Suspected Fraud Clause Samples
The Suspected Fraud clause allows a party to take specific actions if fraudulent activity is suspected in the context of the agreement. Typically, this clause permits the suspension of services, withholding of payments, or initiation of investigations when there are reasonable grounds to believe that fraud has occurred. Its core function is to protect parties from potential losses or liabilities arising from fraudulent conduct, ensuring that appropriate measures can be taken swiftly to mitigate risk and address suspicious behavior.
Suspected Fraud. The Health Board will refer all instances of Suspected Fraud and Corruption to the Head of Counter Fraud and the NHS Counter Fraud Service for investigation.
Suspected Fraud. If Bank suspects fraud and terminates this Agreement as a result, Merchant will be reported to the “Combined Terminated Merchant File” as provided in Section 5.12 “Combined Terminated Merchant File”. Merchant is responsible for the actions of its current and former employees.
Suspected Fraud. The Contractor shall notify EOHHS in writing within ten (10) calendar days if it or, where applicable, any of its subcontractors receive or identify any information that gives them reason to suspect that an EOHHS client or Commonwealth contractor has engaged in fraud as defined under 42 CFR 455.2 or other applicable law. In the event of suspected fraud, no further contact shall be initiated with such client or contractor on that specific matter without EOHHS’ approval. The Contractor and, where applicable, its subcontractors shall cooperate, as reasonably requested in writing, with the Office of the Attorney General’s Medicaid Fraud Division (MFD), the Office of the State Auditor’s Bureau of Special Investigations (BSI), or other applicable enforcement agency. Such cooperation shall include, but not be limited to, providing at no charge, prompt access and copies of any documents and other available information determined necessary by such agencies to carry out their responsibilities regarding fraud and abuse, maintaining the confidentiality of any such investigations, and making knowledgeable staff available at no charge to support any investigation, court, or administrative proceeding.