Common use of Late Notification of Emergent Inpatient Hospital Admissions Clause in Contracts

Late Notification of Emergent Inpatient Hospital Admissions. If the Contractor receives late notification from participating hospitals of emergent hospital admissions because of the participating hospital’s inability to identify the patient’s HMO due to extenuating circumstances, the Contractor may require proof from the participating hospital that it could not identify the patient through eligibility verification or because of the medical condition of the patient. The following procedure shall be followed:

Late Notification of Emergent Inpatient Hospital Admissions. If the Contractor contractor receives late notification from participating hospitals of emergent hospital admissions because of the participating hospital’s inability to identify the patient’s HMO due to extenuating circumstances, the Contractor contractor may require proof from the participating hospital that it could not identify the patient through eligibility verification or because of the medical condition of or the patient. The following procedure shall be followed: