Timely Group Payment. Group shall process claims from and pay its Group Providers and other healthcare providers for Capitated Professional Services (including without limitation the Emergency Services or Urgent Care Services which are Group’s responsibility hereunder) in a timely fashion as set forth in Paragraph 13.4 hereof. If Group delegates to a subcontractor (either a management company, claims administrator, subcontracted capitated provider, etc.) the obligation to process claims on Group’s behalf, then Group shall: (i) immediately notify Blue Shield of such delegation, including any change in the delegated entity, and, (ii) require that the subcontractor comply with the claims payment procedure requirements set forth in this Agreement.
Appears in 4 contracts
Samples: Shared Savings Provider Agreement (Prospect Medical Holdings Inc), Shared Savings Provider Agreement (Prospect Medical Holdings Inc), Shared Savings Provider Agreement (Prospect Medical Holdings Inc)