Participating Practice definition
Examples of Participating Practice in a sentence
A physician or a non-physician practitioner (NPP) who is a member of a Participating Practice that has entered into an agreement with Contractor.
Except as otherwise provided herein, Participating Provider may ▇▇▇▇ and collect from fees for non-covered services from Enrollees delivered on a fee-for-service basis if (i) Participating Practice notified the Enrollee prior to services being performed that such service is a non-covered service; and (ii) the Enrollee has provided written consent and acknowledgement that this service is non-covered and the Enrollee will be billed separately for such service.
In the event right of access is requested under this paragraph, Participating Practice shall, upon request, provide and make available staff to assist in the audit or inspection effort, and provide adequate space on the premises to reasonably accommodate personnel conducting the audit or inspections effort.
If and when DentaQuest has received the outstanding amount for such claims from Plan, DentaQuest will reimburse Participating Practice according to the terms of this Agreement.
Participating Practice’s indemnity obligations shall not be limited the insurance provisions of this Agreement, as the parties intend and agree that Participating Practice shall be fully responsible for liabilities assumed, regardless of the presence or absence of insurance.
Participating Practice further agrees that (i) this provision shall survive the termination of this Agreement regardless of the cause giving rise to such termination and shall be construed to be for the benefit of Members, and (ii) this provision supersedes any oral or written agreement to the contrary now existing or hereafter entered into between Participating Practice and the Member or persons acting on the Member’s behalf.
EXHIBIT C BUSINESS ASSOCIATE ADDENDUM THIS BUSINESS ASSOCIATE ADDENDUM (the “Agreement” or “BAA”) supplements and is made a part of the Participating Practice Agreement (“Underlying Agreement”) by and between Practice (“Covered Entity”) and Meridian Accountable Care Organization, LLC (“Business Associate”) and is effective as of the effective date of the Underlying Agreement (the “Effective Date”).
Compensation of Participating Practice by DentaQuest is subject to, and dependent upon, DentaQuest’s receipt of proper claims payment from Plan.
In the event of termination of this Agreement, Participating Practice agrees to complete any treatment in progress and/or assist in the orderly transfer of Members to another provider, as requested by DentaQuest.
Participating Practice must obtain DentaQuest’s prior written consent to assign this Agreement.