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The term \u201cPayor Contract\u201d includes a contract with a governmental authority (also referred to herein as a \u201cGovernmental Contract\u201d) under which CCO, its affiliate or Payor arranges for the provision of Covered Services to eligible individuals.", "snippet_links": [{"key": "the-contract", "type": "definition", "offset": [6, 18]}, {"key": "pursuant-to", "type": "clause", "offset": [33, 44]}, {"key": "administrative-services", "type": "clause", "offset": [82, 105]}, {"key": "other-services", "type": "clause", "offset": [109, 123]}, {"key": "coverage-agreements", "type": "clause", "offset": [142, 161]}, {"key": "entered-into", "type": "clause", "offset": [162, 174]}, {"key": "agreed-to-by", "type": "definition", "offset": [186, 198]}, {"key": "access-to", "type": "clause", "offset": [235, 244]}, {"key": "provider-networks", "type": "clause", "offset": [260, 277]}, {"key": "vendor-arrangements", "type": "clause", "offset": [281, 300]}, {"key": "the-term", "type": "clause", "offset": [326, 334]}, {"key": "governmental-authority", "type": "clause", "offset": [379, 401]}, {"key": "governmental-contract", "type": "definition", "offset": [433, 454]}, {"key": "arranges-for", "type": "definition", "offset": [497, 509]}, {"key": "provision-of-covered-services", "type": "clause", "offset": [514, 543]}, {"key": "eligible-individuals", "type": "clause", "offset": [547, 567]}], "size": 6, "hash": "fc835a68a73c15e766abbbf597f8fbc3", "id": 3}, {"samples": [{"hash": "9sDsLDFahvq", "uri": "/contracts/9sDsLDFahvq#payor-contract", "label": "Merger Agreement (Fresenius Medical Care AG & Co. 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The term \u201cPayor Contract\u201d includes Company\u2019s or other Payor\u2019s contract with a governmental authority (also referred to herein as a \u201cGovernmental Contract\u201d) under which Company or Payor arranges for the provision of Covered Services to Covered Persons.", "snippet_links": [{"key": "the-contract", "type": "definition", "offset": [6, 18]}, {"key": "pursuant-to", "type": "clause", "offset": [33, 44]}, {"key": "administrative-services", "type": "clause", "offset": [69, 92]}, {"key": "other-services", "type": "clause", "offset": [96, 110]}, {"key": "coverage-agreements", "type": "clause", "offset": [129, 148]}, {"key": "entered-into", "type": "clause", "offset": [149, 161]}, {"key": "agreed-to-by", "type": "definition", "offset": [173, 185]}, {"key": "access-to", "type": "clause", "offset": [222, 231]}, {"key": "provider-networks", "type": "clause", "offset": [257, 274]}, {"key": "vendor-arrangements", "type": "clause", "offset": [278, 297]}, {"key": "the-term", "type": "clause", "offset": [343, 351]}, {"key": "other-payor", "type": "definition", "offset": [391, 402]}, {"key": "governmental-authority", "type": "clause", "offset": [421, 443]}, {"key": "governmental-contract", "type": "definition", "offset": [475, 496]}, {"key": "arranges-for", "type": "definition", "offset": [528, 540]}, {"key": "provision-of-covered-services", "type": "clause", "offset": [545, 574]}, {"key": "covered-persons", "type": "clause", "offset": [578, 593]}], "size": 3, "hash": "2aa76b25f088da8aee349375d6e4509d", "id": 6}, {"samples": [{"hash": "aLJhziMKE0p", "uri": "/contracts/aLJhziMKE0p#payor-contract", "label": "Master Membership Agreement", "score": 26.1416835785, "published": true}, {"hash": "3adfVvW0D9X", "uri": "/contracts/3adfVvW0D9X#payor-contract", "label": "Master Membership Agreement", "score": 24.0061607361, "published": true}], "snippet": "means the written agreement entered into between CDA and a Payor that identifies the terms of the arrangement under which (a) CDA will arrange for the provision of Covered Services to Covered Persons by Participating Providers; and (b) the Payor will reimburse or pay CDA and/or Participating Providers for providing such Covered Services.", "snippet_links": [{"key": "written-agreement", "type": "clause", "offset": [10, 27]}, {"key": "entered-into", "type": "clause", "offset": [28, 40]}, {"key": "the-arrangement", "type": "clause", "offset": [94, 109]}, {"key": "arrange-for", "type": "clause", "offset": [135, 146]}, {"key": "provision-of-covered-services", "type": "clause", "offset": [151, 180]}, {"key": "covered-persons", "type": "clause", "offset": [184, 199]}, {"key": "participating-providers", "type": "clause", "offset": [203, 226]}], "size": 2, "hash": "496118d31d14cb4c5853502be21aca88", "id": 7}, {"samples": [{"hash": "hnQ5sYCJRj3", "uri": "http://www.tuckerlaw.com/wp-content/uploads/2019/02/EXHIBIT-E.pdf", "label": "www.tuckerlaw.com", "score": 7.5667352676, "published": false}, {"hash": "iDRBXAYwlgK", "uri": "https://www.tuckerlaw.com/wp-content/uploads/2022/12/EXHIBIT-E.pdf", "label": "www.tuckerlaw.com", "score": 7.5010266304, "published": false}], "snippet": "means a contract between a Health Care Provider and a Health Plan for reimbursement for the Health Care Provider\u2019s treatment of the Health Plan\u2019s members.", "snippet_links": [{"key": "health-care-provider", "type": "clause", "offset": [27, 47]}, {"key": "health-plan", "type": "definition", "offset": [54, 65]}, {"key": "treatment-of", "type": "definition", "offset": [115, 127]}], "size": 2, "hash": "4575428d894e0da9531fc0fe39b23c5d", "id": 8}, {"samples": [{"hash": "9jaXgMACSLQ", "uri": "https://www2.elpasotexas.gov/municipal-clerk/agenda/06-14-16/23.1.1.pdf", "label": "www2.elpasotexas.gov", "score": 10.9685134888, "published": false}, {"hash": "ls8Ug2TuIKs", "uri": "https://www2.elpasotexas.gov/municipal-clerk/agenda/05-31-16/26.1.1.pdf", "label": "www2.elpasotexas.gov", "score": 8.0746068954, "published": false}], "snippet": "means the contract with a Payor, pursuant to which a MCO furnishes administrative services or other services in support of the Coverage Agreements entered into, issued or agreed to by a Payor, which services may include access to one or more of the MCO\u2019s provider networks or vendor arrangements, except those excluded by MCO. The term \u201cPayor Contract\u201d includes a MCO\u2019s or other Payor\u2019s contract with a governmental authority (also referred to herein as a \u201cGovernmental Contract\u201d) under which the MCO or Payor arranges for the provision of Covered Services to eligible individuals.", "snippet_links": [{"key": "the-contract", "type": "definition", "offset": [6, 18]}, {"key": "pursuant-to", "type": "clause", "offset": [33, 44]}, {"key": "administrative-services", "type": "clause", "offset": [67, 90]}, {"key": "other-services", "type": "clause", "offset": [94, 108]}, {"key": "coverage-agreements", "type": "clause", "offset": [127, 146]}, {"key": "entered-into", "type": "clause", "offset": [147, 159]}, {"key": "agreed-to-by", "type": "definition", "offset": [171, 183]}, {"key": "access-to", "type": "clause", "offset": [220, 229]}, {"key": "provider-networks", "type": "clause", "offset": [255, 272]}, {"key": "vendor-arrangements", "type": "clause", "offset": [276, 295]}, {"key": "the-term", "type": "clause", "offset": [327, 335]}, {"key": "other-payor", "type": "definition", "offset": [373, 384]}, {"key": "governmental-authority", "type": "clause", "offset": [403, 425]}, {"key": "governmental-contract", "type": "definition", "offset": [457, 478]}, {"key": "arranges-for", "type": "definition", "offset": [510, 522]}, {"key": "provision-of-covered-services", "type": "clause", "offset": [527, 556]}, {"key": "eligible-individuals", "type": "clause", "offset": [560, 580]}], "size": 2, "hash": "cbfe4fed60beae299a193796a082f41d", "id": 9}, {"samples": [{"hash": "i6lSBGTckV8", "uri": "/contracts/i6lSBGTckV8#payor-contract", "label": "Asset Purchase Agreement (Orthologic Corp)", "score": 18.0, "published": true}, {"hash": "22vBTqfApXG", "uri": "/contracts/22vBTqfApXG#payor-contract", "label": "Asset Purchase Agreement (Orthologic Corp)", "score": 18.0, "published": true}], "snippet": "means an agreement (or agreements), pursuant to, or under which, a Payor shall be obligated to pay the Seller for services rendered or merchandise sold to patients of the Seller from time to time;", "snippet_links": [{"key": "an-agreement", "type": "clause", "offset": [6, 18]}, {"key": "pursuant-to", "type": "clause", "offset": [36, 47]}, {"key": "to-pay", "type": "clause", "offset": [92, 98]}, {"key": "services-rendered", "type": "definition", "offset": [114, 131]}, {"key": "sold-to", "type": "clause", "offset": [147, 154]}, {"key": "of-the-seller", "type": "clause", "offset": [164, 177]}, {"key": "from-time-to-time", "type": "clause", "offset": [178, 195]}], "size": 2, "hash": "3cfa22762efd4cc12c93ad5541a6bb5a", "id": 10}], "next_curs": "ClsSVWoVc35sYXdpbnNpZGVyY29udHJhY3RzcjcLEhpEZWZpbml0aW9uU25pcHBldEdyb3VwX3Y1NiIXcGF5b3ItY29udHJhY3QjMDAwMDAwMGEMogECZW4YACAA", "definition": {"title": "Payor Contract", "snippet": "means the contract with a Payor, pursuant to which Company furnishes administrative services or other services in support of the Coverage Agreements entered into, issued or agreed to by a Payor, which services may include access to one or more of Company\u2019s provider networks or vendor arrangements, except those excluded by Health Plan. The term \u201cPayor Contract\u201d includes Company\u2019s or other Payor\u2019s contract with a governmental authority (also referred to herein as a \u201cGovernmental Contract\u201d) under which Company or Payor arranges for the provision of Covered Services to Covered Persons.", "size": 63, "id": "payor-contract", "examples": ["A Company is only responsible for performing its respective obligations hereunder with respect to a particular Product, Coverage Agreement, <strong>Payor Contract</strong>, Covered Service or Covered Person.", "Each Party is prohibited from, and shall prohibit its Affiliates and Contracted Providers from, disclosing to a third party the substance of this Agreement, or any information of a confidential nature acquired from the other Party (or Affiliate or Contracted Provider thereof) during the course of this Agreement, except to agents of such Party as necessary for such Party\u2019s performance under this Agreement, or as required by a <strong>Payor Contract</strong> or applicable Regulatory Requirements.", "By PAATH LLC, if one or more of the non-City <strong>Payor Contracts</strong> is terminated in accordance with its terms due to a default by any other Payor under any other such <strong>Payor Contract</strong> (a \u201cNon-City Payor Termination\u201d)."], "related": [["major-contract", "Major Contract", "Major Contract"], ["cfd-contract", "CFD Contract", "CFD Contract"], ["provider-contract", "Provider contract", "Provider contract"], ["multiyear-contract", "Multiyear contract", "Multiyear contract"], ["master-contract", "Master Contract", "Master Contract"]], "related_snippets": [], "updated": "2025-12-17T04:28:34+00:00"}, "json": true, "cursor": ""}}