Common use of Reporting Fraud Clause in Contracts

Reporting Fraud. 14 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and 15 shall notify North Sound BH-ASO Compliance Department of all incidents or 16 occasions of suspected fraud, waste, or abuse involving Services provided to an 17 individual. Provider shall report a suspected incident of fraud, waste or abuse, 18 including a credible allegation of fraud, within five (5) business days of the date 19 Provider first becomes aware of, or is on notice of, such activity. The obligation to 20 report suspected fraud, waste, or abuse shall apply if the suspected conduct was 21 perpetrated by Provider, Provider’s employee, agent, subcontractor, or individual.

Appears in 12 contracts

Samples: Contract for Participation in the North Sound Integrated Care Network, Contract for Participation in the North Sound Integrated Care Network, Contract for Participation in the North Sound Integrated Care Network

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