Provider Information. BCBSM may disclose Provider specific information as follows: a. pursuant to any federal, state or local statute or regulation; b. to customers for purpose of audit and health plan administration so long as the customer agrees to restrict its use to these purposes; c. for purposes of public reporting of benchmarks in utilization management and quality assessment initiatives, including publication in databases for use with all consumer driven health care products, or other similar BCBS business purposes; d. for civil and criminal investigation, prosecution or litigation to the appropriate law enforcement authorities or in response to appropriate legal processes.
Appears in 8 contracts
Samples: Outpatient Physical Therapy Facility Affiliation Agreement, Ambulatory Surgery Facility Participation Agreement, Outpatient Physical Therapy Facility Traditional Participation Agreement
Provider Information. BCBSM may disclose Provider specific information as follows:
a. pursuant to any federal, state or local statute or regulation;
b. to customers for purpose of audit and health plan administration so long as the customer agrees to restrict its use to these purposes;; and
c. for purposes of public reporting of benchmarks in utilization management and quality assessment initiatives, including publication in databases for use with all consumer driven health care products, or other similar BCBS business purposes;.
d. for For civil and criminal investigation, prosecution or litigation to the appropriate law enforcement authorities or in response to appropriate legal processes.
Appears in 7 contracts
Samples: Clinical Laboratory Participating Agreement, Participation Agreement, Participation Agreement
Provider Information. BCBSM may disclose Provider specific information as follows:
a. pursuant Pursuant to any federal, state or local statute or regulation;
b. to To customers for purpose of audit and health plan administration so long as the customer agrees to restrict its use to these purposes;
c. for For purposes of public reporting of benchmarks in utilization management and quality assessment initiatives, including publication in databases for use with all consumer driven health care products, or other similar BCBS business purposes;; or
d. for For civil and criminal investigation, prosecution or litigation to the appropriate law enforcement authorities or in response to appropriate legal processes.
Appears in 2 contracts
Provider Information. BCBSM may disclose Provider specific information as follows:
a. pursuant Pursuant to any federal, state or local statute or regulation;
b. to To customers for purpose of audit and health plan administration so long as the customer agrees to restrict its use to these purposes;; and
c. for For purposes of public reporting of benchmarks in utilization management and quality assessment initiatives, including publication in databases for use with all consumer driven health care products, or other similar BCBS business purposes;.
d. for For civil and criminal investigation, prosecution or litigation to the appropriate law enforcement authorities or in response to appropriate legal processes.
Appears in 2 contracts
Samples: Durable Medical Equipment/ Prosthetic and Orthotic Supplier Provider Participation Agreement, Durable Medical Equipment/ Prosthetic and Orthotic Supplier Provider Participation Agreement
Provider Information. BCBSM may disclose Provider specific information as follows:
a. pursuant to any federal, state or local statute or regulation;
b. to customers for purpose of audit and health plan administration so long as the customer agrees to restrict its use to these purposes;; and
c. for purposes of public reporting of benchmarks in utilization management and quality assessment initiatives, including publication in databases for use with all consumer driven health care products, or other similar BCBS business purposes;.
d. for civil and criminal investigation, prosecution or litigation to the appropriate law enforcement authorities or in response to appropriate legal processes.
Appears in 1 contract
Samples: Participation Agreement
Provider Information. BCBSM may disclose Provider Pharmacy-specific information as follows:
a. pursuant to any federal, state or local statute or regulation;
b. to customers for purpose of audit and health plan administration so long as the customer agrees to restrict its use to these purposes;
c. for purposes of public reporting of benchmarks in utilization management and quality assessment initiatives, including publication in databases for use with all consumer driven health care products, or other similar BCBS business purposes;; and
d. for civil and criminal investigation, prosecution or litigation to the appropriate law enforcement authorities or in response to appropriate legal processes.
Appears in 1 contract
