{"component": "definition", "props": {"groups": [{"size": 2, "samples": [{"hash": "j7DYcpf4sW7", "uri": "https://casedocs.omniagentsolutions.com/cmsvol/cmsdocs/pub_45433/268878_1445.pdf", "label": "casedocs.omniagentsolutions.com", "score": 2.8199863107, "published": false}, {"hash": "igbs43WRn5R", "uri": "https://casedocs.omniagentsolutions.com/cmsvol/CMSDocs/pub_45433/239845_1042.pdf", "label": "casedocs.omniagentsolutions.com", "score": 2.598220397, "published": false}], "snippet": "means United/PacifiCare of California, Inc. and its affiliates.", "snippet_links": [], "hash": "238627d2c12c5880a5744f3d43697294", "id": 1}, {"size": 2, "samples": [{"hash": "gasWmehwNcV", "uri": "https://www.justice.gov/atr/case-document/file/513986/download", "label": "www.justice.gov", "score": 5.0, "published": false}, {"hash": "jGkTAyoJ0fs", "uri": "https://www.justice.gov/atr/case-document/file/513961/download", "label": "www.justice.gov", "score": 5.0, "published": false}], "snippet": "means defendant PacifiCare Health Systems, Inc., a Delaware corporation with its headquarters in Cypress, California, its successors and assigns, and its subsidiaries, divisions, groups, affiliates, partnerships and joint ventures, and their respective directors, officers, managers, agents, and employees.", "snippet_links": [{"key": "health-systems", "type": "definition", "offset": [27, 41]}, {"key": "delaware-corporation", "type": "clause", "offset": [51, 71]}, {"key": "successors-and-assigns", "type": "clause", "offset": [122, 144]}, {"key": "partnerships-and-joint-ventures", "type": "clause", "offset": [199, 230]}], "hash": "ed3a5674235ce60abf994f35d9ec7da6", "id": 2}, {"size": 1, "samples": [{"hash": "m3njuF1CFa", "uri": "/contracts/m3njuF1CFa#pacificare", "label": "Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)", "score": 21.0, "published": true}], "snippet": "New Technology NOT DELEGATED Responsible for determining inclusion in benefit package \u2022 New technology is evaluated for benefits \u2022 New uses for existing technology are evaluated. N/A DELEGATED Perform medical case review for determining if a covered benefit & establishing medical necessity if function is not delegated. Oversight of delegated function to ensure meets standards & to ensure process exists to interface with PacifiCare. Required if delegated. \u2022 Medical group utilizes PacifiCare to identify benefits and uses of new technology. N/A \u2022 Initial onsite assessment utilizing approved oversight document. \u2022 Annual oversight assessment utilizing approved oversight document. \u2022 Annual PacifiCare committee approval of UM program document. \u2022 Implementation of Corrective Action Plan(s) for elements of non-compliance.", "snippet_links": [{"key": "new-technology", "type": "clause", "offset": [0, 14]}, {"key": "responsible-for", "type": "clause", "offset": [29, 44]}, {"key": "benefit-package", "type": "clause", "offset": [70, 85]}, {"key": "new-uses", "type": "definition", "offset": [131, 139]}, {"key": "existing-technology", "type": "clause", "offset": [144, 163]}, {"key": "medical-case-review", "type": "definition", "offset": [201, 220]}, {"key": "covered-benefit", "type": "clause", "offset": [242, 257]}, {"key": "medical-necessity", "type": "clause", "offset": [273, 290]}, {"key": "delegated-function", "type": "definition", "offset": [334, 352]}, {"key": "to-ensure", "type": "clause", "offset": [353, 362]}, {"key": "meets-standards", "type": "definition", "offset": [363, 378]}, {"key": "medical-group", "type": "clause", "offset": [461, 474]}, {"key": "onsite-assessment", "type": "definition", "offset": [558, 575]}, {"key": "oversight-document", "type": "definition", "offset": [595, 613]}, {"key": "approval-of", "type": "definition", "offset": [714, 725]}, {"key": "program-document", "type": "definition", "offset": [729, 745]}, {"key": "corrective-action", "type": "definition", "offset": [767, 784]}], "hash": "d6c300ee3695add974d8a2f114536e93", "id": 3}, {"size": 1, "samples": [{"hash": "8ET4vggCeP8", "uri": "/contracts/8ET4vggCeP8#pacificare", "label": "Information Technology Services Agreement (Pacificare Health Systems Inc /De/)", "score": 18.0, "published": true}], "snippet": "S FUNCTIONAL REQUIREMENT:", "snippet_links": [], "hash": "25a1293bab9cc5f67a54be2a8fdb04e9", "id": 4}, {"size": 1, "samples": [{"hash": "a7zxObUnu66", "uri": "https://casedocs.omniagentsolutions.com/cmsvol/cmsdocs/pub_45433/164246_dkt0509-042010-chapter%2011%20plan%20of%20reorganization.pdf", "label": "casedocs.omniagentsolutions.com", "score": 3.1505817933, "published": false}], "snippet": "means United/PacifiCare of California, Inc", "snippet_links": [], "hash": "212abd61365c86bfc88ae9fb50e7dd30", "id": 5}, {"size": 1, "samples": [{"hash": "YxhOSEgUn2", "uri": "/contracts/YxhOSEgUn2#pacificare", "label": "Credit Agreement (Pacificare Health Systems Inc)", "score": 18.0, "published": true}], "snippet": "means PacifiCare Health Systems, Inc., a Delaware corporation or any successor thereto.", "snippet_links": [{"key": "health-systems", "type": "definition", "offset": [17, 31]}, {"key": "delaware-corporation", "type": "clause", "offset": [41, 61]}], "hash": "f12781296cb53cc3369ff5575c7609bd", "id": 6}, {"size": 1, "samples": [{"hash": "8ET4vggCeP8", "uri": "/contracts/8ET4vggCeP8#pacificare", "label": "Information Technology Services Agreement (Pacificare Health Systems Inc /De/)", "score": 18.0, "published": true}], "snippet": "means \"PacifiCare Entities.\"Terms used herein with initial capital letters shall have the respective meanings set forth in the Agreement. Terms used herein with initial capital letters but not otherwise defined in the Agreement shall have the respective meanings set forth in Schedule 8 or other Exhibits and Schedules to the Agreement. In addition, the meanings for the following terms shall apply: APPLICATION SUPPLIER shall mean the entity or entities which shall provide application system maintenance, enhancement and development services on behalf of PacifiCare. The Application Supplier may include PacifiCare or \u2587\u2587\u2587\u2587\u2587. BUSINESS CONTINUITY PLAN is defined in Section H. 26 (confirm with definition in the Service Level Schedule).", "snippet_links": [{"key": "terms-used", "type": "definition", "offset": [28, 38]}, {"key": "initial-capital", "type": "clause", "offset": [51, 66]}, {"key": "in-the-agreement", "type": "clause", "offset": [120, 136]}, {"key": "schedule-8", "type": "clause", "offset": [276, 286]}, {"key": "schedules-to-the-agreement", "type": "clause", "offset": [309, 335]}, {"key": "in-addition", "type": "clause", "offset": [337, 348]}, {"key": "the-meanings", "type": "definition", "offset": [350, 362]}, {"key": "supplier-shall", "type": "clause", "offset": [412, 426]}, {"key": "entity-or-entities", "type": "definition", "offset": [436, 454]}, {"key": "system-maintenance", "type": "definition", "offset": [487, 505]}, {"key": "development-services", "type": "definition", "offset": [523, 543]}, {"key": "on-behalf-of", "type": "clause", "offset": [544, 556]}, {"key": "the-application", "type": "clause", "offset": [569, 584]}, {"key": "business-continuity-plan", "type": "clause", "offset": [627, 651]}, {"key": "defined-in-section", "type": "clause", "offset": [655, 673]}, {"key": "service-level-schedule", "type": "clause", "offset": [712, 734]}], "hash": "8dbcf07a2267faf1dadfbd25a7c7b309", "id": 7}, {"size": 1, "samples": [{"hash": "6mf82GkRjc2", "uri": "/contracts/6mf82GkRjc2#pacificare", "label": "Registration Rights Agreement (Pacificare Health Systems Inc /De/)", "score": 18.0, "published": true}], "snippet": "has the meaning set forth in the Preamble to this Agreement.", "snippet_links": [{"key": "the-preamble", "type": "clause", "offset": [29, 41]}, {"key": "to-this-agreement", "type": "clause", "offset": [42, 59]}], "hash": "48eaa1890776d6219cefdbb57ea2e57b", "id": 8}, {"size": 1, "samples": [{"hash": "ifVwS3QGsSm", "uri": "/contracts/ifVwS3QGsSm#pacificare", "label": "Information Technology Services Agreement (Pacificare Health Systems Inc /De/)", "score": 18.0, "published": true}], "snippet": "means \"PacifiCare Entities.\" Supplier shall provide the Services set forth in this Statement of Work as they may evolve during the Term and the Termination Assistance Period. In the event of any inconsistency, ambiguity or conflict, the terms and conditions of the Agreement shall govern unless specifically superseded in this Statement of Work.", "snippet_links": [{"key": "supplier-shall", "type": "clause", "offset": [29, 43]}, {"key": "the-services", "type": "definition", "offset": [52, 64]}, {"key": "statement-of-work", "type": "definition", "offset": [83, 100]}, {"key": "during-the-term", "type": "clause", "offset": [120, 135]}, {"key": "termination-assistance-period", "type": "definition", "offset": [144, 173]}, {"key": "in-the-event-of", "type": "definition", "offset": [175, 190]}, {"key": "ambiguity-or-conflict", "type": "clause", "offset": [210, 231]}, {"key": "terms-and-conditions-of-the-agreement", "type": "clause", "offset": [237, 274]}], "hash": "eb4fd18e1ab3db7cb652de441b3af9b3", "id": 9}, {"size": 1, "samples": [{"hash": "iiqkZk9VoTn", "uri": "/contracts/iiqkZk9VoTn#pacificare", "label": "Agreement Between Pacificare and Dentist (Birner Dental Management Services Inc)", "score": 18.0, "published": true}], "snippet": "means PacifiCare of Colorado, Inc., a wholly-owned subsidiary of TakeCare Administrative Services Corporation, an Indiana corporation.", "snippet_links": [{"key": "subsidiary-of", "type": "definition", "offset": [51, 64]}, {"key": "administrative-services", "type": "definition", "offset": [74, 97]}], "hash": "f75206f5d26445828372ab056ab7a6c2", "id": 10}], "next_curs": "ClcSUWoVc35sYXdpbnNpZGVyY29udHJhY3RzcjMLEhpEZWZpbml0aW9uU25pcHBldEdyb3VwX3Y1NiITcGFjaWZpY2FyZSMwMDAwMDAwYQyiAQJlbhgAIAA=", "definition": {"size": 11, "title": "PacifiCare", "snippet": "means United/PacifiCare of California, Inc. and its affiliates.", "id": "pacificare", "examples": [], "related": [["fiserv", "Fiserv", "Fiserv"], ["hospital", "Hospital", "Hospital"], ["home-health-aide-services", "Home health aide services", "Home health aide services"], ["cms", "CMS", "CMS"], ["behavioral-health-care-services", "Behavioral health care services", "Behavioral health care services"]], "related_snippets": [], "updated": "2025-07-06T21:58:41+00:00"}, "json": true, "cursor": ""}}