Professional Out-of-Network Withhold Fund. The Professional Out-of-Network Withhold Fund shall be equal to the amount withheld from POS Capitation as described above. Each year, HMO shall calculate the difference between the amount in the Professional Out-of-Network Withhold Fund and the actual claims. PPG’s share of the difference shall be ***. PPG shall not be subject to any downside.
Appears in 3 contracts
Samples: Provider Services Agreement (Prospect Medical Holdings Inc), Group Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc)
Professional Out-of-Network Withhold Fund. The Professional Out-of-Network Withhold Fund shall be equal to the amount withheld from POS Capitation as described above. Each year, HMO shall calculate the difference between the amount in the Professional Out-of-Network Withhold Fund and the actual claims. PPG’s share of the difference shall be *** not to exceed *** of PPG’s annual gross capitation. PPG shall not be subject to any downside.
Appears in 1 contract
Samples: Provider Services Agreement (Prospect Medical Holdings Inc)
Professional Out-of-Network Withhold Fund. The Professional Out-of-Network Withhold Fund shall be equal to the amount withheld from POS Capitation as described above. Each year, HMO shall calculate the difference between the amount in the Professional Out-of-Network Withhold Fund and the actual claims. PPG’s share of the difference shall be ***fifty percent (50%). PPG shall not be subject to any downside.
Appears in 1 contract
Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc)
Professional Out-of-Network Withhold Fund. The Professional Out-of-Network Withhold Fund shall be equal to the amount withheld from POS Capitation as described above. Each year, HMO shall calculate the difference between the amount in the Professional Out-of-Network Withhold Fund and the actual claims. PPG’s share of the difference shall be ***. PPG shall not be subject to any downside.
Appears in 1 contract
