DIVISION OF FINANCIAL Sample Clauses

DIVISION OF FINANCIAL. RESPONSIBILITY shall be deleted in its entirety from the Agreement and replaced with the attached DIVISION OF FINANCIAL RESPONSIBILITY.

DIVISION OF FINANCIAL. RESPONSIBILITY is the matrix for each Managed Care Plan which specifies either: (i) the financial responsibility of Health Plan, Medical Group and Hospital for Covered Services, where both Medical Group and Hospital are capitated by Health Plan for providing or arranging Covered Services for Medical Group Members; or (ii) the financial responsibility of Health Plan and Medical Group for Covered Services and Covered Services that are Hospital Services, where Medical Group is capitated by Health Plan and Hospitals are paid on non-capitated basis by Health Plan for providing or arranging Covered Services to Medical Group Members. The Division of Financial Responsibility for each Managed Care Plan is set forth in the applicable Product Attachment.

DIVISION OF FINANCIAL. Responsibility is the matrix for each Managed Care Plan which specifies the financial responsibility for Covered Services between PacifiCare, Medical Group and the Hospital incentive Program. The Division of Financial Responsibility for each Managed Care Plan is set forth in the applicable Product Attachment.

DIVISION OF FINANCIAL. RESPONSIBILITY (Secure Horizons) The following matrix outlines the division of financial responsibility between PacifiCare, Medical Group and the Hospital Incentive Program, the intent being to clarify Covered Services categories in order to provide for accurate administration. The matrix serves as a model under which broad Covered Service categories suggest the appropriate financial responsibility for Covered Services not specifically listed. The Secure Horizons Member’s Subscriber Agreement should be consulted for an accurate and complete description of Covered Services. The Division of Financial Responsibility for the PacifiCare Commercial Health Plan set forth in Product Attachment A shall also apply to the Secure Horizons Health Plan.

DIVISION OF FINANCIAL. RESPONSIBILITY The attached template outlines the contractual division of financial responsibility among IPA, Hospital and PacifiCare, the intent being to clarify services and service categories in order to provide for accurate administration of this Agreement. As it is impossible to include every Medical Service available, this Attachment D serves as a model under which broad service categories suggest the appropriate financial responsibility for Medical Services, or items not specifically listed. Should an item or service not be listed or fit into a broad category, the intent is for an agreement to be reached among IPA, Hospital and PacifiCare concerning financial responsibilty. The template is based upon coverage/financial responsibility within the IPA Service Area ("In Area") unless otherwise specified.