Common use of Provider-Preventable Conditions Clause in Contracts

Provider-Preventable Conditions. Contractor shall not pay any provider claims nor reimburse a provider for a Provider-Preventable Condition (PPC), in accordance with 42 CFR 438.3(g). Contractor shall report, and require any and all of its subcontracted providers to report, PPCs in the form and frequency required by APL 17-009.

Appears in 3 contracts

Samples: Healthcare Agreement, Contract for Health Care Services, Service Agreement

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Provider-Preventable Conditions. Contractor shall not pay any provider claims nor reimburse a provider for a Provider-Preventable Condition (PPC), in accordance with 42 CFR 438.3(g). Contractor shall report, and require any and all of its subcontracted providers Network Providers and Subcontractors to report, PPCs in the form and frequency required by APL 17-17- 009.

Appears in 1 contract

Samples: Service Agreement

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