AHERF definition
Examples of AHERF in a sentence
They ask us to broaden the adverse interest exception and create exceptions to imputation along the lines adopted by the courts in NCP and AHERF, and endorsed by the dissent, in the interests of fairness.
Upon the termination of any contracts with a Third Party, AHERF may cause an AHERF Provider to provide such Covered Services.
AHERF shall be entitled to review and to conduct an audit (either by AHERF or by independent auditors acceptable to HealthAmerica) of the Member Company's books and records to verify such amounts and calculations as claimed by the Member Company.
AHERF and the Member Companies will comply with the others administrative policies and procedures including those related to the delivery of medical services and will keep and make available such medical, financial and other records as each party requires for Covered Individuals.
If termination of this Agreement occurs for any reason, any Covered Individual who is an inpatient as of the end of the Continuation Period shall continue to be provided all Covered Services by an AHERF Provider, and HealthAmerica shall pay such AHERF Provider for such inpatient Covered Services in accordance with this Agreement until such Covered Individual is transferred to another facility per HealthAmerica's request or is properly discharged.
The Operating Committee shall consist of equal representation from Coventry/HealthAmerica/ Member Companies (as a single party) and AHERF.
HealthAmerica or another Member Company shall not be required to delegate a Delegated Function hereunder unless and until AHERF has submitted to HealthAmerica or another Member Company and HealthAmerica or another Member Company has approved a work plan satisfactory to it setting forth in sufficient detail the tasks to be performed by AHERF in performing the Delegated Function.
HealthAmerica or other Member Company shall provide to AHERF on a monthly basis, and to the extent reasonably feasible, in mutually acceptable computer readable format, claims information and reports to be agreed upon with respect to Covered Individuals who have received Covered Services from AHERF Providers.
Upon the termination of this Agreement, AHERF and the Member Companies shall cooperate in good faith to cause an orderly wind up of the operations contemplated by this Agreement so as not to cause unnecessary disruption to Covered Individuals or AHERF Providers.
A Member Company or another Member Company may recruit and contract directly with AHERF Providers to provide Covered Services upon the commencement of the Continuation Period.