Common use of Group Contracting Clause in Contracts

Group Contracting. In the event that the "Physician" party to this Agreement, is an entity and not an individual physician, then the entity hereby represents and warrants that it has the ability to enter into this Agreement and to bind the individual physicians associated with its organization, and further that such entity shall obligate each physician member to comply with the relevant terms of this Agreement, as if such individual physician were a party to the contract, THUS AGREED by the parties hereto on the dates indicated below, but with an effective date of , 2012, regardless of when executed. _____________________________________ _______________ (Physician’s Signature) Date _____________________________________ (Physician’s Printed Name) _____________________________________ (Printed name of Group Practice) _____________________________________ (Medical Billing Tax ID) _____________________________________ _______________ ▇▇▇▇ ▇▇▇▇, President Date I. PURPOSE: In order to meet the standards established for Clinical Integration (“CI”) by the Federal Trade Commission and U.S. Department of Justice, and for purposes of administering the GSQN CI Program, GSQN is required to maintain selection criteria for its participating physicians and physician practices. II. SCOPE: Gulf South Quality Network (GSQN) management, staff, and participating physician practices.

Group Contracting. In the event that the "Physician" party to this Agreement, is an entity and not an individual physician, then the entity hereby represents and warrants that it has the ability to enter into this Agreement and to bind the individual physicians associated with its organization, and further that such entity shall obligate each physician member to comply with the relevant terms of this Agreement, as if such individual physician were a party to the contract, THUS AGREED by the parties hereto on the dates indicated below, but with an effective date of , 2012, regardless of when executed. _____________________________________ _______________ (PhysicianContracting Representative’s Signature) Date _____________________________________ (PhysicianContracting Representative’s Printed Name) _____________________________________ (Printed name of Group Practice) _____________________________________ (Medical Billing Tax ID) _____________________________________ _______________ ▇▇▇▇ ▇▇▇▇, President Date I. PURPOSE: In order to meet the standards established for Clinical Integration (“CI”) by the Federal Trade Commission and U.S. Department of Justice, and for purposes of administering the GSQN CI Program, GSQN is required to maintain selection criteria for its participating physicians and physician practices. II. SCOPE: Gulf South Quality Network (GSQN) management, staff, and participating physician practices.