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2024-03-07 13:23:57 +00:00
parent 827b1f5d3a
commit ffd84c0d56
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streamlit/temp1.csv
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Request ID,Contract ID,Contract Name,Unique Key,Pricing Before Carveouts,Contract Related,Provider,Timeline,Carveout Indicator,Carveout Methodology
0,Kidney_ICMProviderAgreement_ICMProviderAgreement_104832_5_MU.txt,Kidney_ICMProviderAgreement_ICMProviderAgreement_104832_5_MU.txt,False,False,False,False,False,False,False
1,ICMProviderAgreement_GuardianAngelHomeHealthCareAgency_210054_9.txt,ICMProviderAgreement_GuardianAngelHomeHealthCareAgency_210054_9.txt,False,False,False,False,False,False,False
2,BoilerplateAnc_Boro Park Obstetrics & Gynecology PC - Amendment 11.2.12_MU.txt,BoilerplateAnc_Boro Park Obstetrics & Gynecology PC - Amendment 11.2.12_MU.txt,False,False,False,False,False,False,False
3,ICMProviderAgreement_AvenueMedicalAssociatesPA_212330_5.txt,ICMProviderAgreement_AvenueMedicalAssociatesPA_212330_5.txt,False,False,False,False,False,False,False
4,Boilerplate_Anc_Borbas Surgical Supply Inc - Amendment 7.15.12_MU.txt,Boilerplate_Anc_Borbas Surgical Supply Inc - Amendment 7.15.12_MU.txt,False,False,False,False,False,False,False
5,Boilerplate_PSA_Houston Eye Associates_76-0512625_05012007 MU.txt,Boilerplate_PSA_Houston Eye Associates_76-0512625_05012007 MU.txt,False,False,False,False,False,False,False
6,Boilerplate_Mid Valley Physicians Association (MVPA) - MMP Amendment - Delegated Group MU.txt,Boilerplate_Mid Valley Physicians Association (MVPA) - MMP Amendment - Delegated Group MU.txt,False,False,False,False,False,False,False
7,ICMProviderAgreement_BalancedMindCounselingCenter_217525_6.txt,ICMProviderAgreement_BalancedMindCounselingCenter_217525_6.txt,False,False,False,False,False,False,False
8,"2017 01 01 Raul A. Rivera & Associates, P.A. (Master)PHY Executed MU.txt","2017 01 01 Raul A. Rivera & Associates, P.A. (Master)PHY Executed MU.txt",False,False,False,False,False,False,False
9,Custom_SOUTHWEST BEHAVIORAL & HEALTH SERVICES INC.txt,Custom_SOUTHWEST BEHAVIORAL & HEALTH SERVICES INC.txt,False,False,False,False,False,False,False
10,ICMProviderAgreement_101eDelawareAveOperations_211248_9 MU.txt,ICMProviderAgreement_101eDelawareAveOperations_211248_9 MU.txt,False,False,False,False,False,False,False
11,ICMProviderAgreement_AnnEWhite-TheCenterForHealingConversations_227589_4.txt,ICMProviderAgreement_AnnEWhite-TheCenterForHealingConversations_227589_4.txt,False,False,False,False,False,False,False
12,Prof2_Black Canyon Medical_Malin Medical PLLC_2 - 811754238 MU .txt,Prof2_Black Canyon Medical_Malin Medical PLLC_2 - 811754238 MU .txt,False,False,False,False,False,False,False
13,BoilerplateAnc_Bentley Medical PLLC - Amendment 8.1.14_MU.txt,BoilerplateAnc_Bentley Medical PLLC - Amendment 8.1.14_MU.txt,False,False,False,False,False,False,False
14,Bay Ridge Medical Imaging Universal (113045841) MU.txt,Bay Ridge Medical Imaging Universal (113045841) MU.txt,False,False,False,False,False,False,False
15,2014-01-01 United Health Centers San Joaquin AMD MU.txt,2014-01-01 United Health Centers San Joaquin AMD MU.txt,False,False,False,False,False,False,False
16,2022 01 20 West Park Primary Care_Master (Master) PHY Executed.pdf.filepart MU.txt,2022 01 20 West Park Primary Care_Master (Master) PHY Executed.pdf.filepart MU.txt,False,False,False,False,False,False,False
17,"Boilerplate_Anc_Better Living Now, Inc. - Agreement_MU.txt","Boilerplate_Anc_Better Living Now, Inc. - Agreement_MU.txt",False,False,False,False,False,False,False
18,ICMProviderAgreement_AlisonUnitisLPCMH_227710_5.txt,ICMProviderAgreement_AlisonUnitisLPCMH_227710_5.txt,False,False,False,False,False,False,False
19,"Boilerplate_Bethpage Medical, PLLC - Agreement_MU.txt","Boilerplate_Bethpage Medical, PLLC - Agreement_MU.txt",False,False,False,False,False,False,False
20,Custom_PSA - Advanced Gastroenterology of Texas PLLC -Executed 47-4543923 MU.txt,Custom_PSA - Advanced Gastroenterology of Texas PLLC -Executed 47-4543923 MU.txt,False,False,False,False,False,False,False
21,Prof3_Arizona Children Association - 860096772 MU.txt,Prof3_Arizona Children Association - 860096772 MU.txt,False,False,False,False,False,False,False
22,ICMProviderAgreement_CostalCarePhysicalTherapy_211707_6.txt,ICMProviderAgreement_CostalCarePhysicalTherapy_211707_6.txt,False,False,False,False,False,False,False
23,Muskogee_ICMProviderAgreement_ICMProviderAgreement_159776_5_MU.txt,Muskogee_ICMProviderAgreement_ICMProviderAgreement_159776_5_MU.txt,False,False,False,False,False,False,False
24,Orange Co Radiation Oncology MU.txt,Orange Co Radiation Oncology MU.txt,False,False,False,False,False,False,False
25,050540697 Deepak Nanda 2017 PHSP MU.txt,050540697 Deepak Nanda 2017 PHSP MU.txt,False,False,False,False,False,False,False
26,22-3146927_ICMProviderAgreement_273971_1 MU.txt,22-3146927_ICMProviderAgreement_273971_1 MU.txt,False,False,False,False,False,False,False
27,Prof1_ICM135705_ICMProviderAgreement_135705 IPA of NJ MU.txt,Prof1_ICM135705_ICMProviderAgreement_135705 IPA of NJ MU.txt,False,False,False,False,False,False,False
28,CustomProf_Behavior Analysit Professional Services PLLC - Amendment Provider Signed 1.1.19_MU.txt,CustomProf_Behavior Analysit Professional Services PLLC - Amendment Provider Signed 1.1.19_MU.txt,False,False,False,False,False,False,False
29,"Roussel Clement, MD_Physician Agreement MU (2).txt","Roussel Clement, MD_Physician Agreement MU (2).txt",False,False,False,False,False,False,False
30,Delaware First Health_First State Homecare Agency_212260_7 MU.txt,Delaware First Health_First State Homecare Agency_212260_7 MU.txt,False,False,False,False,False,False,False
31,2019 06 01 Dr Raul Rivera & Associates (Amend 1)_MU.txt,2019 06 01 Dr Raul Rivera & Associates (Amend 1)_MU.txt,False,False,False,False,False,False,False
32,Custom_Prof_Anna Suponya MD PC - Agreement Provider Signed_MU.txt,Custom_Prof_Anna Suponya MD PC - Agreement Provider Signed_MU.txt,False,False,False,False,False,False,False
33,Boilerplate_TX Amendment Mission Health Network effective_040114 MU.txt,Boilerplate_TX Amendment Mission Health Network effective_040114 MU.txt,False,False,False,False,False,False,False
34,Prof1_ABAN Care Contract - 562592781 MU.txt,Prof1_ABAN Care Contract - 562592781 MU.txt,False,False,False,False,False,False,False
35,Prof4_West Yavapai Guidance Clinic Inc. 11.01.2021 Care1st Practitioner Amendment Template 1.22.2020.1_MU.txt,Prof4_West Yavapai Guidance Clinic Inc. 11.01.2021 Care1st Practitioner Amendment Template 1.22.2020.1_MU.txt,False,False,False,False,False,False,False
36,2023 10 26_Pediatrix Medical Group of T...ment CHIP_STAR_Removed HIM_executed MU.txt,2023 10 26_Pediatrix Medical Group of T...ment CHIP_STAR_Removed HIM_executed MU.txt,False,False,False,False,False,False,False
37,Custom_TX - MP AMENDMENT - MISSION HEALTH NETWORK - MU.txt,Custom_TX - MP AMENDMENT - MISSION HEALTH NETWORK - MU.txt,False,False,False,False,False,False,False
38,Alliance Physicians Inc_MU.txt,Alliance Physicians Inc_MU.txt,False,False,False,False,False,False,False
39,Boilerplate_Benjamin Bieber MD - Amendment 5.30.16_MU.txt,Boilerplate_Benjamin Bieber MD - Amendment 5.30.16_MU.txt,False,False,False,False,False,False,False
40,"Boilerplate_Bethpage Medical, PLLC - Amendment 9.23.13_MU.txt","Boilerplate_Bethpage Medical, PLLC - Amendment 9.23.13_MU.txt",False,False,False,False,False,False,False
41,"Molina Healthcare of Texas, Inc. Amendment 4 - HIX ACA__EFF 01012016_MU.txt","Molina Healthcare of Texas, Inc. Amendment 4 - HIX ACA__EFF 01012016_MU.txt",False,False,False,False,False,False,False
42,Boilerplate_AMD - MKPL - NBHD dba Broward Health - Copy_MU.txt,Boilerplate_AMD - MKPL - NBHD dba Broward Health - Copy_MU.txt,False,False,False,False,False,False,False
43,2001-11-01 California Emergency Physicians PSA_MU.txt,2001-11-01 California Emergency Physicians PSA_MU.txt,False,False,False,False,False,False,False
44,Boilerplate_Benjamin Bieber_MU.txt,Boilerplate_Benjamin Bieber_MU.txt,False,False,False,False,False,False,False
45,ICMProviderAgreement_Delaware4TheSeniors_212439_6.txt,ICMProviderAgreement_Delaware4TheSeniors_212439_6.txt,False,False,False,False,False,False,False
46,Baz Allergy Asthma & Sinus_MU.txt,Baz Allergy Asthma & Sinus_MU.txt,False,False,False,False,False,False,False
47,Boilerplate_Anc_Bio Reference Laboratories Inc - Amendment 8.1.17_MU.txt,Boilerplate_Anc_Bio Reference Laboratories Inc - Amendment 8.1.17_MU.txt,False,False,False,False,False,False,False
48,ICMProviderAgreement_AmyRiceMA_223388_5.txt,ICMProviderAgreement_AmyRiceMA_223388_5.txt,False,False,False,False,False,False,False
49,Boilerplate_Prof_Premier Health Specialists Inc Third Amendment_A.4_20160101_MU.txt,Boilerplate_Prof_Premier Health Specialists Inc Third Amendment_A.4_20160101_MU.txt,False,False,False,False,False,False,False
50,Boilerplate_AMEND - BAYLOR MEDCARE - 74-1613878 - 46-2714379 MU.txt,Boilerplate_AMEND - BAYLOR MEDCARE - 74-1613878 - 46-2714379 MU.txt,False,False,False,False,False,False,False
51,Boilerplate_Baptist-Provider Service Agreement_MU.txt,Boilerplate_Baptist-Provider Service Agreement_MU.txt,False,False,False,False,False,False,False
1 Request ID Contract ID Contract Name Unique Key Pricing Before Carveouts Contract Related Provider Timeline Carveout Indicator Carveout Methodology
2 0 Kidney_ICMProviderAgreement_ICMProviderAgreement_104832_5_MU.txt Kidney_ICMProviderAgreement_ICMProviderAgreement_104832_5_MU.txt False False False False False False False
3 1 ICMProviderAgreement_GuardianAngelHomeHealthCareAgency_210054_9.txt ICMProviderAgreement_GuardianAngelHomeHealthCareAgency_210054_9.txt False False False False False False False
4 2 BoilerplateAnc_Boro Park Obstetrics & Gynecology PC - Amendment 11.2.12_MU.txt BoilerplateAnc_Boro Park Obstetrics & Gynecology PC - Amendment 11.2.12_MU.txt False False False False False False False
5 3 ICMProviderAgreement_AvenueMedicalAssociatesPA_212330_5.txt ICMProviderAgreement_AvenueMedicalAssociatesPA_212330_5.txt False False False False False False False
6 4 Boilerplate_Anc_Borbas Surgical Supply Inc - Amendment 7.15.12_MU.txt Boilerplate_Anc_Borbas Surgical Supply Inc - Amendment 7.15.12_MU.txt False False False False False False False
7 5 Boilerplate_PSA_Houston Eye Associates_76-0512625_05012007 MU.txt Boilerplate_PSA_Houston Eye Associates_76-0512625_05012007 MU.txt False False False False False False False
8 6 Boilerplate_Mid Valley Physicians Association (MVPA) - MMP Amendment - Delegated Group MU.txt Boilerplate_Mid Valley Physicians Association (MVPA) - MMP Amendment - Delegated Group MU.txt False False False False False False False
9 7 ICMProviderAgreement_BalancedMindCounselingCenter_217525_6.txt ICMProviderAgreement_BalancedMindCounselingCenter_217525_6.txt False False False False False False False
10 8 2017 01 01 Raul A. Rivera & Associates, P.A. (Master)PHY Executed MU.txt 2017 01 01 Raul A. Rivera & Associates, P.A. (Master)PHY Executed MU.txt False False False False False False False
11 9 Custom_SOUTHWEST BEHAVIORAL & HEALTH SERVICES INC.txt Custom_SOUTHWEST BEHAVIORAL & HEALTH SERVICES INC.txt False False False False False False False
12 10 ICMProviderAgreement_101eDelawareAveOperations_211248_9 MU.txt ICMProviderAgreement_101eDelawareAveOperations_211248_9 MU.txt False False False False False False False
13 11 ICMProviderAgreement_AnnEWhite-TheCenterForHealingConversations_227589_4.txt ICMProviderAgreement_AnnEWhite-TheCenterForHealingConversations_227589_4.txt False False False False False False False
14 12 Prof2_Black Canyon Medical_Malin Medical PLLC_2 - 811754238 MU .txt Prof2_Black Canyon Medical_Malin Medical PLLC_2 - 811754238 MU .txt False False False False False False False
15 13 BoilerplateAnc_Bentley Medical PLLC - Amendment 8.1.14_MU.txt BoilerplateAnc_Bentley Medical PLLC - Amendment 8.1.14_MU.txt False False False False False False False
16 14 Bay Ridge Medical Imaging Universal (113045841) MU.txt Bay Ridge Medical Imaging Universal (113045841) MU.txt False False False False False False False
17 15 2014-01-01 United Health Centers San Joaquin AMD MU.txt 2014-01-01 United Health Centers San Joaquin AMD MU.txt False False False False False False False
18 16 2022 01 20 West Park Primary Care_Master (Master) PHY Executed.pdf.filepart MU.txt 2022 01 20 West Park Primary Care_Master (Master) PHY Executed.pdf.filepart MU.txt False False False False False False False
19 17 Boilerplate_Anc_Better Living Now, Inc. - Agreement_MU.txt Boilerplate_Anc_Better Living Now, Inc. - Agreement_MU.txt False False False False False False False
20 18 ICMProviderAgreement_AlisonUnitisLPCMH_227710_5.txt ICMProviderAgreement_AlisonUnitisLPCMH_227710_5.txt False False False False False False False
21 19 Boilerplate_Bethpage Medical, PLLC - Agreement_MU.txt Boilerplate_Bethpage Medical, PLLC - Agreement_MU.txt False False False False False False False
22 20 Custom_PSA - Advanced Gastroenterology of Texas PLLC -Executed 47-4543923 MU.txt Custom_PSA - Advanced Gastroenterology of Texas PLLC -Executed 47-4543923 MU.txt False False False False False False False
23 21 Prof3_Arizona Children Association - 860096772 MU.txt Prof3_Arizona Children Association - 860096772 MU.txt False False False False False False False
24 22 ICMProviderAgreement_CostalCarePhysicalTherapy_211707_6.txt ICMProviderAgreement_CostalCarePhysicalTherapy_211707_6.txt False False False False False False False
25 23 Muskogee_ICMProviderAgreement_ICMProviderAgreement_159776_5_MU.txt Muskogee_ICMProviderAgreement_ICMProviderAgreement_159776_5_MU.txt False False False False False False False
26 24 Orange Co Radiation Oncology MU.txt Orange Co Radiation Oncology MU.txt False False False False False False False
27 25 050540697 Deepak Nanda 2017 PHSP MU.txt 050540697 Deepak Nanda 2017 PHSP MU.txt False False False False False False False
28 26 22-3146927_ICMProviderAgreement_273971_1 MU.txt 22-3146927_ICMProviderAgreement_273971_1 MU.txt False False False False False False False
29 27 Prof1_ICM135705_ICMProviderAgreement_135705 IPA of NJ MU.txt Prof1_ICM135705_ICMProviderAgreement_135705 IPA of NJ MU.txt False False False False False False False
30 28 CustomProf_Behavior Analysit Professional Services PLLC - Amendment Provider Signed 1.1.19_MU.txt CustomProf_Behavior Analysit Professional Services PLLC - Amendment Provider Signed 1.1.19_MU.txt False False False False False False False
31 29 Roussel Clement, MD_Physician Agreement MU (2).txt Roussel Clement, MD_Physician Agreement MU (2).txt False False False False False False False
32 30 Delaware First Health_First State Homecare Agency_212260_7 MU.txt Delaware First Health_First State Homecare Agency_212260_7 MU.txt False False False False False False False
33 31 2019 06 01 Dr Raul Rivera & Associates (Amend 1)_MU.txt 2019 06 01 Dr Raul Rivera & Associates (Amend 1)_MU.txt False False False False False False False
34 32 Custom_Prof_Anna Suponya MD PC - Agreement Provider Signed_MU.txt Custom_Prof_Anna Suponya MD PC - Agreement Provider Signed_MU.txt False False False False False False False
35 33 Boilerplate_TX Amendment Mission Health Network effective_040114 MU.txt Boilerplate_TX Amendment Mission Health Network effective_040114 MU.txt False False False False False False False
36 34 Prof1_ABAN Care Contract - 562592781 MU.txt Prof1_ABAN Care Contract - 562592781 MU.txt False False False False False False False
37 35 Prof4_West Yavapai Guidance Clinic Inc. 11.01.2021 Care1st Practitioner Amendment Template 1.22.2020.1_MU.txt Prof4_West Yavapai Guidance Clinic Inc. 11.01.2021 Care1st Practitioner Amendment Template 1.22.2020.1_MU.txt False False False False False False False
38 36 2023 10 26_Pediatrix Medical Group of T...ment CHIP_STAR_Removed HIM_executed MU.txt 2023 10 26_Pediatrix Medical Group of T...ment CHIP_STAR_Removed HIM_executed MU.txt False False False False False False False
39 37 Custom_TX - MP AMENDMENT - MISSION HEALTH NETWORK - MU.txt Custom_TX - MP AMENDMENT - MISSION HEALTH NETWORK - MU.txt False False False False False False False
40 38 Alliance Physicians Inc_MU.txt Alliance Physicians Inc_MU.txt False False False False False False False
41 39 Boilerplate_Benjamin Bieber MD - Amendment 5.30.16_MU.txt Boilerplate_Benjamin Bieber MD - Amendment 5.30.16_MU.txt False False False False False False False
42 40 Boilerplate_Bethpage Medical, PLLC - Amendment 9.23.13_MU.txt Boilerplate_Bethpage Medical, PLLC - Amendment 9.23.13_MU.txt False False False False False False False
43 41 Molina Healthcare of Texas, Inc. Amendment 4 - HIX ACA__EFF 01012016_MU.txt Molina Healthcare of Texas, Inc. Amendment 4 - HIX ACA__EFF 01012016_MU.txt False False False False False False False
44 42 Boilerplate_AMD - MKPL - NBHD dba Broward Health - Copy_MU.txt Boilerplate_AMD - MKPL - NBHD dba Broward Health - Copy_MU.txt False False False False False False False
45 43 2001-11-01 California Emergency Physicians PSA_MU.txt 2001-11-01 California Emergency Physicians PSA_MU.txt False False False False False False False
46 44 Boilerplate_Benjamin Bieber_MU.txt Boilerplate_Benjamin Bieber_MU.txt False False False False False False False
47 45 ICMProviderAgreement_Delaware4TheSeniors_212439_6.txt ICMProviderAgreement_Delaware4TheSeniors_212439_6.txt False False False False False False False
48 46 Baz Allergy Asthma & Sinus_MU.txt Baz Allergy Asthma & Sinus_MU.txt False False False False False False False
49 47 Boilerplate_Anc_Bio Reference Laboratories Inc - Amendment 8.1.17_MU.txt Boilerplate_Anc_Bio Reference Laboratories Inc - Amendment 8.1.17_MU.txt False False False False False False False
50 48 ICMProviderAgreement_AmyRiceMA_223388_5.txt ICMProviderAgreement_AmyRiceMA_223388_5.txt False False False False False False False
51 49 Boilerplate_Prof_Premier Health Specialists Inc Third Amendment_A.4_20160101_MU.txt Boilerplate_Prof_Premier Health Specialists Inc Third Amendment_A.4_20160101_MU.txt False False False False False False False
52 50 Boilerplate_AMEND - BAYLOR MEDCARE - 74-1613878 - 46-2714379 MU.txt Boilerplate_AMEND - BAYLOR MEDCARE - 74-1613878 - 46-2714379 MU.txt False False False False False False False
53 51 Boilerplate_Baptist-Provider Service Agreement_MU.txt Boilerplate_Baptist-Provider Service Agreement_MU.txt False False False False False False False
streamlit/temp2.csv
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Contract Name,Field Name,Snippet,Page Number,Confidence Level,Field Extracted Value,Imputed Value
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Agreement Name,"9.19
Entire Agreement. This Agreement, including the Attachments each of which are
made a part of and incorporated into this Agreement, the Provider Manual and any addenda or
amendments comprises the complete agreement between the Parties and supersedes all previous
agreements and understandings (whether verbal or in writing) related to the subject matter of this
Agreement.
9.20 Headings. The various headings of this Agreement are provided for convenience only
and shall not affect the meaning or interpretation of this Agreement or any provision of it.
9.21
Interpretation. Both Parties have had the opportunity to review this Agreement with
legal counsel, and any ambiguity found in this Agreement shall not be construed in a Party's favor on
the basis that the other Party drafted the provision containing the ambiguity.
9.22
Survival. Any provision of this Agreement, including an Attachment that requires or",20,0.6402428150177002,"
not enough information",
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Summary,"WHEREAS, Health Plan issues (or is pursuing a license allowing it to issue) health benefit plans and
seeks to include health care providers in one or more provider networks for such plans; and
WHEREAS, Contracted Provider provides health care items and services to the general public by
health care providers employed by Contracted Provider; and
WHEREAS, Health Plan and Contracted Provider desire to enter into this Agreement whereby
Contracted Provider will provide health care items and services to Health Plan's health benefit plan
enrollees in exchange for payments from Health Plan, all subject to and in accordance with the terms
and conditions of this Agreement;
NOW THEREFORE, the Parties agree as follows:
1.
Construction.
1.1
The base part of this Agreement is designed for use with a variety of providers and
Benefit Plans. Provisions specific to particular providers and Benefit Plans are included in
Attachments to the Agreement.
1.2",2,0.6668503284454346," The Agreement is between a Health Plan and a Contracted Provider for the provision of health care items and services to Health Plan's health benefit plan enrollees in exchange for payments. It includes provisions specific to particular providers and Benefit Plans, and all provisions are cumulative. The Health Plan is entitled to oversee the activities of Contracted Provider and its Providers and subcontractors and is accountable under the CMS Contract for such activities. The Agreement, including Attachments, the Provider Manual, and any addenda or amendments, constitutes the complete agreement between the Parties and supersedes all previous agreements and understandings. The Parties have had the opportunity to review the Agreement with legal counsels, and any ambiguity shall not be construed in a Party's favor.
The Agreement governs the Parties' rights and responsibilities related to the provision of Covered Services to Members under the Medicaid/FamilyCare Program. In the event of any inconsistent or contrary language, the provisions of Attachment B-1 shall prevail with respect to Benefit Plans under the Medicaid/FamilyCare Program. Any obligation of Contracted Provider in this Attachment shall apply to Providers to the same extent.",
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Contract State,"from liability deriving or resulting from its insolvency or inability or failure to pay or
reimburse any other person, firm, or corporation furnishing or supplying work,
services, materials, or supplies in connection with the performance of this
Agreement/Subcontract.
3.
Contracted Provider/Subcontractor agrees further that it will indemnify and hold
harmless the State, its officers, agents, and employees, and the Members and their
eligible dependents from any and all claims for services for which Contracted
Provider/Subcontractor receives payment.
4.
Contracted Provider/Subcontractor agrees further to indemnify and hold harmless the
State, its officers, agents and employees, and the Members and their eligible
dependents, from all claims, damages, and liability, including costs and expenses, for
violation of any proprietary rights, copyrights, or rights of privacy arising out of the
publication, translation, reproduction, delivery, performance, use, or disposition of any",63,0.6559892892837524, New Jersey,
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Provider State,"Medicaid or Medicaid/FamilyCare A, B and ABP Members. Personal contributions to care
for Medicaid/FamilyCare C Members and copayments for Medicaid/FamilyCare D Members
shall be collected in accordance with the applicable Benefit Plan.
Q.
INDEMNIFICATION BY PROVIDER/SUBCONTRACTOR
1.
Contracted Provider/Subcontractor agrees to indemnify and hold harmless the State,
its officers, agents and employees, and the Members and their eligible dependents from
any and all claims or losses accruing or resulting from its negligence in furnishing or
supplying work, services, materials, or supplies in connection with the performance of
this Agreement/Subcontract.
2.
Contracted Provider/Subcontractor agrees to indemnify and hold harmless the State,
its officers, agents, and employees, and the Members and their eligible dependents
from liability deriving or resulting from its insolvency or inability or failure to pay or
reimburse any other person, firm, or corporation furnishing or supplying work,",63,0.658284068107605," CMS
",
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,TIN,"27
PO Box Address: (For Corporation)
IRS ID/Other Tax ID: (For Corporations)
All business location addresses: (For Corporations)
Relationship to other persons with Ownership or Control Interest. List all.
2.
Name:
Relationship:
Percent of Ownership:
Date of Birth: (For
Primary Address:
Individuals)
SSN: (For Individuals)
PO Box Address: (For Corporation)
IRS ID/Other Tax ID: (For Corporations)
All business location addresses: (For Corporations)
Relationship to other persons with Ownership or Control Interest. List all.
3.
Name:
Relationship:
Percent of Ownership:
Date of Birth: (For
Primary Address:
Individuals)
SSN: (For Individuals)
PO Box Address: (For Corporation)
IRS ID/Other Tax ID: (For Corporations)
All business location addresses: (For Corporations)
Relationship to other persons with Ownership or Control Interest. List all.
B.
Please list below the information requested for any Medicaid provider, fiscal agent or",28,0.5072042942047119, IRS ID/Other Tax ID.,
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Effective Date,"the post expiration or termination transition period described herein, as follows:
9.25.1 The Party is a corporation or other legally recognized entity duly incorporated
or organized, validly existing and in good standing under the laws of the State in which it is
incorporated, organized or operating and it has the authority to transact business in each State in which
it operates.
9.25.2 The Party has the corporate or company power and legal authority to, and has
taken all necessary corporate or other action on its part to, authorize the execution and delivery of this
Agreement and the performance of its obligations hereunder.
9.25.3 This Agreement has been duly executed and delivered by the Party, and
constitutes a legal, valid, and binding agreement that is enforceable against such Party in accordance
with its terms, except as limited by applicable bankruptcy, reorganization, moratorium and similar
Laws affecting the enforcement of creditors' rights.",21,0.6296658515930176, 8/25/2020,
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Termination Date,"the post expiration or termination transition period described herein, as follows:
9.25.1 The Party is a corporation or other legally recognized entity duly incorporated
or organized, validly existing and in good standing under the laws of the State in which it is
incorporated, organized or operating and it has the authority to transact business in each State in which
it operates.
9.25.2 The Party has the corporate or company power and legal authority to, and has
taken all necessary corporate or other action on its part to, authorize the execution and delivery of this
Agreement and the performance of its obligations hereunder.
9.25.3 This Agreement has been duly executed and delivered by the Party, and
constitutes a legal, valid, and binding agreement that is enforceable against such Party in accordance
with its terms, except as limited by applicable bankruptcy, reorganization, moratorium and similar
Laws affecting the enforcement of creditors' rights.",21,0.6552231311798096, 180 days.,
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Agreement Type,"9.19
Entire Agreement. This Agreement, including the Attachments each of which are
made a part of and incorporated into this Agreement, the Provider Manual and any addenda or
amendments comprises the complete agreement between the Parties and supersedes all previous
agreements and understandings (whether verbal or in writing) related to the subject matter of this
Agreement.
9.20 Headings. The various headings of this Agreement are provided for convenience only
and shall not affect the meaning or interpretation of this Agreement or any provision of it.
9.21
Interpretation. Both Parties have had the opportunity to review this Agreement with
legal counsel, and any ambiguity found in this Agreement shall not be construed in a Party's favor on
the basis that the other Party drafted the provision containing the ambiguity.
9.22
Survival. Any provision of this Agreement, including an Attachment that requires or",20,0.6122592091560364, Agreement,
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Contract Type,"proposed treatments or treatment alternatives, whether covered by Health Plan or not,
policy provisions of Health Plan, or the Contracted Provider's/Subcontractor's
personal recommendation regarding selection of a health plan based on Contracted
Provider's/Subcontractor's personal knowledge of the health needs of such patients.
2.
Because Contracted Provider/Subcontractor engaged in medical communications,
either explicit or implied, with a patient about medically necessary treatment options,
or because Contracted Provider/Subcontractor practiced its profession in providing the
most appropriate treatment required by its patients and provided informed consent
within the guidelines of the law, including possible positive and negative outcomes of
the various treatment modalities.
H.
TERMINATION OF AGREEMENT/SUBCONTRACT - STATE
Contracted Provider/Subcontractor understands and agrees that the State may order the
termination of this Agreement/Subcontract if it is determined that Contracted",45,0.4833456873893738, Professional,
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Gold Carded,"Health Services and the Department of Banking and Insurance.
4.2.3
Credentialing. All Providers must meet the Credentialing Criteria. Subject to
Laws and Program Requirements, (a) Health Plan conducts credentialing of providers before they
begin providing Covered Services and re-credentialing from time to time thereafter as required for
Health Plan's compliance with Laws, Program Requirements and accreditation standards, and
Providers shall consent to and cooperate with such credentialing/re-credentialing, which may include
site reviews, and (b) until successful completion of credentialing of a provider by Health Plan, (i) the
provider shall not be added as a Participating Provider under this Agreement, and (ii) the provision
of, and payment for, Health Plan authorized Covered Services to Members by the provider shall be
subject to Health Plan's policies and procedures for non-participating providers.
4.3",7,0.48558712005615234,"
no
",
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Value-Based Contract,"Requirements and equitably adjust payments to the Provider until the Provider resumes its
performance under this Agreement.
9.17
Severability. When possible, each provision of this Agreement shall be interpreted in
such manner as to be effective, valid and enforceable under Laws. If any provision of this Agreement
is held to be prohibited by, or invalid or unenforceable under Laws, such provision shall be ineffective
only to the express extent of such prohibition, unenforceability or invalidity, without invalidating the
remainder of this Agreement.
9.18 Waiver. No waiver shall be effective unless in writing and signed by the waiving
Party. A waiver by a Party of a breach or failure to perform this Agreement shall not constitute a
waiver of any subsequent breach or failure.
9.19
Entire Agreement. This Agreement, including the Attachments each of which are
made a part of and incorporated into this Agreement, the Provider Manual and any addenda or",20,0.5014163255691528, No.,
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,National Contract,"the service or supply from Health Plan (directly or through a secondary contractor) is made in
accordance with the reimbursement provision of the Agreement, or is otherwise inadequate.
3.5
Members shall not be held harmless for payment of required copayments, deductibles
or coinsurance, if any.
3.6
Contracted Provider shall not balance bill Members who have obtained Covered
Services or supplies through Health Plan's provider network mechanism.
3.7
Health Plan's contractual agreement with a secondary contractor shall provide that the
secondary contractor's contract with its network providers shall include a provision whereby the
provider is required to hold Members harmless for the cost of any service or supply covered by Health
Plan, whether or not the provider believes the compensation received is adequate.
New Jersey - Rutgers Health Group - 8/25/2020 3:11 PM
Contract # 166294
Page 36 of 80
5809666v.3",37,0.6284259557723999,"
No",
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Create Date,"20
DocuSign Envelope ID: 86A03D83-00DE-4D11-8084-A43F77EB059B
9.23 Rights Cumulative. Except as set forth herein, all rights and remedies of a Party in
this Agreement are cumulative, and in addition to all legal rights and remedies available to such Party.
9.24 Counterparts Electronic Signature. This Agreement may be executed in any number
of counterparts. The exchange of copies of this Agreement and of signature pages by facsimile
transmission or electronic mail shall constitute effective execution and delivery of this Agreement as
to the parties and may be used in lieu of the original Agreement for all purposes.
9.25
Warranties and Representations. Each Party warrants and represents, as of the
Effective Date and continuously thereafter throughout the entire term of this Agreement and during
the post expiration or termination transition period described herein, as follows:
9.25.1 The Party is a corporation or other legally recognized entity duly incorporated",21,0.5807241797447205, 8/25/2020 3:11 PM,
22-3146927_ICMProviderAgreement_273971_1 MU.pdf,Modify Date,"Plan of any change in the information 30 days prior to the date of such change.
4.2
Providers. Contracted Provider warrants and represents that it has provided Health
Plan with the information listed on Attachment A-3 titled ""Information for Providers"" for itself and
its employed Providers as of the Effective Date in a mutually agreeable form and format. Contracted
Provider shall use best efforts to provide notice to Health Plan of any change in the information within
30 days but in no event later than 90 days of the change.
4.2.1 Employed Providers. Contracted Provider shall maintain and enforce binding
internal policies and procedures or agreements with its employed Providers that are consistent with
and require adherence to this Agreement. Contracted Provider shall provide Health Plan with such
information requested by Health Plan, or as required by a Governmental Authority or accreditation
body, necessary to verify the employment of its employed Providers.",6,0.5739633440971375, 90 days,
1 Contract Name Field Name Snippet Page Number Confidence Level Field Extracted Value Imputed Value
2 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Agreement Name 9.19 Entire Agreement. This Agreement, including the Attachments each of which are made a part of and incorporated into this Agreement, the Provider Manual and any addenda or amendments comprises the complete agreement between the Parties and supersedes all previous agreements and understandings (whether verbal or in writing) related to the subject matter of this Agreement. 9.20 Headings. The various headings of this Agreement are provided for convenience only and shall not affect the meaning or interpretation of this Agreement or any provision of it. 9.21 Interpretation. Both Parties have had the opportunity to review this Agreement with legal counsel, and any ambiguity found in this Agreement shall not be construed in a Party's favor on the basis that the other Party drafted the provision containing the ambiguity. 9.22 Survival. Any provision of this Agreement, including an Attachment that requires or 20 0.6402428150177002 not enough information
3 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Summary WHEREAS, Health Plan issues (or is pursuing a license allowing it to issue) health benefit plans and seeks to include health care providers in one or more provider networks for such plans; and WHEREAS, Contracted Provider provides health care items and services to the general public by health care providers employed by Contracted Provider; and WHEREAS, Health Plan and Contracted Provider desire to enter into this Agreement whereby Contracted Provider will provide health care items and services to Health Plan's health benefit plan enrollees in exchange for payments from Health Plan, all subject to and in accordance with the terms and conditions of this Agreement; NOW THEREFORE, the Parties agree as follows: 1. Construction. 1.1 The base part of this Agreement is designed for use with a variety of providers and Benefit Plans. Provisions specific to particular providers and Benefit Plans are included in Attachments to the Agreement. 1.2 2 0.6668503284454346 The Agreement is between a Health Plan and a Contracted Provider for the provision of health care items and services to Health Plan's health benefit plan enrollees in exchange for payments. It includes provisions specific to particular providers and Benefit Plans, and all provisions are cumulative. The Health Plan is entitled to oversee the activities of Contracted Provider and its Providers and subcontractors and is accountable under the CMS Contract for such activities. The Agreement, including Attachments, the Provider Manual, and any addenda or amendments, constitutes the complete agreement between the Parties and supersedes all previous agreements and understandings. The Parties have had the opportunity to review the Agreement with legal counsels, and any ambiguity shall not be construed in a Party's favor. The Agreement governs the Parties' rights and responsibilities related to the provision of Covered Services to Members under the Medicaid/FamilyCare Program. In the event of any inconsistent or contrary language, the provisions of Attachment B-1 shall prevail with respect to Benefit Plans under the Medicaid/FamilyCare Program. Any obligation of Contracted Provider in this Attachment shall apply to Providers to the same extent.
4 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Contract State from liability deriving or resulting from its insolvency or inability or failure to pay or reimburse any other person, firm, or corporation furnishing or supplying work, services, materials, or supplies in connection with the performance of this Agreement/Subcontract. 3. Contracted Provider/Subcontractor agrees further that it will indemnify and hold harmless the State, its officers, agents, and employees, and the Members and their eligible dependents from any and all claims for services for which Contracted Provider/Subcontractor receives payment. 4. Contracted Provider/Subcontractor agrees further to indemnify and hold harmless the State, its officers, agents and employees, and the Members and their eligible dependents, from all claims, damages, and liability, including costs and expenses, for violation of any proprietary rights, copyrights, or rights of privacy arising out of the publication, translation, reproduction, delivery, performance, use, or disposition of any 63 0.6559892892837524 New Jersey
5 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Provider State Medicaid or Medicaid/FamilyCare A, B and ABP Members. Personal contributions to care for Medicaid/FamilyCare C Members and copayments for Medicaid/FamilyCare D Members shall be collected in accordance with the applicable Benefit Plan. Q. INDEMNIFICATION BY PROVIDER/SUBCONTRACTOR 1. Contracted Provider/Subcontractor agrees to indemnify and hold harmless the State, its officers, agents and employees, and the Members and their eligible dependents from any and all claims or losses accruing or resulting from its negligence in furnishing or supplying work, services, materials, or supplies in connection with the performance of this Agreement/Subcontract. 2. Contracted Provider/Subcontractor agrees to indemnify and hold harmless the State, its officers, agents, and employees, and the Members and their eligible dependents from liability deriving or resulting from its insolvency or inability or failure to pay or reimburse any other person, firm, or corporation furnishing or supplying work, 63 0.658284068107605 CMS
6 22-3146927_ICMProviderAgreement_273971_1 MU.pdf TIN 27 PO Box Address: (For Corporation) IRS ID/Other Tax ID: (For Corporations) All business location addresses: (For Corporations) Relationship to other persons with Ownership or Control Interest. List all. 2. Name: Relationship: Percent of Ownership: Date of Birth: (For Primary Address: Individuals) SSN: (For Individuals) PO Box Address: (For Corporation) IRS ID/Other Tax ID: (For Corporations) All business location addresses: (For Corporations) Relationship to other persons with Ownership or Control Interest. List all. 3. Name: Relationship: Percent of Ownership: Date of Birth: (For Primary Address: Individuals) SSN: (For Individuals) PO Box Address: (For Corporation) IRS ID/Other Tax ID: (For Corporations) All business location addresses: (For Corporations) Relationship to other persons with Ownership or Control Interest. List all. B. Please list below the information requested for any Medicaid provider, fiscal agent or 28 0.5072042942047119 IRS ID/Other Tax ID.
7 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Effective Date the post expiration or termination transition period described herein, as follows: 9.25.1 The Party is a corporation or other legally recognized entity duly incorporated or organized, validly existing and in good standing under the laws of the State in which it is incorporated, organized or operating and it has the authority to transact business in each State in which it operates. 9.25.2 The Party has the corporate or company power and legal authority to, and has taken all necessary corporate or other action on its part to, authorize the execution and delivery of this Agreement and the performance of its obligations hereunder. 9.25.3 This Agreement has been duly executed and delivered by the Party, and constitutes a legal, valid, and binding agreement that is enforceable against such Party in accordance with its terms, except as limited by applicable bankruptcy, reorganization, moratorium and similar Laws affecting the enforcement of creditors' rights. 21 0.6296658515930176 8/25/2020
8 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Termination Date the post expiration or termination transition period described herein, as follows: 9.25.1 The Party is a corporation or other legally recognized entity duly incorporated or organized, validly existing and in good standing under the laws of the State in which it is incorporated, organized or operating and it has the authority to transact business in each State in which it operates. 9.25.2 The Party has the corporate or company power and legal authority to, and has taken all necessary corporate or other action on its part to, authorize the execution and delivery of this Agreement and the performance of its obligations hereunder. 9.25.3 This Agreement has been duly executed and delivered by the Party, and constitutes a legal, valid, and binding agreement that is enforceable against such Party in accordance with its terms, except as limited by applicable bankruptcy, reorganization, moratorium and similar Laws affecting the enforcement of creditors' rights. 21 0.6552231311798096 180 days.
9 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Agreement Type 9.19 Entire Agreement. This Agreement, including the Attachments each of which are made a part of and incorporated into this Agreement, the Provider Manual and any addenda or amendments comprises the complete agreement between the Parties and supersedes all previous agreements and understandings (whether verbal or in writing) related to the subject matter of this Agreement. 9.20 Headings. The various headings of this Agreement are provided for convenience only and shall not affect the meaning or interpretation of this Agreement or any provision of it. 9.21 Interpretation. Both Parties have had the opportunity to review this Agreement with legal counsel, and any ambiguity found in this Agreement shall not be construed in a Party's favor on the basis that the other Party drafted the provision containing the ambiguity. 9.22 Survival. Any provision of this Agreement, including an Attachment that requires or 20 0.6122592091560364 Agreement
10 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Contract Type proposed treatments or treatment alternatives, whether covered by Health Plan or not, policy provisions of Health Plan, or the Contracted Provider's/Subcontractor's personal recommendation regarding selection of a health plan based on Contracted Provider's/Subcontractor's personal knowledge of the health needs of such patients. 2. Because Contracted Provider/Subcontractor engaged in medical communications, either explicit or implied, with a patient about medically necessary treatment options, or because Contracted Provider/Subcontractor practiced its profession in providing the most appropriate treatment required by its patients and provided informed consent within the guidelines of the law, including possible positive and negative outcomes of the various treatment modalities. H. TERMINATION OF AGREEMENT/SUBCONTRACT - STATE Contracted Provider/Subcontractor understands and agrees that the State may order the termination of this Agreement/Subcontract if it is determined that Contracted 45 0.4833456873893738 Professional
11 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Gold Carded Health Services and the Department of Banking and Insurance. 4.2.3 Credentialing. All Providers must meet the Credentialing Criteria. Subject to Laws and Program Requirements, (a) Health Plan conducts credentialing of providers before they begin providing Covered Services and re-credentialing from time to time thereafter as required for Health Plan's compliance with Laws, Program Requirements and accreditation standards, and Providers shall consent to and cooperate with such credentialing/re-credentialing, which may include site reviews, and (b) until successful completion of credentialing of a provider by Health Plan, (i) the provider shall not be added as a Participating Provider under this Agreement, and (ii) the provision of, and payment for, Health Plan authorized Covered Services to Members by the provider shall be subject to Health Plan's policies and procedures for non-participating providers. 4.3 7 0.48558712005615234 no
12 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Value-Based Contract Requirements and equitably adjust payments to the Provider until the Provider resumes its performance under this Agreement. 9.17 Severability. When possible, each provision of this Agreement shall be interpreted in such manner as to be effective, valid and enforceable under Laws. If any provision of this Agreement is held to be prohibited by, or invalid or unenforceable under Laws, such provision shall be ineffective only to the express extent of such prohibition, unenforceability or invalidity, without invalidating the remainder of this Agreement. 9.18 Waiver. No waiver shall be effective unless in writing and signed by the waiving Party. A waiver by a Party of a breach or failure to perform this Agreement shall not constitute a waiver of any subsequent breach or failure. 9.19 Entire Agreement. This Agreement, including the Attachments each of which are made a part of and incorporated into this Agreement, the Provider Manual and any addenda or 20 0.5014163255691528 No.
13 22-3146927_ICMProviderAgreement_273971_1 MU.pdf National Contract the service or supply from Health Plan (directly or through a secondary contractor) is made in accordance with the reimbursement provision of the Agreement, or is otherwise inadequate. 3.5 Members shall not be held harmless for payment of required copayments, deductibles or coinsurance, if any. 3.6 Contracted Provider shall not balance bill Members who have obtained Covered Services or supplies through Health Plan's provider network mechanism. 3.7 Health Plan's contractual agreement with a secondary contractor shall provide that the secondary contractor's contract with its network providers shall include a provision whereby the provider is required to hold Members harmless for the cost of any service or supply covered by Health Plan, whether or not the provider believes the compensation received is adequate. New Jersey - Rutgers Health Group - 8/25/2020 3:11 PM Contract # 166294 Page 36 of 80 5809666v.3 37 0.6284259557723999 No
14 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Create Date 20 DocuSign Envelope ID: 86A03D83-00DE-4D11-8084-A43F77EB059B 9.23 Rights Cumulative. Except as set forth herein, all rights and remedies of a Party in this Agreement are cumulative, and in addition to all legal rights and remedies available to such Party. 9.24 Counterparts Electronic Signature. This Agreement may be executed in any number of counterparts. The exchange of copies of this Agreement and of signature pages by facsimile transmission or electronic mail shall constitute effective execution and delivery of this Agreement as to the parties and may be used in lieu of the original Agreement for all purposes. 9.25 Warranties and Representations. Each Party warrants and represents, as of the Effective Date and continuously thereafter throughout the entire term of this Agreement and during the post expiration or termination transition period described herein, as follows: 9.25.1 The Party is a corporation or other legally recognized entity duly incorporated 21 0.5807241797447205 8/25/2020 3:11 PM
15 22-3146927_ICMProviderAgreement_273971_1 MU.pdf Modify Date Plan of any change in the information 30 days prior to the date of such change. 4.2 Providers. Contracted Provider warrants and represents that it has provided Health Plan with the information listed on Attachment A-3 titled "Information for Providers" for itself and its employed Providers as of the Effective Date in a mutually agreeable form and format. Contracted Provider shall use best efforts to provide notice to Health Plan of any change in the information within 30 days but in no event later than 90 days of the change. 4.2.1 Employed Providers. Contracted Provider shall maintain and enforce binding internal policies and procedures or agreements with its employed Providers that are consistent with and require adherence to this Agreement. Contracted Provider shall provide Health Plan with such information requested by Health Plan, or as required by a Governmental Authority or accreditation body, necessary to verify the employment of its employed Providers. 6 0.5739633440971375 90 days