Reporting of Actions Sample Clauses

Reporting of Actions. Against Provider or a Provider Affiliate. Agent or Provider shall notify THP within ten (10) calendar days of the occurrence of any of the following, such notice to include a brief description of such occurrence and the reasons therefor: 2.9.1 any action taken to restrict, suspend or revoke Provider's and/or a Provider Affiliate's license to provide any Designated Covered Service required by this Agreement; 2.9.2 any suit or arbitration action brought against Provider and/or a Provider Affiliate for malpractice; 2.9.3 any felony information or indictment or investigation instituted by the State or any federal agency with regulatory authority over Provider or any Provider Affiliate; 2.9.4 any disciplinary proceeding or action against Provider and/or a Provider Affiliate before an administrative agency of any Statue or any federal agency with regulatory authority over Provider or any Provider Affiliate; 2.9.5 any cancellation or material modification of the professional liability insurance required to be carried by Agent, Provider or any Provider Affiliate; 2.9.6 any action taken to restrict, suspend or revoke the participation of Provider or any Provider Affiliate in Medicare, CHAMPUS or TennCare; 2.9.7 any disciplinary action or action to terminate or restrict privileges at any hospital or other health care facility taken by such facility against Provider or any Provider Affiliate; and 2.9.8 any other event or situation which might materially affect the ability of Agent, Provider or any Provider Affiliate to carry out its, his or her duties and obligations under this Agreement. Agent or Provider shall provide THP with a written summary of the final disposition of any such occurrence.
Reporting of Actions shall include all denials or limited authorization of a requested service, including the type or level of service, and the reduction, suspension, or termination of a previously authorized service but will not include denials of payment to providers unless the enrollee may be liable for payment.