access at reasonable times to said patient care information as requested by Health Plan or as required by any governmental agency or any appropriate state and federal authority having jurisdiction over Health Plan. Health Plan shall have the right to withhold compensation from Provider in the event that Provider fails or refuses to promptly provide any such information to Health Plan.
Delivery of Patient Care Information. Provider will promptly deliver to Health Plan, upon request and/or as may be required by Law, Health Plan’s policies and procedures, applicable Government Programs, Health Plan’s contracts with the government agencies, or third party payors, any information, statistical data, Encounter Data, or patient treatment information pertaining to Members served by Provider, including but not limited to, any and all information requested by Health Plan in conjunction with utilization review and management, grievances, peer review, HEDIS studies, Health Plan’s Quality Improvement Program, Consumer Assessment of Healthcare Providers and Systems (CAHPS) or Claims payment. Provider will further provide direct access to said patient care information as requested by Health Plan and/or as required by any governmental agency or any appropriate state and federal authority having jurisdiction over Health Plan. Health Plan will have the right to withhold compensation from Provider in the event that Provider fails or refuses to promptly provide any such information to Health Plan. This section will survive the termination of this Agreement.
Delivery of Patient Care Information. Hospital will promptly deliver to Health Plan, upon request and/or as may be required by Law, Health Plan’s policies and procedures, applicable Government Programs, Health Plan’s contracts with the government agencies, or third party payors, any information, statistical data, Encounter Data, or patient treatment information pertaining to Members served by Hospital, including but not limited to, any and all information requested by Health Plan in conjunction with utilization review and management, grievances, peer review, HEDIS studies, Health Plan’s Quality Improvement Program, Consumer Assessment of Healthcare Providers and Systems (CAHPS) or Claims payment. Hospital will further provide direct access to said patient care information as requested by Health Plan and/or as required by any governmental agency or any appropriate state and federal authority having jurisdiction over Health Plan. Health Plan will have the right to withhold compensation from Hospital in the event that Hospital fails or refuses to promptly provide any such information to Health Plan. This section will survive the termination of this Agreement.
