Duration of the contract. This contract becomes effective on , and will continue in effect for 365 days from the above date. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 6 contracts
Samples: Patient Agreement, Patient Agreement, Consultation Agreement
Duration of the contract. This contract becomes effective on , 20 , and will continue in effect for 365 days from the above dateuntil , 20 . Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 3 contracts
Samples: Envision Health, Envision Health, Patient Agreement
Duration of the contract. This contract becomes effective on , 20 , and will continue in effect for 365 days from the above dateuntil , 20 . Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physicians and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 2 contracts
Samples: Patient Agreement, Patient Agreement
Duration of the contract. This contract becomes effective on , 201 , and will continue in effect for 365 days from the above dateone calendar year. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 2 contracts
Samples: Medicare Opt Out Agreement, Medicare Opt Out Agreement
Duration of the contract. This contract becomes effective on , and will continue in effect for 365 days from the above dateone year. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Patient Agreement Bloommed, LLC
Duration of the contract. This contract becomes effective on , 20 , and will continue in effect for 365 days from the above dateuntil , 20 . Either party may terminate treatment with reasonable 30 days notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Direct Primary Care Agreement
Duration of the contract. This contract becomes effective on , and will continue in effect for 365 days from the above date. Either party may terminate treatment with reasonable a 30-day notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.. By: Xxxxxx Xxxxxxx NP-C Restoration Direct Primary Care, PLLC Patient’s Signature: Date: Appendix E
Appears in 1 contract
Samples: Patient Agreement
Duration of the contract. This contract becomes effective on , , and will continue in effect for 365 days from the above dateuntil , . Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Duration of the contract. This contract becomes effective on , and will continue in effect for 365 days from the above date. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Patient Agreement Plum Health, PLLC
Duration of the contract. This contract becomes effective on , 20 , and will continue in effect for 365 days from the above dateuntil _, 20 . Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physicians and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Patient Agreement
Duration of the contract. This contract becomes effective on , today’s date and will continue in effect for 365 days from the above dateeffect, renewing annually. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Medicare Opt Out Agreement
Duration of the contract. This contract becomes effective on _______________________, 2016, and will continue in effect for 365 days from the above dateuntil ____________________, 2017. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Out Agreement
Duration of the contract. This contract becomes effective on , 201 , and will continue in effect for 365 days from the above dateone calendar year. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the representations and warranties contained in this Agreement and the obligation not to pursue Medicare reimbursement for items and services provided under this contract Agreement will survive this contracttermination.
Appears in 1 contract
Samples: Medicare Opt Out Agreement
Duration of the contract. This contract becomes effective on , Today’s Date and will continue in effect for 365 days from the above dateeffect, renewing annually. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Patient Agreement
Duration of the contract. This contract becomes effective on , and will continue in effect for 365 days from the above date2023. Either party may terminate treatment with reasonable a 30-day notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.. By Xxxxx Primary Care LLC,
Appears in 1 contract
Samples: Patient Agreement
Duration of the contract. This contract becomes effective on , 2012, and will continue in effect for 365 days from the above dateuntil , 2013. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Agreement
Duration of the contract. This contract becomes effective on , 20 , and will continue in effect for 365 days from the above dateuntil terminated. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for the items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Medicare Opt Out Agreement
Duration of the contract. This contract becomes effective on , 201 , and will continue in effect for 365 days from the above dateuntil , 201 . Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Patient Agreement
Duration of the contract. This contract becomes effective on , , and will continue in effect for 365 days from the above dateuntil , . Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Patient Agreement
Duration of the contract. This contract becomes effective on January 1, 2021, and will continue in effect for 365 days from the above dateuntil January 1, 2022. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Practice Agreement
Duration of the contract. This contract becomes effective on January 1, 2020, and will continue in effect for 365 days from the above dateuntil January 1, 2021. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Practice Agreement
Duration of the contract. This contract becomes effective on , 2018, and will continue in effect for 365 days from the above dateuntil , 2020. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Appendix 2
Duration of the contract. This contract becomes effective on , and will continue in effect for 365 days from the above datedate signed by the parties. Either party may terminate treatment with reasonable a 30-day notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.. By Xxxxxxxx Xxxxx FNP-C Healing Hands Medical Clinic
Appears in 1 contract
Samples: Patient Agreement
Duration of the contract. This contract becomes effective on , 20 , and will continue in effect for 365 days from the above dateuntil , 20 . Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.. Beneficiary Responsibilities
Appears in 1 contract
Samples: Patient Agreement
Duration of the contract. This contract becomes effective on January 1, 2022, and will continue in effect for 365 days from the above dateuntil January 1, 2023. Either party may terminate treatment with reasonable notice to the other party, as provided in the agreement. Notwithstanding this right to terminate treatment, both Provider Physician and Beneficiary agree that the obligation not to pursue Medicare reimbursement for items and services provided under this contract will survive this contract.
Appears in 1 contract
Samples: Practice Agreement