Payer Contracts. Group and Hythiam each will use best efforts to identify opportunities to include reimbursement for treatment utilizing the Licensed Technology in, and will use commercially reasonable efforts to negotiate amendments to, Group’s existing payer contracts (and to identify prospects and negotiate all future payer contracts) to arrange for inclusion of coverage for treatment utilizing the Licensed Technology, including contracts with HMOs, PPOs, other managed care companies, insurers, employers, unions, employee assistance programs or vendors, behavioral health programs or vendors or other third-party payers.
Payer Contracts. (a) With the exception of the MSSP, each Payer Contract approved by the Board (including any substantial modification and/or renewal of a Payer Contract previously approved by the Board) shall be presented to Practice, along with all relevant documentation and information, to allow Practice to evaluate Providers’ capacity and capability to perform its duties and responsibilities under the Payer Contract. Practice may opt out of a particular Payer Contract (or renewal thereof) by providing FCHA a written notice within thirty (30) days’ of receiving notice of the Board’s approval of that Payer Contract. The Board shall issue reasonably prompt notices of its approval of any Payer Contract to the Practice, so as to not unreasonably delay or hinder Practice’s consideration of whether it will opt out of a Payer Contract. If Practice has not provided such notice within such ten (10)-day period, Practice will be deemed to be bound to that Payer Contract as presented.
Payer Contracts. (a) FCHA shall make reasonable efforts to negotiate, enter into, and present to CIN Members for their consideration Payer Contracts on terms generally acceptable to CIN Members. In negotiating Payer Contracts (including any renewal or amendment of an existing Payer Contract), FCHA shall not have the apparent or actual authority to bind any CIN Member to any contractual obligation prior to the presentation and opportunity to opt out specified in Section 2.4 above. Each Payer Contract and each amendment to an existing Payer Contract shall be subject to the prior approval of the Board. To the fullest extent possible, FCHA shall not agree to a term in any Payer Contract that places one category of CIN Member at a significant disadvantage as compared to another category of CIN Member.
Payer Contracts. Hospital and Hythiam each will use best efforts to identify opportunities to include reimbursement for treatment utilizing the Licensed Technology in, and will use commercially reasonable efforts to negotiate amendments to, Hospital's existing payer contracts (and to identify prospects and negotiate all future payer contracts) to arrange for inclusion of coverage for treatment utilizing the Licensed Technology, including contracts with HMOs, PPOs, other managed care companies, insurers, employers, unions, employee assistance programs or vendors, behavioral health programs or vendors, or other third-party payers.
Payer Contracts. Rite Aid will use commercially reasonable efforts to assist xxxxxxxxx.xxx in obtaining provider numbers from payers engaged in the business of establishing and administering networks of pharmacies at which prescriptions for Pharmaceutical Products may be filled for individuals whose prescriptions are paid for by insurers, health plans and other Third Parties.
Payer Contracts. 3.8.1 Each Payer Contract approved by CCPN through its Board of Managers and Members, including any substantial modification and/or renewal of a Payer Contract previously approved, shall be presented to Practice, along with all relevant documentation and information, to allow Practice thirty (30) days to evaluate Providers’ capacity and capability to perform its duties and responsibilities under the Payer Contract (the “Review Period”). Practice may opt out of a particular Payer Contract or renewal thereof by providing CCPN a written notice within ten (10) days of the completion of the Review Period. If Practice has not provided such notice within forty (40) days of presentation, Practice will be deemed to be bound to that Payer Contract as presented.
Payer Contracts
