Duties of Medical Group. 2.8.2 Letter of Credit (c) Triggering Event Conditions. Immediately upon the occurrence of a Triggering Event (as defined in this subsection), Medical Group shall obtain the Letter of Credit in the amount of the then applicable Letter of Credit Funding Amount. A Triggering Event, for purposes of this Section 2.8.2, shall mean any of the following: (i) Medical Group’s failure to maintain a current ratio (current assets divided by current liabilities) of 1.0 to 1.0, as determined by PacifiCare upon review of Medical Group’s financial statements, or (ii) Medical Group’s failure to maintain positive Tangible Net Equity, calculated in a manner consistent with the California Health and Safety Code. *** Confidential Information omitted and filed separately with the Securities and Exchange Commission.
Duties of Medical Group. 8 3.1 - Arrange or Provide Covered Services ............................ 8 3.2 - Medical Group Physicians........................................ 8 3.3 - Standards ...................................................... 9 3.4 - Insurance ...................................................... 10 3.5 - Non-Billing of Members ......................................... 10 3.6 - Continuing Care Obligation Following Termination ............... 11 3.7 - Provider Policies and Procedures Manual ........................ 12 3.8 - Credentialing, Recredentialing and Peer Review.................. 12 3.9 - Quality Management and Improvement Program...................... 14 3.10 - Utilization Management Program................................. 15 3.11 - Conformance Requests and Corrective Action..................... 16 3.12 - Catastrophic Case Management................................... 16 3.13 - Claims Processing.............................................. 16 3.14 - Non-Discrimination............................................. 17 3.15 - Reciprocity Agreements......................................... 17 3.16 - Other Contractual Commitments.................................. 18 3.17 - Dissemination of Information................................... 18 3.18 - Medical Group Subcontracts..................................... 18 3.19 - Medical Group Medical Director................................. 19 3.20 - Participate in PacifiCare Risk-Sharing Programs................ 19 3.21 - PacifiCare Point-Of-Service Plan............................... 19 3.22 - Exceptional Needs Care Coordination............................ 19 3.23 - OMAP Requirements ............................................. 19 4.
Duties of Medical Group
