{"component": "clause", "props": {"groups": [{"size": 47, "snippet_links": [{"key": "certain-information", "type": "clause", "offset": [117, 136]}, {"key": "the-persons", "type": "clause", "offset": [152, 163]}, {"key": "to-this-agreement", "type": "clause", "offset": [194, 211]}, {"key": "exhibit-b", "type": "definition", "offset": [248, 257]}], "snippet": "Firm shall be required to access Citizens\u2019 online vendor credentialing system (\u201cCAIS\u201d) to input, update and maintain certain information about Firm and the persons who will perform work related to this Agreement (\u201cStaff\u201d), as provided below and in Exhibit B attached hereto.", "samples": [{"hash": "8Bf1aJP6Hvf", "uri": "/contracts/8Bf1aJP6Hvf#credentialing", "label": "Claims Legal Services Agreement", "score": 34.451423645, "published": true}, {"hash": "4LHUbVjg6Cj", "uri": "/contracts/4LHUbVjg6Cj#credentialing", "label": "Claims Legal Services Agreement", "score": 34.4131011963, "published": true}, {"hash": "89XpwjuFNR8", "uri": "/contracts/89XpwjuFNR8#credentialing", "label": "Claims Legal Services Agreement", "score": 33.5569190979, "published": true}], "hash": "6394f4405991e8d85757651ac77be287", "id": 1}, {"size": 22, "snippet_links": [{"key": "services-under-this-agreement", "type": "clause", "offset": [46, 75]}, {"key": "contractor-must-follow", "type": "clause", "offset": [77, 99]}, {"key": "credentialing-and-re", "type": "clause", "offset": [109, 129]}, {"key": "credentialing-process", "type": "definition", "offset": [130, 151]}, {"key": "for-contractor", "type": "clause", "offset": [152, 166]}, {"key": "staff-and-subcontractors", "type": "clause", "offset": [180, 204]}, {"key": "to-be-completed", "type": "clause", "offset": [231, 246]}, {"key": "prior-to", "type": "clause", "offset": [247, 255]}, {"key": "for-medi", "type": "clause", "offset": [270, 278]}, {"key": "eligible-services", "type": "definition", "offset": [283, 300]}, {"key": "responsible-to", "type": "clause", "offset": [316, 330]}, {"key": "county-of", "type": "clause", "offset": [338, 347]}, {"key": "subcontracted-providers", "type": "clause", "offset": [403, 426]}, {"key": "as-needed", "type": "definition", "offset": [502, 511]}], "snippet": "If Contractor is performing Medi-Cal billable services under this Agreement, Contractor must follow County\u2019s credentialing and re-credentialing process for Contractor\u2019s applicable staff and subcontractors. This process is required to be completed prior to reimbursement for Medi-Cal eligible services. Contractor is responsible to notify County of all treating providers, applicable administration, and subcontracted providers performing under this Agreement and assisting in the credentialing process as needed. 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Any change in status regarding any credentialing requirements must be reported in writing, by the Provider to the Department's Credentialing Contracted Agent, within thirty days.", "samples": [{"hash": "cT3LFGi2UPQ", "uri": "/contracts/cT3LFGi2UPQ#credentialing", "label": "Provider Agreement", "score": 22.9212875366, "published": true}, {"hash": "gqtkfcUaRnA", "uri": "/contracts/gqtkfcUaRnA#credentialing", "label": "Provider Agreement", "score": 22.4154682159, "published": true}, {"hash": "ka7ujuH7Fbe", "uri": "/contracts/ka7ujuH7Fbe#credentialing", "label": "Provider Agreement", "score": 19.6406574249, "published": true}], "hash": "541f56c0522e15b14ca8f5274a228307", "id": 2}, {"size": 12, "snippet_links": [{"key": "the-contractor", "type": "definition", "offset": [0, 14]}, {"key": "health-care-services", "type": "clause", "offset": [122, 142]}, {"key": "critical-access-hospital", "type": "definition", "offset": [144, 168]}, {"key": "requirements-of-the", "type": "clause", "offset": [233, 252]}, {"key": "services-to-be", "type": "clause", "offset": [295, 309]}, {"key": "department-of-community-health", "type": "clause", "offset": [381, 411]}, {"key": "for-purposes-of", "type": "clause", "offset": [442, 457]}], "snippet": "The Contractor\u2019s determination as to the qualifications and ascribed privileges of a specific Provider to render specific Health Care services. 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If you hold a professional license or certification, you acknowledge that you understand the obligations and the specific code of professional ethics associated with this license or certificate and agree to perform your duties in accordance with these standards. In addition, you acknowledge your responsibility to maintain any job-related licenses or certificates in accordance with the requirements issued by the applicable regulatory body or bodies. The Company agrees to reimburse you for the fees you incur during your employment with the Company in maintaining such licenses or certificates applicable to your position. You must submit your fees within 60 days after the date they are incurred. The Company will generally reimburse such fees within 60 days of the date they are submitted, but in no event will they be reimbursed later than December 31st of the year following the year in which the fee was incurred.", "samples": [{"hash": "1LzHLVUtMUz", "uri": "/contracts/1LzHLVUtMUz#credentialing", "label": "Terms of Employment (Marsh & McLennan Companies, Inc.)", "score": 34.2908973694, "published": true}, {"hash": "1UepixeYMuD", "uri": "/contracts/1UepixeYMuD#credentialing", "label": "Terms of Employment (Marsh & McLennan Companies, Inc.)", "score": 32.2977409363, "published": true}, {"hash": "3GKZDA7Ydgv", "uri": "/contracts/3GKZDA7Ydgv#credentialing", "label": "Terms of Employment (Marsh & McLennan Companies, Inc.)", "score": 28.1389465332, "published": true}], "hash": "f1b0af362957b5fde6dd8b5cb75ecaf0", "id": 4}, {"size": 8, "snippet_links": [{"key": "contracts-with", "type": "clause", "offset": [13, 27]}, {"key": "third-party-contractor", "type": "definition", "offset": [30, 52]}, {"key": "credentialing-services", "type": "clause", "offset": [74, 96]}, {"key": "employees-and-agents", "type": "clause", "offset": [142, 162]}, {"key": "cooperate-with", "type": "clause", "offset": [169, 183]}, {"key": "credentialing-process", "type": "definition", "offset": [188, 209]}, {"key": "information-and-documentation", "type": "clause", "offset": [223, 252]}, {"key": "requested-by", "type": "clause", "offset": [253, 265]}, {"key": "contractor-to-complete", "type": "clause", "offset": [280, 302]}, {"key": "registration-and-approval", "type": "clause", "offset": [389, 414]}, {"key": "to-company", "type": "definition", "offset": [441, 451]}, {"key": "no-company-employee", "type": "clause", "offset": [514, 533]}, {"key": "access-to", "type": "definition", "offset": [568, 577]}, {"key": "complete-the", "type": "clause", "offset": [714, 726]}, {"key": "terms-and-requirements", "type": "clause", "offset": [772, 794]}, {"key": "pursuant-to-the", "type": "definition", "offset": [803, 818]}, {"key": "material-breach-of-this-agreement", "type": "clause", "offset": [864, 897]}, {"key": "all-employees", "type": "definition", "offset": [899, 912]}, {"key": "policies-and-procedures", "type": "clause", "offset": [1049, 1072]}, {"key": "right-to", "type": "definition", "offset": [1130, 1138]}, {"key": "authorized-representative", "type": "clause", "offset": [1205, 1230]}, {"key": "permitted-subcontractor", "type": "definition", "offset": [1234, 1257]}, {"key": "sole-discretion", "type": "clause", "offset": [1278, 1293]}, {"key": "course-of-action", "type": "definition", "offset": [1300, 1316]}, {"key": "best-interest", "type": "definition", "offset": [1327, 1340]}, {"key": "the-requirements", "type": "clause", "offset": [1435, 1451]}, {"key": "section-111", "type": "clause", "offset": [1460, 1472]}], "snippet": "Saint Luke\u2019s contracts with a third party contractor that provides vendor credentialing services (a \u201cCredentialing Contractor\u201d). Company, its employees and agents shall cooperate with the credentialing process; provide all information and documentation requested by Credentialing Contractor to complete this process; and pay Credentialing Contractor\u2019s fees for providing this service. The registration and approval should be completed prior to Company providing any Products and performing any services hereunder; no Company employee or representative will be allowed access to Saint Luke\u2019s or any Facility unless and until the credentialing process is complete. Failure of Company, its employees and/or agents to complete the credentialing process and to comply with the terms and requirements imposed pursuant to the credentialing process and program shall be a material breach of this Agreement. All employees, representatives and/or agents of Company, while on site at any of Saint Luke\u2019s facilities, shall comply with and abide by Saint Luke\u2019s policies and procedures, of which they are made aware. Saint Luke\u2019s reserves the right to immediately remove from its premises any Company employee, agent, authorized representative or permitted subcontractor if, in Saint Luke\u2019s sole discretion, that course of action is in the best interest of Saint Luke\u2019s, its employees, agents, contractors, patients or other visitors, or if any of the requirements in this Section 11.1 are not complied with.", "samples": [{"hash": "lzfq0QlWPFZ", "uri": "/contracts/lzfq0QlWPFZ#credentialing", "label": "Master Purchasing Agreement", "score": 31.6045627594, "published": true}, {"hash": "fcfFdsFG5dS", "uri": "/contracts/fcfFdsFG5dS#credentialing", "label": "Master Purchasing Agreement", "score": 31.6045627594, "published": true}, {"hash": "5ItwwJOmHUg", "uri": "/contracts/5ItwwJOmHUg#credentialing", "label": "Master Purchasing Agreement", "score": 31.6045627594, "published": true}], "hash": "c16da410b958ed3d598108cb54f65d98", "id": 9}, {"size": 9, "snippet_links": [{"key": "the-contractor-shall", "type": "clause", "offset": [13, 33]}, {"key": "in-accordance-with", "type": "clause", "offset": [42, 60]}, {"key": "public-health-law", "type": "definition", "offset": [79, 96]}, {"key": "persons-and-entities", "type": "clause", "offset": [103, 123]}, {"key": "for-the-contractor", "type": "clause", "offset": [152, 170]}, {"key": "registered-nurse", "type": "definition", "offset": [233, 249]}, {"key": "medical-professional", "type": "definition", "offset": [257, 277]}, {"key": "person-or-entity", "type": "definition", "offset": [313, 329]}, {"key": "applicable-licensing", "type": "clause", "offset": [342, 362]}, {"key": "qualification-requirements", "type": "definition", "offset": [382, 408]}, {"key": "new-york-law", "type": "clause", "offset": [415, 427]}, {"key": "responsibilities-of", "type": "clause", "offset": [455, 474]}, {"key": "services-under-this-agreement", "type": "clause", "offset": [530, 559]}], "snippet": "a) Licensure The Contractor shall ensure, in accordance with Article 44 of the Public Health Law, that persons and entities providing care and services for the Contractor in the capacity of physician, dentist, physician's assistant, registered nurse, other medical professional or paraprofessional, or other such person or entity satisfy all applicable licensing, certification, or qualification requirements under New York law and that the functions and responsibilities of such persons and entities in providing Benefit Package services under this Agreement do not exceed those permissible under New York law.", "samples": [{"hash": "jWLxb49U7Kv", "uri": "/contracts/jWLxb49U7Kv#credentialing", "label": "Contractor Agreement (Americhoice Corp)", "score": 20.0, "published": true}, {"hash": "jJdMBFDLwzc", "uri": "/contracts/jJdMBFDLwzc#credentialing", "label": "Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)", "score": 18.0, "published": true}, {"hash": "gzAx8oHFo1j", "uri": "/contracts/gzAx8oHFo1j#credentialing", "label": "Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)", "score": 18.0, "published": true}], "hash": "af209f710d3a533b4c58b4f8d57df417", "id": 8}, {"size": 8, "snippet_links": [{"key": "contractor-shall", "type": "clause", "offset": [0, 16]}, {"key": "activities-related-to", "type": "clause", "offset": [42, 63]}, {"key": "credentialing-and-re", "type": "clause", "offset": [65, 85]}, {"key": "participating-providers", "type": "definition", "offset": [100, 123]}, {"key": "in-accordance-with", "type": "clause", "offset": [124, 142]}, {"key": "approved-by", "type": "clause", "offset": [167, 178]}, {"key": "insurance-regulator", "type": "definition", "offset": [202, 221]}, {"key": "to-maintain", "type": "clause", "offset": [241, 252]}, {"key": "attachment-7", "type": "definition", "offset": [290, 302]}, {"key": "article-2", "type": "definition", "offset": [303, 312]}], "snippet": "Contractor shall perform, or may delegate activities related to, credentialing and re-credentialing Participating Providers in accordance with process as reviewed and approved by the appropriate Health Insurance Regulator. Contractor agrees to maintain quality accreditation as outlined in Attachment 7 Article 2.", "samples": [{"hash": "bVw93t0jpao", "uri": "/contracts/bVw93t0jpao#credentialing", "label": "Qualified Health Plan Contract", "score": 24.4145126343, "published": true}, {"hash": "9sAy14DBUNM", "uri": "/contracts/9sAy14DBUNM#credentialing", "label": "Qualified Health Plan Contract", "score": 22.6632442474, "published": true}, {"hash": "eO0tzIYa3VR", "uri": "/contracts/eO0tzIYa3VR#credentialing", "label": "Qualified Health Plan Contract", "score": 22.3423252106, "published": true}], "hash": "9c0719e9e23926d6216b6156a2a38e58", "id": 10}, {"size": 9, "snippet_links": [{"key": "participating-physicians", "type": "clause", "offset": [48, 72]}, {"key": "credentialing-process", "type": "definition", "offset": [93, 114]}, {"key": "not-limited", "type": "clause", "offset": [339, 350]}, {"key": "the-location", "type": "clause", "offset": [354, 366]}, {"key": "covered-services", "type": "clause", "offset": [373, 389]}, {"key": "agrees-to", "type": "clause", "offset": [419, 428]}, {"key": "change-in", "type": "clause", "offset": [482, 491]}, {"key": "information-provided", "type": "clause", "offset": [496, 516]}, {"key": "misstatement-or-omission", "type": "clause", "offset": [582, 606]}, {"key": "termination-from-participation", "type": "definition", "offset": [687, 717]}, {"key": "this-agreement", "type": "clause", "offset": [724, 738]}], "snippet": "Practice shall cooperate, and shall ensure that Participating Physicians cooperate, with the credentialing process implemented by HMHP or any Payor with which HMHP contracts (\u201cCredentialing\u201d). Practice and each Participating Physician understands that HMHP and Payors will rely on the Credentialing forms Practice completes, including but not limited to the location where Covered Services may be offered, and Practice agrees to notify HMHP or the Payor immediately of any material change in any information provided in a Credentialing form. Practice acknowledges that any material misstatement or omission on the Credentialing forms may constitute cause for a Participating Physician\u2019s termination from participation under this Agreement by HMHP.", "samples": [{"hash": "eyEgFiIr2H8", "uri": "/contracts/eyEgFiIr2H8#credentialing", "label": "Participating Physician Practice Agreement", "score": 33.7342338562, "published": true}, {"hash": "4CIIQhfNOf3", "uri": "/contracts/4CIIQhfNOf3#credentialing", "label": "Participating Physician Practice Agreement", "score": 31.5333900452, "published": true}, {"hash": "8SVtC9pm8Jc", "uri": "/contracts/8SVtC9pm8Jc#credentialing", "label": "Participating Physician Practice Agreement", "score": 25.6625595093, "published": true}], "hash": "c16559a1da0055094b28925a1bfcf211", "id": 7}, {"size": 11, "snippet_links": [{"key": "status-of", "type": "clause", "offset": [4, 13]}, {"key": "contracted-provider", "type": "definition", "offset": [16, 35]}, {"key": "participating-provider", "type": "definition", "offset": [41, 63]}, {"key": "health-plan", "type": "clause", "offset": [121, 132]}, {"key": "notice-thereof", "type": "clause", "offset": [148, 162]}, {"key": "to-provider", "type": "definition", "offset": [163, 174]}, {"key": "the-contracted", "type": "definition", "offset": [178, 192]}, {"key": "to-company", "type": "definition", "offset": [218, 228]}, {"key": "credentialing-criteria", "type": "definition", "offset": [242, 264]}, {"key": "not-limited", "type": "clause", "offset": [281, 292]}, {"key": "materially-affected", "type": "definition", "offset": [356, 375]}, {"key": "license-to", "type": "clause", "offset": [380, 390]}, {"key": "in-the-state", "type": "definition", "offset": [416, 428]}, {"key": "insurance-requirements", "type": "definition", "offset": [460, 482]}, {"key": "in-this-agreement", "type": "definition", "offset": [493, 510]}, {"key": "convicted-of", "type": "definition", "offset": [524, 536]}, {"key": "criminal-offense", "type": "clause", "offset": [539, 555]}, {"key": "related-to", "type": "definition", "offset": [556, 566]}, {"key": "any-state", "type": "definition", "offset": [582, 591]}, {"key": "federal-health-care-program", "type": "definition", "offset": [595, 622]}, {"key": "settlement-agreement", "type": "clause", "offset": [701, 721]}, {"key": "provider-shall", "type": "clause", "offset": [792, 806]}, {"key": "notify-the", "type": "clause", "offset": [819, 829]}], "snippet": "The status of a Contracted Provider as a Participating Provider in one or more Products may be terminated immediately by Health Plan giving written notice thereof to Provider if the Contracted Provider fails to adhere to Company\u2019s or Payor\u2019s credentialing criteria, including, but not limited to, if the Contracted Provider (i) loses, relinquishes, or has materially affected its license to provide Covered Services in the State, (ii) fails to comply with the insurance requirements set forth in this Agreement; or (iii) is convicted of a criminal offense related to involvement in any state or federal health care program or has been terminated, suspended, barred, voluntarily withdrawn as part of a settlement agreement, or otherwise excluded from any state or federal health care program. 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