Common use of FAILURE TO PERFORM AN Clause in Contracts

FAILURE TO PERFORM AN. ADMINISTRATIVE FUNCTION --------------------------------------------- Failure of HMO to perform an administrative function is a default under this contract. Administrative functions are any requirements under this contract that are not direct delivery of health care services, including claims payment; encounter data submission; filing any report when due; cooperating in good faith with TDH, an entity acting on behalf of TDH, or an agency authorized by statute or law to require the cooperation of HMO in carrying out an administrative, investigative, or prosecutorial function of the Medicaid program; providing or producing records upon request; or entering into contracts or implementing procedures necessary to carry out contract obligations.

FAILURE TO PERFORM AN. ADMINISTRATIVE FUNCTION --------------------------------------------- Failure of HMO to perform an administrative function is a default under this contract. Administrative functions are any requirements under this contract that are not direct delivery of health care services, including claims payment; payments, encounter data submission; , filing any report reports when due; , cooperating in good faith with TDH, an entity acting on behalf of TDH, or an agency authorized by statute or law to require the cooperation of HMO in carrying out an administrative, investigative, or prosecutorial function of the Medicaid program; , providing or producing records upon request; , or entering into contracts or implementing procedures necessary to carry out contract obligations.

FAILURE TO PERFORM AN. ADMINISTRATIVE FUNCTION --------------------------------------------- Failure of HMO to perform an administrative function is a default under this contract. Administrative functions are any requirements under this contract that are not direct delivery of health care services, including claims payment; encounter data submission; filing any report when due; cooperating in good faith with TDHHHSC, an entity acting on behalf of TDHHHSC, or an agency authorized by statute or law to require the cooperation of HMO in carrying out an administrative, investigative, or prosecutorial function of the Medicaid program; providing or producing records upon request; or entering into contracts or implementing procedures necessary to carry out contract obligations.

FAILURE TO PERFORM AN. ADMINISTRATIVE FUNCTION --------------------------------------------- Failure of HMO to perform an administrative function is a default under this contract. Administrative functions are any requirements under this contract that which are not direct delivery of health care or health-related services, including claims payment; payments, encounter data submission; submissions, filing any report reports when due; cooperating in good faith with TDH, an entity acting on behalf of TDH, or an agency authorized by statute or law to require the cooperation of HMO in carrying out an administrative, investigative, or prosecutorial function of the Medicaid program; providing or producing records upon request; request or entering failing to enter into contracts or implementing procedures necessary to carry out contract obligations.