Summaries & Settlements Clause Samples
The "Summaries & Settlements" clause outlines the procedures and requirements for providing summaries of claims and the terms of any settlements reached between parties. Typically, this clause mandates that parties keep each other informed about the progress of disputes, including sharing concise summaries of claims, defenses, and any settlement offers or agreements. For example, it may require written notification of settlement terms or periodic updates on negotiation status. Its core practical function is to ensure transparency and communication during dispute resolution, helping both parties stay informed and aligned, and reducing the risk of misunderstandings or hidden agreements.
Summaries & Settlements. Blue Shield shall provide to Group on a quarterly basis a summary of the funding and expenses in the Shared Savings Program.
Summaries & Settlements. Health Plan shall provide to Physician Group, as further described in the Provider Manual, on a quarterly basis, a summary of the Pharmacy Risk Sharing Program expenses along with a comparison to the Pharmacy Risk Sharing Program funding and utilization data pertaining to the cost of prescriptions written on a physician specific basis. Health Plan shall also provide to Physician Group a Pharmacy Risk Sharing Program Annual Settlement. ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ MED GROUP HLY January 97 *** *** 1.00 *** *** *** *** *** February 97 1.00 March 95 1.00 April 97 1.00 May 100 1.00 June 97 1.00 July 99 1.00 August 99 1.00 September 100 1.00 October 103 1.00 November 103 1.00 December 101 0.98 1188 *** *** 0.98 *** *** *** *** *** Note: The fractional components of certain totals do not add exactly due to rounding January 460 *** *** 1.00 *** *** *** *** *** February 458 1.00 March 454 1.00 April 443 1.00 May 445 1.00 June 439 1.00 July 435 1.00 August 435 1.00 September 433 1.00 October 423 1.00 November 433 1.00 December 432 .98 5,290 *** *** .99 *** *** *** *** *** Note: The fractional components of certain totals do not add exactly due to rounding Pharmacy Shared Risk: • Deficit: 50% of the deficit shall be paid by the Physician Group to the Health Plan. *** • Surplus: 50% of the surplus shall be paid by the Health Plan to the Physician Group. ***
Summaries & Settlements. Health Plan shall provide to Physician Group, as further described in the Provider Manual, on a quarterly basis, a summary of the Pharmacy Risk Sharing Program expenses along with a comparison to the Pharmacy Risk Sharing Program funding and utilization data pertaining to the cost of prescriptions written on a physician specific basis. Health Plan shall also provide to Physician Group a Pharmacy Risk Sharing Program Annual Settlement. Hospital: La Palma Intercommunity Hospital Physician Group: NorthWest Orange County Medical Group