Common use of Suspension of Ability to Process Claims and Payments Clause in Contracts

Suspension of Ability to Process Claims and Payments. SOUTHERN SCRIPTS may upon reasonable notice from SOUTHERN SCRIPTS to PHARMACY, temporarily disable PHARMACY’s ability to process claims and receive reimbursement payment during an investigation where there is reasonable suspicion of fraud or willful misrepresentation and/or suspension of license SOUTHERN SCRIPTS shall promptly reinstate PHARMACY’s ability to process claims and any claims accrued during such investigation will be allowed to adjudicate once the suspicion of fraud, willful misrepresentation, or license suspension has been fully resolved with a determination of no fraud, willful misrepresentation, or license suspension by SOUTHERN SCRIPTS, Plan, or a court of competent jurisdiction.