PROVIDER RISK SERVICES Sample Clauses

PROVIDER RISK SERVICES. Provider shall render ------------------------------------- Provider Risk Services for each Beneficiary linked to such Capitated Medicare Risk Medical Group/IPA(s) as are delineated on Exhibit 2 of this Addendum. Provider/Facility Risk Services, Capitated Group Risk Services and Foundation Risk Services are set forth on Exhibit 3 of this Addendum. As compensation for rendering Provider Risk Services, Foundation shall pay Provider the Capitation Compensation as set forth in Exhibit 2 of this Addendum for each Beneficiary eligible to receive such services from Provider during a particular month. Notwithstanding any provision in this paragraph to the contrary, only one Capitation Compensation shall be paid by Foundation for both a mother and newborn child during the first 30 days following the baby's birth. Such Capitation Compensation shall be paid by Foundation on or before the 15th day of such month. Foundation's payment shall be subject to the provisions of Sections 2.15 and 3.4 of the Agreement.
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PROVIDER RISK SERVICES. Contracted Services and such other Covered Services as are described in an Addendum to this Agreement for which PROVIDER has accepted Capitation as compensation under the applicable Benefit Programs to which the Addendum applies.
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PROVIDER RISK SERVICES. Contracted Services and such other ---------------------- Covered Medical Services as are described in an Addendum to this Agreement for which Provider has accepted Capitation Compensation under the applicable Benefit Programs to which the Addendum applies.
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PROVIDER RISK SERVICES. Provider ----------------------------------- shall render the Provider Risk Services set forth on Exhibit 4 to this Addendum to Beneficiaries of a Point of Service Benefit Program and who are linked to such Capitated Medical Group/IPA(s) as are delineated on Exhibit 3 of this Addendum. As compensation for providing such services, Provider shall be paid the applicable Capitation Compensation provided for on Exhibit 3 of this Addendum, less a 30% withhold. Notwithstanding any provision in this paragraph to the contrary, only one Capitation Compensation shall be paid by Foundation for both a mother and newborn child during the first 31 days following the baby's birth. The 30% withhold shall be placed in an escrow account ("Point of Service Reserve Fund"). Foundation or its indemnity Affiliate, as required by law, shall reimburse all non-network hospitals and optional PPO Participating Provider hospitals for inpatient care received by linked Beneficiaries who have selected the indemnity or PPO options of the Point of Service Benefit Program for the provision of Covered Medical Services at the time of service ("Indemnity Loss"). If such total reimbursement for non-network hospitals and optional PPO Participating Provider hospitals is less than the amount withheld in Provider's Point of Service Reserve Fund after an annual (contract year) reconciliation, then Provider shall be paid the difference between the total amount withheld in the Point of Service Reserve Fund and the amount paid by Foundation for the Indemnity Loss. To allow adequate time for claims runout, Foundation shall make such payments required in this Section within 220 days after the end of each contract year. Foundation shall pay Provider the Capitation Compensation for each Beneficiary entitled to receive such services from Provider during a particular month on or before the 15th day of such month. Foundation's payment shall be subject to the provisions of Sections 2.15 and 3.4 of the Agreement.
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PROVIDER RISK SERVICES. Provider shall render the Provider ----------------------- Risk Services set forth in Exhibit 3 to this Addendum to Beneficiaries eligible for coverage and enrolled in Foundation under the PHP Agreement, who select or are assigned to Provider, or who select or are assigned to a Capitated Medical Group/IPA listed on Exhibit 2 of this Addendum, as of the end of a particular month. Provider shall provide such services in accordance with this Agreement, this Addendum and the applicable Benefit Program Requirements. Foundation shall provide Provider with Benefit Program Requirements not set forth in this Addendum. Such Benefit Program Requirements may include Utilization Management Program and Quality Management Program requirements.
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PROVIDER RISK SERVICES. Foundation shall pay Provider the ------------------------ applicable Capitation Compensation described in Exhibit 2 to this Addendum for each Beneficiary entitled to receive Provider Risk Services from Provider during the month to which the Capitation Compensation applies, on or before the _______________ (_____) day following Foundation's receipt of payment for that month from the California Department of Health Services. Notwithstanding any provision in this paragraph to the contrary, only one Capitation Compensation shall be paid by Foundation for both a mother and newborn child during the child's month of birth and the immediately following month. Provider shall hold harmless and not seek to recover against the State of California or any Beneficiary in the event Foundation fails to make any payment required hereunder.
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Related to PROVIDER RISK SERVICES

  • SPECIAL SERVICES Should the Trust have occasion to request the Adviser to perform services not herein contemplated or to request the Adviser to arrange for the services of others, the Adviser will act for the Trust on behalf of the Fund upon request to the best of its ability, with compensation for the Adviser's services to be agreed upon with respect to each such occasion as it arises.

  • Customer Services Provide services and systems dedicated to customer service, including billing, remittance, credit, collections, customer relations, call centers, energy conservation support and metering.

  • Support Services Other than the assistance provided in the Information, the BNPP Entities do not offer any support services in connection with the Software.

  • ADMINISTRATION SERVICES The Administrator shall provide the following services, in each case, subject to the control, supervision and direction of the Fund and the review and comment by the Fund's auditors and legal counsel and in accordance with procedures which may be established from time to time between the Fund and the Administrator:

  • Information Services The Custodian may rely upon information received from issuers of Securities or agents of such issuers, information received from Subcustodians or depositories, information from data reporting services that provide detail on corporate actions and other securities information, and other commercially reasonable industry sources; and, provided the Custodian has acted in accordance with the standard of care set forth in Section 6 (a), the Custodian shall have no liability as a result of relying upon such information sources, including but not limited to errors in any such information.

  • Utilities, Services Landlord shall provide, subject to the terms of this Section 11, water, electricity, heat, air conditioning, light, power, sewer, and other utilities (including gas and fire sprinklers to the extent the Project is plumbed for such services), refuse and trash collection and janitorial services (collectively, “Utilities”). Landlord shall pay, as Operating Expenses or subject to Tenant’s reimbursement obligation, for all Utilities used on the Premises, all maintenance charges for Utilities, and any storm sewer charges or other similar charges for Utilities imposed by any Governmental Authority or Utility provider, and any taxes, penalties, surcharges or similar charges thereon. Landlord shall not cause any Utilities to the Premises which are not currently separately metered to be separately metered. Tenant shall pay directly to the Utility provider, prior to delinquency, any separately metered Utilities and services which may be furnished to Tenant or the Premises during the Term. Tenant shall pay, as part of Operating Expenses, its share of all charges for jointly metered Utilities based upon consumption, as reasonably determined by Landlord. No interruption or failure of Utilities, from any cause whatsoever other than Landlord’s willful misconduct, shall result in eviction or constructive eviction of Tenant, termination of this Lease or the abatement of Rent. Tenant agrees to limit use of water and sewer with respect to Common Areas to normal restroom use. Landlord’s sole obligation for either providing emergency generators or providing emergency back-up power to Tenant shall be: (i) to provide emergency generators with not less than the capacity of the emergency generators located in the Building as of the Commencement Date, and (ii) to contract with a third party to maintain the emergency generators as per the manufacturer’s standard maintenance guidelines. Landlord shall have no obligation to provide Tenant with operational emergency generators or back-up power or to supervise, oversee or confirm that the third party maintaining the emergency generators is maintaining the generators as per the manufacturer’s standard guidelines or otherwise. During any period of replacement, repair or maintenance of the emergency generators when the emergency generators are not operational, including any delays thereto due to the inability to obtain parts or replacement equipment, Landlord shall have no obligation to provide Tenant with an alternative back-up generator or generators or alternative sources of back-up power. Tenant expressly acknowledges and agrees that Landlord does not guaranty that such emergency generators will be operational at all times or that emergency power will be available to the Premises when needed.

  • Hosting Services GSI shall load the Web site onto server(s) that are connected to the Internet and readily accessible via the Web through use of the Domain Names. GSI shall ensure that the Web site is functional and ready to process transactions in a reasonably efficient manner.

  • Professional Services The Administrator shall pay the fees and expenses of the Fund incurred in connection with ordinary professional services, but only up to the limits set forth below. In the event that the fees and expenses for such services are greater than the limits set forth below, the Advisor shall pay the amounts above such limit unless the expense has been specifically assumed by the Fund per the instructions of the Trust’s Board of Trustees.

  • REGULATORY ADMINISTRATION SERVICES BNY Mellon shall provide the following regulatory administration services for each Fund and Series:  Assist the Fund in responding to SEC examination requests by providing requested documents in the possession of BNY Mellon that are on the SEC examination request list and by making employees responsible for providing services available to regulatory authorities having jurisdiction over the performance of such services as may be required or reasonably requested by such regulatory authorities;  Assist with and/or coordinate such other filings, notices and regulatory matters and other due diligence requests or requests for proposal on such terms and conditions as BNY Mellon and the applicable Fund on behalf of itself and its Series may mutually agree upon in writing from time to time; and

  • Customary Services The Transfer Agent shall perform all the customary services of a transfer agent, agent of dividend reinvestment plan, cash purchase plan and other investment programs and of a dividend disbursing agent and a processor of payments as described above consistent with those requirements in effect as of the date of this Agreement.

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