PROVIDER Rights Upon Termination Clause Samples
The "PROVIDER Rights Upon Termination" clause defines the specific rights and entitlements that the service provider retains or receives when the contract is ended, whether by expiration or early termination. Typically, this clause outlines the provider's ability to receive payment for services rendered up to the termination date, the return or retention of proprietary materials, and the handling of confidential information. Its core practical function is to ensure that the provider is fairly compensated and protected in the event the agreement ends, thereby reducing disputes and clarifying obligations for both parties.
PROVIDER Rights Upon Termination. Except as otherwise required by law, PROVIDER agrees, subject to the appeal process set forth in the Provider Manual, any ▇▇▇▇▇ decision to terminate this Agreement pursuant to this Section VII shall be final.
(a) PROVIDER acknowledges and understands Plan(s) have the authority to determine whether a PROVIDER shall be suspended or terminated from participation in a particular Plan without termination of this Agreement. However, Plan(s) shall not have the authority to terminate PROVIDER for (a) maintaining a practice that includes a substantial number of patients with expensive health conditions; (b) objecting to or refusing to provide a Covered Service on moral or religious grounds; (c) advocating for Medically Appropriate care consistent with the degree of learning and skill ordinarily possessed by a reputable health care provider practicing according to the applicable standard of care; (d) filing a grievance on behalf of and with the written consent of a Member or helping a Member to file a grievance; and (e) protesting a Plan decision, policy or practice that PROVIDER reasonably believes interferes with the provision of Medically Appropriate care.
PROVIDER Rights Upon Termination. Except as otherwise required by law, PROVIDER agrees, subject to the appeal process set forth below, any ▇▇▇▇▇ decision to terminate this Agreement pursuant to this Section VII shall be final.
PROVIDER Rights Upon Termination. Except as otherwise required by law, PROVIDER agrees, subject to the appeal process set forth in the Provider Appeal Policy, attached hereto as Attachment 1 and the Provider Manual, any ▇▇▇▇▇ decision to terminate this Agreement pursuant to this Section VII shall be final.
(a) PROVIDER acknowledges and agrees Plan(s) have the authority to determine whether a PROVIDER shall be suspended or terminated from participation in a particular Plan without termination of this Agreement. However, Plan(s) shall not have the authority to terminate PROVIDER for (a) maintaining a practice that includes a substantial number of patients with expensive health conditions; (b) objecting to or refusing to provide a Covered Service on moral or religious grounds; (c) advocating for Medically Appropriate care consistent with the degree of learning and skill ordinarily possessed by a reputable health care provider practicing according to the applicable standard of care; (d) filing a grievance on behalf of and with the written consent of a Member or helping a Member to file a grievance; and (e) protesting a Plan decision, policy or practice that PROVIDER reasonably believes interferes with the provision of Medically Appropriate care.
PROVIDER Rights Upon Termination. PROVIDER agrees, except as otherwise required by law and subject to the appeal process set forth in the Provider Manual, any ▇▇▇▇▇ decision to terminate this Agreement pursuant to Section VII herein shall be final.
(a) PROVIDER acknowledges and agrees Plan(s) have the authority to determine whether a PROVIDER shall be suspended or terminated from participation in a particular Plan without termination of this Agreement. However, Plan(s) shall not have the authority to terminate PROVIDER for (a) maintaining a practice that includes a substantial number of patients with expensive health conditions; (b) objecting to or refusing to provide a Covered Service on moral or religious grounds; (c) advocating for Medically Appropriate care consistent with the degree of learning and skill ordinarily possessed by a reputable health care provider practicing according to the applicable standard of care;
PROVIDER Rights Upon Termination. To the extent required by applicable law, GOLDEN TIMES or its designee shall notify Provider in writing of the reason for denial, suspension and/or termination of, and shall maintain an appeal process in compliance with applicable law whereby Provider may appeal any suspension or termination of, this agreement or Provider’s status as a Participating Provider in one or more Plans.
PROVIDER Rights Upon Termination. Upon PROVIDER’s request, ▇▇▇▇▇ shall provide in writing the reason(s) for the termination within fifteen (15) days of the request, if such reason is not otherwise stated in the written notice of termination. Except as otherwise required by law, PROVIDER agrees that, subject to the appeal process set forth in the Provider Manual, any ▇▇▇▇▇ decision to terminate this Agreement pursuant to this Section VII shall be final. The panel shall render a decision on the matter within thirty (30) days of the close of the hearing.
(a) PROVIDER acknowledges that Plan(s), the NJDHS and the DMAHS, have the authority to determine whether a PROVIDER shall be suspended or terminated from participation in a particular Plan without termination of this Agreement.
(b) PROVIDER understands and agrees that the State may order the termination of this Agreement if it is determined that the PROVIDER:
(i) Takes any action or fails to prevent an action that threatens the health, safety, or welfare of any enrollee, including significant marketing abuses;
(ii) Takes any action that threatens the fiscal integrity of the Medicaid program;
(iii) Has his/her/its certification suspended or revoked by DOBI, DHSS, and/or any federal agency or is federally debarred or excluded from federal procurement and non-procurement contracts;
(iv) Becomes insolvent or falls below minimum net worth requirements;
(v) Brings a proceeding voluntarily or has a proceeding brought against it involuntarily, under the Bankruptcy Act;
(vi) Materially breaches this Agreement;
(vii) Violates state or federal law.
(c) However, Plan(s), the NJDHS and the DMAHS shall not have the authority to terminate this Agreement for any of the following reasons:
(i) Because PROVIDER expresses disagreement with a decision to deny or limit benefits to a Member; or assists the Member to seek reconsideration of ▇▇▇▇▇’ decision; or discusses with a current, former, or prospective patient any aspect of the patient’s medical condition, any proposed treatments or treatment alternatives, whether such are Covered Services or not; or discusses ▇▇▇▇▇’ policy provisions; or discusses PROVIDER’s personal recommendation regarding selection of a health plan based on the PROVIDER’s personal knowledge of Member’s health needs.
(ii) Because PROVIDER engages in medical communications with a patient, either explicit or implied, about medically necessary treatment options; or practices his/her/its profession in providing the most appropriate treatment re...
PROVIDER Rights Upon Termination. To the extent required by applicable law, Saint Mary’s or its designee shall notify Provider in writing of the reason for denial, suspension and/or termination of, and shall maintain an appeal process in compliance with applicable law whereby Provider may appeal any suspension or termination of, this agreement or Provider’s status as a Participating Provider in one or more Plans.
PROVIDER Rights Upon Termination. Subject to the Provider Appeal Policy attached hereto, or as otherwise required by law, PROVIDER agrees any ▇▇▇▇▇ decision to terminate this Agreement pursuant to this Section VII shall be final.