Common use of I GENERAL PROVISIONS Clause in Contracts

I GENERAL PROVISIONS. 1. The Provider shall subject to the availability of the beds extend priority admission facility tothe beneficiaries. 2. The Provider hereby ensures that it has cover of adequate insurance policy against any erroror omission in treatment as also negligence by its doctors and Para-medical staff and shallkeep such policies in force during the subsistence of this agreement. 3. The Provider shall endeavor to have an officer of the Provider assigned for the patients andshall endeavor to ensure that such officer learns various types of medical benefit offered by different insurance plans. 4. The Provider shall allow the representative/s of AITPAL to visit the patients and generally discuss the medical treatment to be given by the Provider to the patients provided always thefinal decision with respect to the line of treatment to be given to the patients shall be that ofthe Provider and its team of doctors, and the representatives of AITPAL shall not interferewith the same, However they have the right to know the treatment plan and discuss the samewith the provider. 5. If found necessary by AITPAL to depute an authorized representative, the Provider shall allowwith prior appointment or otherwise, the authorized representatives to have an access to the standardized billing and medical records, Electronic Medical Records, Indoor Case Papers,(Without any charge ) International Coding of Diseases after the patient is discharged orduring the period of the hospitalization. Provider will not charge any additional cost 6. The Provider shall comply with the statutory requirements and follow the law of the land. 7. Network Provider agrees to have medical audit/bills audit, periodically, and as and when necessary through an authorized person(s) appointed by AITPAL. Free access will be providedto all systems and data related to medical xxxx under audit, whether physical or electronic,whenever asked by such representative 8. The Provider will convey to the Doctor treating the patient to keep the patient only for therequired number of days of treatment and carry out only the required investigation and treatment for the ailment for which he/she is admitted and the decision in this regard of theattached Doctor shall be final and binding on the parties. In the event of any complications and/or emergency the treatment for the same will be included and permitted as necessary treatment and the attached Doctor shall at all times have the rights to treat the patient as the/she considers in his/her absolute discretion fit and necessary. Any other investigations required by the patient for his/her benefit are not reimbursable and hence not payable by AITPAL and the Doctor will inform the patient that he/she will have to bear the costs of thesame. However if there is any deviation in the line of treatment or from the information given in the Pre - Authorization request AITPAL shall not be considered liable and the patientwill have to bear the cost for the same and the provider would be required to recover thesame from the patient. 9. The agreement is subject to the agreed package charges from time to time and for rest of the diseases/procedures, the detailed schedule of charges to be submitted by the Provider, whichhas to be agreed by AITPAL mutually. 10. In case the provider has any issues, the same needs to be clarified urgently with the AITPAL as the case may be Any harassment or denial of service to the insured /beneficiary without prior notice to the AITPAL shall be construed as violation of this Agreement. 11. AITPAL shall conduct surprise checks of the provider to ensure display of posters andalso check the knowledge of the provider’s staff about the cashless process and recognition of ID cards, and generally the quality and nature of services provided by theprovider. Any deficiencies as observed during the course of any such inspection shall alsobe regarded as violation of the agreement.This agreement super cedes all earlier agreements signed by the Hospital/Nursing Home with AITPAL.

I GENERAL PROVISIONS. 1. The Provider shall subject to the availability of the beds extend priority admission facility tothe to the beneficiaries. 2. The Provider hereby ensures that it has cover of adequate insurance policy against any erroror error or omission in treatment as also negligence by its doctors and Para-medical staff and shallkeep shall keep such policies in force during the subsistence of this agreement. 3. The Provider shall endeavor to have an officer of the Provider assigned for the patients andshall and shall endeavor to ensure that such officer learns various types of medical benefit offered by different insurance plans. 4. The Provider shall allow the representative/s of AITPAL AHCL to visit the patients and generally discuss the medical treatment to be given by the Provider to the patients provided always thefinal the final decision with respect to the line of treatment to be given to the patients shall be that ofthe of the Provider and its team of doctors, and the representatives of AITPAL AHCL shall not interferewith interfere with the same, However they have the right to know the treatment plan and discuss the samewith same with the provider. 5. If found necessary by AITPAL AHCL to depute an authorized representative, the Provider shall allowwith allow with prior appointment or otherwise, the authorized representatives to have an access to the standardized billing and medical records, Electronic Medical Records, Indoor Case Papers,(Without Papers, (Without any charge ) International Coding of Diseases after the patient is discharged orduring or during the period of the hospitalization. Provider will not charge any additional cost 6. The Provider shall comply with the statutory requirements and follow the law of the land. 7. Network Provider agrees to have medical audit/bills audit, periodically, and as and when necessary through an authorized person(s) appointed by AITPALAHCL. Free access will be providedto provided to all systems and data related to medical xxxx under audit, whether physical or electronic,, whenever asked by such representative 8. The Provider will convey to the Doctor treating the patient to keep the patient only for therequired the required number of days of treatment and carry out only the required investigation and treatment for the ailment for which he/she is admitted and the decision in this regard of theattached the attached Doctor shall be final and binding on the parties. In the event of any complications and/or emergency the treatment for the same will be included and permitted as necessary treatment and the attached Doctor shall at all times have the rights to treat the patient as thehe/she considers in his/her absolute discretion fit and necessary. Any other investigations required by the patient for his/her benefit are not reimbursable and hence not payable by AITPAL AHCL and the Doctor will inform the patient that he/she will have to bear the costs of thesamethe same. However if there is any deviation in the line of treatment or from the information given in the Pre - Authorization request AITPAL AHCL shall not be considered liable and the patientwill patient will have to bear the cost for the same and the provider would be required to recover thesame the same from the patient. 9. The agreement is subject to the agreed package charges from time to time and for rest of the diseases/procedures, the detailed schedule of charges to be submitted by the Provider, whichhas which has to be agreed by AITPAL AHCL mutually. 10. In case the provider has any issues, the same needs to be clarified urgently with the AITPAL as the case may be t h e A H C L a s t h e c a s e m a y b e Any harassment or denial of service to the insured /beneficiary / beneficiary without prior notice to the AITPAL AHCL shall be construed as violation of this Agreement. 11. AITPAL A H C L shall conduct surprise checks of the provider to ensure display of posters andalso and also check the knowledge of the provider’s staff about the cashless process and recognition of ID cards, and generally the quality and nature of services provided by theproviderthe provider. Any deficiencies as observed during the course of any such inspection shall alsobe also be regarded as violation of the agreement.. This agreement super cedes all earlier agreements signed by the Hospital/Nursing Home with AITPALAHCL.

I GENERAL PROVISIONS. 1. The provider shall mention ROHINI registration no.................................. 2. The provider shall provide pre entry level certificate (or higher level of certificate) issued by National Accreditation Board for Hospital and Healthcare Providers (NABH) or State Level Certificate (or higher level of certificate )under National Quality Assurance Standards (NQAS),issued by National Health Systems Resources Centre (NHSRC). 3. The Provider shall subject to the availability of the beds extend priority admission facility tothe beneficiaries. 24. The Provider hereby ensures that it has cover of adequate insurance policy against any erroror error or omission in treatment as also negligence by its doctors and Para-medical staff and shallkeep shall keep such policies in force during the subsistence of this agreement. 35. The Provider shall endeavor to have an officer of the Provider assigned for the patients andshall and shall endeavor to ensure that such officer learns various types of medical benefit offered by different insurance plans. 46. The Provider shall allow the representative/s of AITPAL to visit the patients and generally discuss the medical treatment to be given by the Provider to the patients provided always thefinal the final decision with respect to the line of treatment to be given to the patients shall be that ofthe of the Provider and its team of doctors, and the representatives of AITPAL shall not interferewith interfere with the same, However they have the right to know the treatment plan and discuss the samewith same with the provider. 57. If found necessary by AITPAL to depute an authorized representative, the Provider shall allowwith allow with prior appointment or otherwise, the authorized representatives to have an access to the standardized billing and medical records, Electronic Medical Records, Indoor Case Papers,(Without any charge ) International Coding of Diseases after the patient is discharged orduring or during the period of the hospitalization. Provider will not charge any additional cost 68. The Provider shall comply with the statutory requirements and follow the law of the land. 79. Network Provider agrees to have medical audit/bills audit, periodically, and as and when necessary through an authorized person(s) appointed by AITPAL. Free access will be providedto provided to all systems and data related to medical xxxx under audit, whether physical or electronic,, whenever asked by such representative 8. The Provider will convey to the Doctor treating the patient to keep the patient only for therequired the required number of days of treatment and carry out only the required investigation and treatment for the ailment for which he/she is admitted and the decision in this regard of theattached the attached Doctor shall be final and binding on the parties. In the event of any complications and/or emergency the treatment for the same will be included and permitted as necessary treatment and the attached Doctor shall at all times have the rights to treat the patient as the/she considers in his/her absolute discretion fit and necessary. Any other investigations required by the patient for his/her benefit are not reimbursable and hence not payable by AITPAL and the Doctor will inform the patient that he/she will have to bear the costs of thesamethe same. However if there is any deviation in the line of treatment or from the information given in the Pre - Authorization request AITPAL shall not be considered liable and the patientwill patient will have to bear the cost for the same and the provider would be required to recover thesame the same from the patient. 910. The agreement is subject to the agreed package charges from time to time and for rest of the diseases/procedures, the detailed schedule of charges to be submitted by the Provider, whichhas which has to be agreed by AITPAL mutually. 1011. In case the provider has any issues, the same needs to be clarified urgently with the AITPAL as the case may be Any harassment or denial of service to the insured /beneficiary without prior notice to the AITPAL shall be construed as violation of this Agreement. 1112. AITPAL shall conduct surprise checks of the provider to ensure display of posters andalso and also check the knowledge of the provider’s staff about the cashless process and recognition of ID cards, and generally the quality and nature of services provided by theproviderthe provider. Any deficiencies as observed during the course of any such inspection shall alsobe also be regarded as violation of the agreement.. This agreement super cedes all earlier agreements signed by the Hospital/Nursing Home with AITPAL.