Payor Contracts. See Recital A. ---------------
Payor Contracts. Schedule 4.26(j) lists, for each of the ten (10) payors whose covered members make up the largest numbers of the Company’s patients for the twelve (12) month period ending on December 31, 2021 (the “Key Payors”) and for the six (6)-month period ending on June 30, 2022, the approximate percentage and dollar amount of annual (pro-rated for partial periods) revenues to or payments by any Company Group Member or Key Payors for the applicable period(s). To the Knowledge of the Company, no event has occurred that would reasonably be expected to materially and adversely affect any Company Group Member’s relations with any Key Payor. Each Company Group Member has provided or, with respect to matters occurring after the Original Agreement Date, will provide, Acquiror with written notice of any Key Payor that, since December 31, 2021, (i) has terminated, not renewed, cancelled, materially altered any Material Contract or substantially decreased its business done with any Company Group Member or has indicated in writing or, to Company’s Knowledge, orally that it will do any of the foregoing, or (ii) has asserted a breach or default in writing against Company under any contract. The Company Group Members’ contracts with the Key Payors are in writing and signed by or on behalf of the parties thereto, and constitute valid, binding and enforceable agreements of the applicable Company Group Member, and, to the Knowledge of the Company, the other parties thereto, and were entered into in the ordinary course of business.
Payor Contracts. If Ambergris elects to accept a Payor Contract, as hereafter defined, then the P.A. shall, and cause each Physician to, execute and deliver such agreement or otherwise become a participating provider under such Payor Contract. The P.A. shall assist Ambergris in securing such Payor Contracts as Ambergris shall request or otherwise designate. For purposes hereof, a “Payor Contract” is an agreement for the provision of health care services where the health maintenance organization, preferred provider organization, exclusive provider organization, employer, or other third party payor is obligated for the provision of, or payment, or reimbursement for, the provision of health care services including professional radiation therapy services, and the professional and technical components thereof.
Payor Contracts. Physician shall cooperate with Company and take all necessary or appropriate action to participate, and shall at all times maintain participating physician status, in the payment plans of all private and governmental third-party payors, health maintenance organizations, preferred provider organizations, and other health benefit programs (collectively, "Payor Programs") with which Company (or any of its affiliates) may contract. At the request of Company, Physician shall (i) enter into contracts with Payor Programs in Physician’s capacity as an individual, licensed healthcare provider (the “New Contracts”), and (ii) with respect to all contracts with Payor Programs existing as of the Effective Date (the “Existing Contracts” and together with the New Contracts, the “Payor Contracts”), provide notice to, and obtain consents from, all applicable payor parties under such Existing Contracts as required by the terms of the Existing Contract in order for Physician to render the Services for the economic benefit of Company. Physician shall maintain in good standing (unless Company specifically directs Physician in writing otherwise) all Payor Contracts, and Physician shall not take any action to amend or renegotiate the terms of any Payor Contract without at least 30 days’ prior written notice to Company.
Payor Contracts. Member shall be provided information on material terms of a Payor Agreement and be obligated to accept each Payor Agreement participated in by Member, and all amendments, or amendment to such Payor Agreement, approved by the Members of the Company. The Company may arrange for Payors to pay Member in accordance with the terms of the applicable third-party Payor Agreements or may arrange for payment for such services to the Company, in which case the Company will forward such payment, to the Member for services rendered by the Member. Notwithstanding the failure of a Payor to remit payments to the Member or the Company pursuant to any Payor Agreement, the right to enforce the Payor's obligation to remit payment pursuant to any Payor Agreement shall vest solely with the Company and the Member shall have no third party beneficiary right to enforce the obligation of Payor to make such payment.
Payor Contracts. See Recital A. --------------- XL Percentage Fee Portion. See Exhibit 7.1. ---------------------- -----------
Payor Contracts. Practice shall operate, and shall cause its employed and contracted Physicians and Physician Extenders to operate, in compliance with all Payor Contracts, and shall work with Manager to attempt to obtain new Payor Contracts. 3.8
Payor Contracts. Practice, with the assistance, advice, and consent of Manager, shall review, evaluate, and negotiate and approve or reject all Payor Contracts (including all fee schedules) and all other contracts or agreements regarding the provision of medical services by Practice in connection with the operation of the Practice.
Payor Contracts. Company is certified, licensed, and eligible in all respects, and each Clinical Provider is appropriately credentialed, as applicable, for participation and reimbursement under, the Payor’s programs for healthcare reimbursement (collectively, “Payor Programs”). Company and each Clinical Provider eligible to participate in such Payor Programs is authorized to receive reimbursement under the Payor Programs under valid provider numbers and provider agreements. All necessary certifications and contracts required for participation in such programs are in full force and effect and have not been amended or otherwise modified, rescinded, revoked or assigned, and, no condition exists or event has occurred which in itself or with the giving of notice or the lapse of time or both would result in the suspension, revocation, impairment, forfeiture or non-renewal of any such Payor Program. Company is in compliance with all requirements of all such Payors. Neither Sellers nor, to Sellers’ knowledge, any Clinical Provider has any financial relationship (whether investment interest, compensation interest, or otherwise) with any entity to which any of such individual refers patients, except for such financial relationships that qualify for exceptions to state and federal laws restricting physician referrals to entities in which they have a financial interest. Sellers have reviewed the following government sponsored website: xxxx://xxxxxxxxxx.xxx.xxx.xxx and neither Sellers nor any of the other Clinical Providers has been excluded, or is currently pending exclusion, from participation in any federal or state-funded health benefits program (including, without limitation, Medicare, Medicaid and CHAMPUS/TRICARE) or any federal procurement or non-procurement program. Neither the execution and delivery of this Agreement nor the consummation of the Transactions will result in the termination, suspension, revocation or violation of any Payor Program contract to which the Company or, any Clinical Provider is a party and, upon fulfillment of all applicable requirements including the timely and proper filing of all required filings and delivery of all required notices set forth on Schedule 2.7 by Buyer after the Closing Date, each such Payor Program contract will remain vested in and will continue to inure to the benefit of the Company after the consummation of the Transactions.
Payor Contracts. Schedule 2.24 sets forth a complete list of all written contracts with private third party payors including insurance companies, managed care organizations and HMOs (“Payor Contracts”). Sellers have provided OpCo Buyer with a true and correct copy of all material Payor Contracts, whether or not entered into in the ordinary course of business, or otherwise required to be disclosed on Schedule 2.24, in each case together with all amendments thereto.
