doczyai-pipelines/streamlit/sample.csv

1	Filename	Attribute	Query	Answer	Provider Type	Place of Service/Service Type	Specialty/Type	Fee Schedule	Methodology	Lesser Of (Y/N)	Lesser Of (Notes)	Rate Percent	DRG_Code	DRG_Description	CPT_Code	CPT_Description	Revenue_Code	Revenue_Description	Notes	Provider_Type	Reimbursement_Rate	Place of Service/ Service Type	Lower_Bound	Upper_Bound	Place_of_Service	Specialty_Type	Fee_Schedule	Lesser_Of	Lesser_Of_Notes	Rate_Percent	Place of Service	Specialty	Lesser Of	Lesser Of Notes	MD/DO providers	non MD/non DO providers	Medicare Fee Schedule	A.1	A.4	Effective Date	Plan	Group Practice	Reimbursement	Rate	Range	Calculation	Effective_Date	Case_Rate	DocuSign_Envelope_ID	Name	Type	Title	Signature_Date	Address	Professional_Services_Reimbursement	Injectable_Medications_Reimbursement	Non_Prevailing_Medicaid_Allowable	Non_Prevailing_Medicare_Allowable
2	A.1_OhioHealth Physician Group Inc.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
3	A.1_OhioHealth Physician Group Inc.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Contract For Medically Necessary Covered Services
4	A.1_OhioHealth Physician Group Inc.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose and scope is to outline the reimbursement terms for medically necessary covered services rendered to members by the Provider or Group Practice Providers. The Provider or Group Practice Providers are required to accept as payment in full the lesser of their billed charges or CareSource's fee schedule for such services. The fee schedule is currently set at 107% of the prevailing Ohio Medicaid fee schedule for physician services and 100% of the current Ohio Medicaid fee schedule for non-physician Covered Services. The Agreement also specifies reimbursement rates for injectable medications and anesthesia. CareSource is only allowed to amend reimbursement policies in accordance with Section 6.5 of the Agreement.
5	A.1_OhioHealth Physician Group Inc.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
6	A.1_OhioHealth Physician Group Inc.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
7	A.1_OhioHealth Physician Group Inc.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
8	A.1_OhioHealth Physician Group Inc.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
9	A.1_OhioHealth Physician Group Inc.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
10	A.1_OhioHealth Physician Group Inc.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
11	A.1_OhioHealth Physician Group Inc.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	8/26/10
12	A.1_OhioHealth Physician Group Inc.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
13	A.1_OhioHealth Physician Group Inc.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Addendum
14	A.1_OhioHealth Physician Group Inc.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
15	A.1_OhioHealth Physician Group Inc.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
16	A.1_OhioHealth Physician Group Inc.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
17	A.1_OhioHealth Physician Group Inc.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
18	A.1_OhioHealth Physician Group Inc.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	8/19/10
19	A.1_OhioHealth Physician Group Inc.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	8/26/10
20	A.1_OhioHealth Physician Group Inc.txt				Physician	Not Specified	Not Specified	Ohio Medicaid fee schedule	Fee Schedule	Y	107%	107%
21	A.1_OhioHealth Physician Group Inc.txt				Non-Physician	Not Specified	Not Specified	Ohio Medicaid fee schedule	Fee Schedule	Y	100%	100%
22	A.1_OhioHealth Physician Group Inc.txt				Physician	Not Specified	Injectable Medications	Ohio Medicaid fee schedule	Fee Schedule	Y	107%	107%
23	A.1_OhioHealth Physician Group Inc.txt				Physician	Not Specified	Anesthesia	ODJFS ASA methodology	Fee Schedule	Y	107%	107%
24	A.1_OhioHealth Physician Group Inc.txt												N/A	N/A	N/A	N/A	N/A	N/A
25	A.1_Southwest_General_Health_Center_20080222.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
26	A.1_Southwest_General_Health_Center_20080222.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
27	A.1_Southwest_General_Health_Center_20080222.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to outline the terms and conditions for the provision of medically necessary covered services to CareSource members by the provider. The scope of the Agreement includes various types of services such as suture removal, hospice care, skilled nursing facility services, durable medical equipment, and urgent care center services. The provider agrees to accept payment in accordance with CareSource's fee schedule and to follow certain guidelines and requirements, including notifying the member's primary care physician and providing copies of visit results.
28	A.1_Southwest_General_Health_Center_20080222.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
29	A.1_Southwest_General_Health_Center_20080222.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
30	A.1_Southwest_General_Health_Center_20080222.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Ohio
31	A.1_Southwest_General_Health_Center_20080222.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
32	A.1_Southwest_General_Health_Center_20080222.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
33	A.1_Southwest_General_Health_Center_20080222.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
34	A.1_Southwest_General_Health_Center_20080222.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	2-22-08
35	A.1_Southwest_General_Health_Center_20080222.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
36	A.1_Southwest_General_Health_Center_20080222.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
37	A.1_Southwest_General_Health_Center_20080222.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
38	A.1_Southwest_General_Health_Center_20080222.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
39	A.1_Southwest_General_Health_Center_20080222.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
40	A.1_Southwest_General_Health_Center_20080222.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
41	A.1_Southwest_General_Health_Center_20080222.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 2008-02-22.
42	A.1_Southwest_General_Health_Center_20080222.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
43	A.1_Southwest_General_Health_Center_20080222.txt				Hospital	Inpatient Services	General	Ohio Medicaid DRG	Billed Charges	Y	100% of Hospital's allowable billed charges	100%
44	A.1_Southwest_General_Health_Center_20080222.txt				Hospital	Outpatient Services	General	Ohio Medicaid fee schedule	Billed Charges	Y	100% of Hospital's allowable billed charges	100%
45	A.1_Southwest_General_Health_Center_20080222.txt				Ancillary Provider	Home Health And Home Infusion	General	Ohio Medicaid Fee Schedule	Billed Charges	Y	FDB minus 35% with appropriate NDC if not priced by Ohio Medicaid	100%							All services require prior authorization by CareSource
46	A.1_Southwest_General_Health_Center_20080222.txt				Skilled Nursing Facility	Skilled Nursing Services	General	Medicare RUG	Billed Charges	N		85%							85% of the prevailing Medicare RUG based on MDS assessment and CBSA
47	A.1_Southwest_General_Health_Center_20080222.txt				Provider	Hospice	General	Ohio Medicaid Fee Schedule	Billed Charges	Y	Provider's billed charges	100%
48	A.1_Southwest_General_Health_Center_20080222.txt				Provider	Durable Medical Equipment	General	Ohio Medicaid Fee Schedule	Billed Charges	Y	Provider's billed charges	100%
49	A.1_Southwest_General_Health_Center_20080222.txt				Urgent Care Center	Urgent Care Services	General	Global Fee	Billed Charges	N									Global fee of $70.00 per visit inclusive of all charges
50	A.1_Southwest_General_Health_Center_20080222.txt				Provider	Imaging And MRI	General	Ohio Medicaid Fee Schedule	Billed Charges	Y	Provider's billed charges	100%
51	A.1_Southwest_General_Health_Center_20080222.txt												N/A	N/A	N/A	N/A	N/A	N/A
52	A.1_UH_Health_System_eff_2_1_08 (1).txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
53	A.1_UH_Health_System_eff_2_1_08 (1).txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Reimbursement and Compensation Covered Families and Children (CFC) Aged Blind and Disabled (ABD)
54	A.1_UH_Health_System_eff_2_1_08 (1).txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the reimbursement and compensation terms for medically necessary covered services rendered to members by the Hospital. It specifies the payment rates for inpatient and outpatient services, as well as the methodology for claims processing and payment. The Agreement also includes provisions for outliers, transfers, and annual rate adjustments.
55	A.1_UH_Health_System_eff_2_1_08 (1).txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
56	A.1_UH_Health_System_eff_2_1_08 (1).txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
57	A.1_UH_Health_System_eff_2_1_08 (1).txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Ohio
58	A.1_UH_Health_System_eff_2_1_08 (1).txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
59	A.1_UH_Health_System_eff_2_1_08 (1).txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
60	A.1_UH_Health_System_eff_2_1_08 (1).txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
61	A.1_UH_Health_System_eff_2_1_08 (1).txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	02-01-2008
62	A.1_UH_Health_System_eff_2_1_08 (1).txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
63	A.1_UH_Health_System_eff_2_1_08 (1).txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
64	A.1_UH_Health_System_eff_2_1_08 (1).txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
65	A.1_UH_Health_System_eff_2_1_08 (1).txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
66	A.1_UH_Health_System_eff_2_1_08 (1).txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
67	A.1_UH_Health_System_eff_2_1_08 (1).txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
68	A.1_UH_Health_System_eff_2_1_08 (1).txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	02-01-2008
69	A.1_UH_Health_System_eff_2_1_08 (1).txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
70	A.1_UH_Health_System_eff_2_1_08 (1).txt				Hospital	Inpatient	CFC	Ohio Medicaid inpatient payment rates	Billed Charges	N	103% of the Ohio Medicaid inpatient payment rates	103%							Includes DRG base rate, medical and capital add-ons, and outliers
71	A.1_UH_Health_System_eff_2_1_08 (1).txt				Hospital	Inpatient	ABD	Ohio Medicaid inpatient payment rates	Billed Charges	N	105% of the Ohio Medicaid inpatient payment rates	105%							Includes DRG base rate, medical and capital add-ons, and outliers
72	A.1_UH_Health_System_eff_2_1_08 (1).txt				Hospital	Outpatient	CFC	Ohio Medicaid fee schedule	Billed Charges	N	102% of the Ohio Medicaid fee schedule	102%
73	A.1_UH_Health_System_eff_2_1_08 (1).txt				Hospital	Outpatient	ABD	Ohio Medicaid fee schedule	Billed Charges	N	102.5% of the Ohio Medicaid fee schedule	102.50%
74	A.1_UH_Health_System_eff_2_1_08 (1).txt												N/A	N/A	N/A	N/A	N/A	N/A
75	A.1_UH_Medical_Group 2008.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
76	A.1_UH_Medical_Group 2008.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Physician/Provider/Group Reimbursement Agreement
77	A.1_UH_Medical_Group 2008.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose and scope is to outline the reimbursement terms for University Hospitals Medical Group providers when rendering medically necessary covered services to members. The providers will accept payment in full based on the prevailing Ohio Medicaid fee schedule, with certain exceptions and bonuses for pediatricians. The Agreement also includes provisions for following Medicaid guidelines, potential bonus programs, and discussions for a pilot program on reimbursing primary care physicians for Telephone Care.
78	A.1_UH_Medical_Group 2008.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
79	A.1_UH_Medical_Group 2008.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
80	A.1_UH_Medical_Group 2008.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Ohio
81	A.1_UH_Medical_Group 2008.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
82	A.1_UH_Medical_Group 2008.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
83	A.1_UH_Medical_Group 2008.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
84	A.1_UH_Medical_Group 2008.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	02-01-2008
85	A.1_UH_Medical_Group 2008.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
86	A.1_UH_Medical_Group 2008.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
87	A.1_UH_Medical_Group 2008.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
88	A.1_UH_Medical_Group 2008.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
89	A.1_UH_Medical_Group 2008.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
90	A.1_UH_Medical_Group 2008.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
91	A.1_UH_Medical_Group 2008.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 10/07/2005.
92	A.1_UH_Medical_Group 2008.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
93	A.1_UH_Medical_Group 2008.txt				Physician/Provider/Group	Office	Pediatrician	Ohio Medicaid fee schedule	Fee Schedule	Y	105% for codes 99381-99397 and 99201-99215, 100% for other pediatric services	105%							Quarterly bonus for specific codes and age groups
94	A.1_UH_Medical_Group 2008.txt				Physician/Provider/Group	Office	MDs and DOs other than Pediatricians	Ohio Medicaid fee schedule	Fee Schedule	Y	105% for services	105%
95	A.1_UH_Medical_Group 2008.txt				Physician/Provider/Group	Hospital	Neonatology	Ohio Medicaid fee schedule	Fee Schedule	Y	125% for neonate codes 99291-99300	125%
96	A.1_UH_Medical_Group 2008.txt				Non-physician	Office	Non-physician	Ohio Medicaid fee schedule	Fee Schedule	Y	100% for covered services	100%
97	A.1_UH_Medical_Group 2008.txt				Physician/Provider/Group	Office	Anesthesiology	Ohio Medicaid fee schedule	Fee Schedule	Y	100% per ODJFS ASA methodology	100%
98	A.1_UH_Medical_Group 2008.txt												N/A	N/A	99381-99397	Preventive medicine services	N/A	N/A		Pediatricians	105% of the prevailing Ohio Medicaid fee schedule
99	A.1_UH_Medical_Group 2008.txt																			All other MDs and DOs	105% of the prevailing Ohio Medicaid fee schedule
100	A.1_UH_Medical_Group 2008.txt												N/A	N/A	99201-99215	Office or other outpatient visit	N/A	N/A		Pediatricians	105% of the prevailing Ohio Medicaid fee schedule
101	A.1_UH_Medical_Group 2008.txt																			All other MDs and DOs	105% of the prevailing Ohio Medicaid fee schedule
102	A.1_UH_Medical_Group 2008.txt												N/A	N/A	99291-99300	Critical care services for neonates	N/A	N/A		N/A	125% of the prevailing Ohio Medicaid fee schedule
103	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
104	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
105	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the reimbursement terms between University Hospitals Health Systems, Inc. and the Payor for medically necessary Covered Services rendered to Members. It specifies the payment rates for inpatient and outpatient services based on the prevailing Ohio Medicaid DRG and Fee Schedule. The Agreement also emphasizes the parties' commitment to following Ohio Medicaid guidelines for claims processing and payment. Additionally, it mentions the need for a rate increase discussion and the potential termination of the Agreement if an agreement cannot be reached.
106	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
107	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
108	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Ohio
109	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
110	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
111	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
112	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	August 31, 2006
113	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	August 31, 2006
114	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
115	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
116	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
117	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
118	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
119	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	August 31, 2006
120	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
121	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt				Hospital	Inpatient	N/A	Ohio Medicaid DRG	Fee Schedule	N		105%							105% of the prevailing Ohio Medicaid DRG rate
122	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt				Hospital	Outpatient	N/A	Ohio Medicaid Fee Schedule	Fee Schedule	N		102.50%							102.5% of the prevailing Ohio Medicaid Fee Schedule
123	A.1_University_Hospitals_Health_Systems,_Inc_20060831.txt												N/A	N/A	N/A	N/A	N/A	N/A
124	A.2_Southwest_General_Health_Center.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
125	A.2_Southwest_General_Health_Center.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
126	A.2_Southwest_General_Health_Center.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the reimbursement and compensation terms for medically necessary covered services rendered to members by various healthcare providers. It specifies that the providers shall accept payment in full based on the Medicare allowed amount applicable to them. The Agreement covers inpatient and outpatient services, home health and home infusion, hospice, skilled nursing facility, durable medical equipment, urgent care center, and imaging and MRI services. It also includes requirements for providers regarding scheduling, eligibility verification, follow-up care, communication with primary care physicians, and referral to emergency care.
127	A.2_Southwest_General_Health_Center.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
128	A.2_Southwest_General_Health_Center.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
129	A.2_Southwest_General_Health_Center.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
130	A.2_Southwest_General_Health_Center.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
131	A.2_Southwest_General_Health_Center.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
132	A.2_Southwest_General_Health_Center.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
133	A.2_Southwest_General_Health_Center.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
134	A.2_Southwest_General_Health_Center.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
135	A.2_Southwest_General_Health_Center.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
136	A.2_Southwest_General_Health_Center.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
137	A.2_Southwest_General_Health_Center.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
138	A.2_Southwest_General_Health_Center.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
139	A.2_Southwest_General_Health_Center.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
140	A.2_Southwest_General_Health_Center.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	03/17/08
141	A.2_Southwest_General_Health_Center.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
142	A.2_Southwest_General_Health_Center.txt				Hospital		N/A	Medicare allowed amount	Fee Schedule	Y	Payment cannot exceed the Payment listed in this Medicare Addendum	100%							100% of the Medicare allowed amount			Inpatient and Outpatient Services
143	A.2_Southwest_General_Health_Center.txt				Home Health		N/A	Medicare allowed amount	Fee Schedule	Y	Payment cannot exceed the Payment listed in this Medicare Addendum	100%							100% of the Medicare allowed amount			Home Health And Home Infusion
144	A.2_Southwest_General_Health_Center.txt				Hospice		N/A	Medicare allowed amount	Fee Schedule	Y	Payment cannot exceed the Payment listed in this Medicare Addendum	100%							100% of the Medicare allowed amount			Hospice
145	A.2_Southwest_General_Health_Center.txt				Skilled Nursing Facility		N/A	Medicare RUG rates	Fee Schedule	Y	Payment cannot exceed the payment listed in this Medicare Addendum	100%							RUG group rates are ALL INCLUSIVE			Skilled Nursing Facility
146	A.2_Southwest_General_Health_Center.txt				Durable Medical Equipment		N/A	Medicare allowed amount	Fee Schedule	Y	Payment cannot exceed the Payment listed in this Medicare Addendum	100%							100% of the Medicare allowed amount			Durable Medical Equipment
147	A.2_Southwest_General_Health_Center.txt				Urgent Care Center		N/A	Global fee	Billed Charges	N		N/A							$70.00 per visit inclusive of all charges			Urgent Care Center
148	A.2_Southwest_General_Health_Center.txt				Imaging and MRI		N/A	Medicare allowed amount	Fee Schedule	Y	Payment cannot exceed the Payment listed in this Medicare Addendum	100%							100% of the Medicare allowed amount			Imaging And MRI
149	A.2_Southwest_General_Health_Center.txt												N/A	N/A	N/A	N/A	N/A	N/A
150	A.3 MD DO Non Physician (1).txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
151	A.3 MD DO Non Physician (1).txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Integrated Care Delivery System REIMBURSEMENT FOR MEDICARE/MEDICAID Addendum to Contract
152	A.3 MD DO Non Physician (1).txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose and scope is to establish the reimbursement terms for medically necessary services rendered to members by providers. Providers are required to accept payment in full based on either their billed charges or the Medicare/Medicaid allowed amount. The Agreement also includes provisions for payment of injectable medications and the right for CareSource to amend reimbursement policies.
153	A.3 MD DO Non Physician (1).txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
154	A.3 MD DO Non Physician (1).txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
155	A.3 MD DO Non Physician (1).txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Ohio
156	A.3 MD DO Non Physician (1).txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
157	A.3 MD DO Non Physician (1).txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
158	A.3 MD DO Non Physician (1).txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
159	A.3 MD DO Non Physician (1).txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
160	A.3 MD DO Non Physician (1).txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
161	A.3 MD DO Non Physician (1).txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Addendum
162	A.3 MD DO Non Physician (1).txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
163	A.3 MD DO Non Physician (1).txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
164	A.3 MD DO Non Physician (1).txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
165	A.3 MD DO Non Physician (1).txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
166	A.3 MD DO Non Physician (1).txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	There is no information provided in the context about the create date of the contract.
167	A.3 MD DO Non Physician (1).txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
168	A.3 MD DO Non Physician (1).txt				Hospital	Inpatient	Trach	Billed Charges	Billed Charges	Y	Billed Charges or 100% of the Medicare allowed amount								For Medically Necessary Services covered by the Medicare benefit
169	A.3 MD DO Non Physician (1).txt				Provider	N/A	Injectable medications	Medicare fee schedule	Fee Schedule	Y	Medicare fee schedule or specialty pharmacy benefits manager								Injectable medications will generally be paid according to the Medicare fee schedule
170	A.3 MD DO Non Physician (1).txt				Provider	N/A	Waiver services	Ohio Medicaid fee schedule	Fee Schedule	Y	Billed Charges or 100% of the prevailing Ohio Medicaid fee schedule								For services covered by the Medicaid benefit
171	A.3 MD DO Non Physician (1).txt												N/A	N/A	N/A	N/A	N/A	N/A
172	A.3 MD DO Non Physician.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
173	A.3 MD DO Non Physician.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Integrated Care Delivery System REIMBURSEMENT FOR MEDICARE/MEDICAID Addendum to Contract
174	A.3 MD DO Non Physician.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose and scope is to establish the reimbursement terms for medically necessary services provided to members by healthcare providers. The providers are required to accept payment in full based on either their billed charges or the Medicare/Medicaid allowed amount. The Agreement also includes provisions for payment of injectable medications and the right for CareSource to amend reimbursement policies.
175	A.3 MD DO Non Physician.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
176	A.3 MD DO Non Physician.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
177	A.3 MD DO Non Physician.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Ohio
178	A.3 MD DO Non Physician.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
179	A.3 MD DO Non Physician.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
180	A.3 MD DO Non Physician.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
181	A.3 MD DO Non Physician.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
182	A.3 MD DO Non Physician.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
183	A.3 MD DO Non Physician.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Addendum
184	A.3 MD DO Non Physician.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
185	A.3 MD DO Non Physician.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
186	A.3 MD DO Non Physician.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
187	A.3 MD DO Non Physician.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
188	A.3 MD DO Non Physician.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	There is no information provided in the context about the create date of the contract.
189	A.3 MD DO Non Physician.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
190	A.3 MD DO Non Physician.txt				Hospital	Inpatient	Trach	Billed Charges	Billed Charges	Y	Allowable	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level
191	A.3 MD DO Non Physician.txt				Provider	N/A	N/A	Medicare allowed amount	Fee Schedule	Y	Billed charges or Medicare allowed amount	100%							Payment cannot exceed the Payment listed in this Medicare Addendum
192	A.3 MD DO Non Physician.txt				Provider	N/A	N/A	Ohio Medicaid fee schedule	Fee Schedule	Y	Billed charges or Ohio Medicaid fee schedule	100%							For waiver services
193	A.3 MD DO Non Physician.txt												140	Depressive neuroses	99284	Emergency department visit for the evaluation and management of a patient	0450	General					N/A	N/A
194	A.3 MD DO Non Physician.txt																						N/A	N/A
195	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	C11221659AA
196	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Accredo_Custom Specialty Pharmacy Network Agreement
197	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between CareSource and the Provider. It covers indemnification, limitation of liability, dispute resolution, compliance with regulatory requirements, assignment, non-exclusivity, and notice. The Agreement is binding upon the Parties and supersedes all other agreements regarding the subject matter.
198	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
199	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	N/A
200	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
201	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
202	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	11-3358535
203	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
204	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	February 7, 2017
205	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
206	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
207	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
208	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
209	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
210	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
211	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	20170207
212	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
213	Accredo_Custom Specialty Pharmacy Network Agreement FE_20170207_Dually Executed Contract-all states and LOB's-ID C11221659AA.txt								Billed Charges										For Covered Services rendered to Members below 199% of Federal Poverty Level	Hospital					Inpatient	Trach	Billed Charges	Y	Allowable	70%
214	Adena Health System National Template Agreement C19460229AA.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
215	Adena Health System National Template Agreement C19460229AA.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Adena Health System National Template Agreement
216	Adena Health System National Template Agreement C19460229AA.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the process for resolving disputes between the Parties and establishes the governing law and venue for any arbitration or legal proceedings. It also includes provisions regarding the authority of the Provider and CareSource Network Partners LLC to bind their respective affiliates to the terms of the Agreement. Additionally, the Agreement addresses the potential for changes in law and compliance with regulatory requirements.
217	Adena Health System National Template Agreement C19460229AA.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
218	Adena Health System National Template Agreement C19460229AA.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
219	Adena Health System National Template Agreement C19460229AA.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
220	Adena Health System National Template Agreement C19460229AA.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
221	Adena Health System National Template Agreement C19460229AA.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
222	Adena Health System National Template Agreement C19460229AA.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
223	Adena Health System National Template Agreement C19460229AA.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	04-01-2021
224	Adena Health System National Template Agreement C19460229AA.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
225	Adena Health System National Template Agreement C19460229AA.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
226	Adena Health System National Template Agreement C19460229AA.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
227	Adena Health System National Template Agreement C19460229AA.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
228	Adena Health System National Template Agreement C19460229AA.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
229	Adena Health System National Template Agreement C19460229AA.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
230	Adena Health System National Template Agreement C19460229AA.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	04-01-2021
231	Adena Health System National Template Agreement C19460229AA.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
232	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Ohio Medicaid DRG	Fee Schedule			105%																			Inpatient	General	Y	105% of the Ohio Medicaid DRG or 100% of Hospital's allowable billed charges
233	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Ohio Medicaid fee schedule	Fee Schedule			105%																			Outpatient	General	Y	105% of the Ohio Medicaid fee schedule or 100% of Hospital's allowable billed charges
234	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Medicare Allowed Amount	Fee Schedule			102%																			Inpatient	General	Y	102% of the Medicare Allowed Amount
235	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Medicare Allowed Amount	Fee Schedule			102%																			Outpatient	General	Y	102% of the Medicare Allowed Amount
236	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Medicaid Fee Schedule	Fee Schedule			100%																			Outpatient	Reference Laboratory	Y	100% of the Medicaid Fee Schedule
237	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Home Health	Fee Schedule			100%																			Outpatient	Other	Y	100% of the prevailing Ohio Medicaid Fee Schedule
238	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Hospice	Fee Schedule			100%																			Outpatient	Other	Y	100% of the prevailing Ohio Medicaid Fee Schedule
239	Adena Health System National Template Agreement C19460229AA.txt				Physician			Ohio Medicaid fee schedule	Fee Schedule			105%																			Outpatient	General	Y	105% of the prevailing Ohio Medicaid fee schedule for physician services
240	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Billed Charges	Billed Charges			200%																			Inpatient	General	Y	200% of the Medicare allowed amount
241	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Billed Charges	Billed Charges			200%																			Outpatient	General	Y	200% of the Medicare allowed amount
242	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Medicare Allowed Amount	Fee Schedule			100%																			Outpatient	Laboratory	Y	100% of the Medicare Allowed Amount
243	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Medicare Allowed Amount	Fee Schedule			100%																			Outpatient	Durable Medical Equipment	Y	100% of the Medicare Allowed Amount
244	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Medicare Allowed Amount	Fee Schedule			100%																			Outpatient	Home Health	Y	100% of the Medicare Allowed Amount
245	Adena Health System National Template Agreement C19460229AA.txt				Hospital			Medicare Allowed Amount	Fee Schedule			100%																			Outpatient	Hospice	Y	100% of the Medicare Allowed Amount
246	Adena Health System National Template Agreement C19460229AA.txt				Physician			Medicare Allowed Amount	Fee Schedule			130%																			Outpatient	General	Y	130% of the Medicare Allowed Amount
247	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
248	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Provider Agreement
249	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish a contractual relationship between CareSource Network Partners LLC and Adena Health System. It includes provisions for reimbursement rates, compensation terms, and the coverage of various products and networks. The Agreement also allows for amendments and includes mechanisms for resolving disputes. Additionally, the Agreement incorporates the Quality Rewards Program and Shared Savings Program.
250	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
251	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
252	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
253	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
254	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
255	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
256	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	July 1, 2022
257	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	11:59 p.m. December 31st of the Effective Date's initial calendar year
258	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
259	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
260	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
261	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	Yes
262	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
263	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is not provided in the given context.
264	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
265	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt				Hospital		Facility	Medicare Fee Schedule	Fee Schedule	Y	190% of MCR for 2022, 185% of MCR for 2023, 180% of MCR for 2024, 175% of MCR for 2025	190%, 185%, 180%, 175%							CareSource Marketplace - Ohio												Inpatient
266	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt				Hospital		Facility	Medicare Fee Schedule	Fee Schedule	Y	190% of MCR for 2022, 185% of MCR for 2023, 180% of MCR for 2024, 175% of MCR for 2025	190%, 185%, 180%, 175%							CareSource Marketplace - Ohio												Outpatient
267	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt				Hospital		Laboratory	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%																			Outpatient
268	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt				Hospital		Durable Medical Equipment	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%																			Outpatient
269	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt				Hospital		Home Health	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%																			Outpatient
270	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt				Hospital		Hospice	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%																			Outpatient
271	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt				Hospital		Professional and Physician Group Services	Medicare Allowed Amount	Fee Schedule	Y	130% of the Medicare Allowed Amount	130%																			Outpatient
272	Adena_First_Amendment_and_2022_Quality_Rewards_and_Shared_Savings_Duall Exec.txt												N/A	N/A	N/A	N/A	N/A	N/A
273	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
274	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
275	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the compensation schedules for the services provided by the Provider to Georgia Medicaid and PeachCare for Kids members. It specifies the payment rates for inpatient and outpatient services, as well as other services such as home health and hospice care. The Agreement also includes the reimbursement policies for reference laboratory services and physician fees. Additionally, it mentions the Care Management Fee and provides a link to the Georgia Medicaid Fee Schedule for further details.
276	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
277	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
278	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Georgia
279	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	75-3106281
280	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
281	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
282	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	5/19/17
283	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
284	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
285	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
286	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
287	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
288	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
289	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	5/19/17
290	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
291	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt				Hospital	Inpatient	General	Georgia Medicaid DRG	Billed Charges	Y	105%	105%							Medically Necessary Covered Services
292	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt				Hospital	Outpatient	General	Georgia Medicaid Fee Schedule	Billed Charges	Y	105%	105%
293	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt				Laboratory	Reference Laboratory	Pathology	Georgia Medicaid Fee Schedule	Fee Schedule	N		100%							Hospital based reference laboratory
294	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt				Home Health	Home Health	General	Georgia Medicaid Fee Schedule	Fee Schedule	N		100%
295	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt				Hospice	Hospice	General	Georgia Medicaid Fee Schedule	Fee Schedule	N		100%
296	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt				Physician	Physician Services	General	CareSource's fee schedule	Fee Schedule	N		105%							Equivalent of 105% of GA Medicaid for physician services
297	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt				Non-Physician	Non-Physician Services	General	Georgia Medicaid fee schedule	Fee Schedule	N		90%							90% of current Georgia Medicaid
298	Adventist Health Care System_20170701_LOA Comp Schedule_MCD.txt												N/A	N/A	N/A	N/A	N/A	N/A
299	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
300	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	National Agreement Template
301	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between CareSource and the Provider. It outlines the obligations and responsibilities of both parties and covers areas such as covered services, termination of coverage, indemnification, limitation of liability, dispute resolution, and governing law. The Agreement applies to the provision of healthcare services and is intended to benefit covered persons.
302	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
303	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
304	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
305	AGC Pediatrics LLC_20161213_National Agreement Template.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	36-4513042
306	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
307	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
308	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
309	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
310	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
311	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
312	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
313	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
314	AGC Pediatrics LLC_20161213_National Agreement Template.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
315	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 20161010.
316	AGC Pediatrics LLC_20161213_National Agreement Template.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
317	AGC Pediatrics LLC_20161213_National Agreement Template.txt				Physician/Provider/Group		Not Specified	105% of the prevailing Georgia (GA) Medicaid fee schedule for physician Covered Services	Fee Schedule	Y	Provider's billed charges	105%							Injectable medications will generally be paid at 100%, according to the Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. Anesthesia will be reimbursed per GA Medicaid Fee Schedule. CareSource reserves the right to amend reimbursement policies with advanced notice.												Not Specified
318	AGC Pediatrics LLC_20161213_National Agreement Template.txt				Non-Physician		Not Specified	100% of the current Georgia Medicaid fee schedule for non-physician Covered Services	Fee Schedule	Y	Provider's billed charges	100%							Injectable medications will generally be paid at 100%, according to the Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. Anesthesia will be reimbursed per GA Medicaid Fee Schedule. CareSource reserves the right to amend reimbursement policies with advanced notice.												Not Specified
319	AGC Pediatrics LLC_20161213_National Agreement Template.txt												N/A	N/A	N/A	N/A	N/A	N/A
320	Akron General Health System_Eleventh Amendment_20171001.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
321	Akron General Health System_Eleventh Amendment_20171001.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CARESOURCE HOSPITAL AGREEMENT
322	Akron General Health System_Eleventh Amendment_20171001.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing CareSource Hospital Agreement between CareSource and Akron General Health System. The Agreement outlines the reimbursement and compensation rates for Covered Services provided by the Hospital to Covered Persons. It also establishes the Hospital's participation in the Plan MarketPlace product and sets forth the terms and conditions for Covered Services provided to MyCare Ohio Covered Persons and MarketPlace Covered Persons. The Agreement remains in full force and effect, except for the amendments made in this Eleventh Amendment.
323	Akron General Health System_Eleventh Amendment_20171001.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	Eleventh
324	Akron General Health System_Eleventh Amendment_20171001.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
325	Akron General Health System_Eleventh Amendment_20171001.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
326	Akron General Health System_Eleventh Amendment_20171001.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
327	Akron General Health System_Eleventh Amendment_20171001.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
328	Akron General Health System_Eleventh Amendment_20171001.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
329	Akron General Health System_Eleventh Amendment_20171001.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	October 1, 2017
330	Akron General Health System_Eleventh Amendment_20171001.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
331	Akron General Health System_Eleventh Amendment_20171001.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
332	Akron General Health System_Eleventh Amendment_20171001.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
333	Akron General Health System_Eleventh Amendment_20171001.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
334	Akron General Health System_Eleventh Amendment_20171001.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
335	Akron General Health System_Eleventh Amendment_20171001.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
336	Akron General Health System_Eleventh Amendment_20171001.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The create date of the contract is October 1, 2017.
337	Akron General Health System_Eleventh Amendment_20171001.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
338	Akron General Health System_Eleventh Amendment_20171001.txt				Hospital	Inpatient	General	Ohio Department of Medicaid (ODM) rate schedule	Fee Schedule	N		107%							107% of the ODM rate schedule
339	Akron General Health System_Eleventh Amendment_20171001.txt				Hospital	Outpatient	General	Ohio Department of Medicaid (ODM) rate schedule	Fee Schedule	N		100%							100% of the ODM rate schedule
340	Akron General Health System_Eleventh Amendment_20171001.txt				Hospital	Professional Services	General	Ohio Department of Medicaid (ODM) rate schedule	Fee Schedule	N		105%							105% of the ODM rate schedule
341	Akron General Health System_Eleventh Amendment_20171001.txt				Hospital	Inpatient and Outpatient	General	Medicare Allowed Amount	Fee Schedule	Y	151% of the Medicare Allowed Amount	151%							For MarketPlace Covered Persons
342	Akron General Health System_Eleventh Amendment_20171001.txt				Hospital	Professional Services	General	Medicare Allowed Amount	Fee Schedule	Y	130% of the Medicare Allowed Amount	130%							For MarketPlace Covered Persons
343	Akron General Health System_Eleventh Amendment_20171001.txt				Hospital	Anesthesia Services	General	ASA unit	Per Diem	N									$26.00 per ASA unit
344	Akron General Health System_Eleventh Amendment_20171001.txt				Hospital	Unpriced/Unlisted Codes	General	Billed Charges	Billed Charges	Y	60% of billed charges for inpatient, 50% for outpatient, 45% for professional services	60%, 50%, 45%
345	Alliance Physicians Inc.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
346	Alliance Physicians Inc.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	GROUP AGREEMENT
347	Alliance Physicians Inc.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the terms and conditions between Plan and Group Practice for the provision of contracted services to covered persons. It establishes the relationship as independent entities and includes provisions for the transfer of medical records, summary suspension of providers, insolvency or discontinuance of operations, notification of license or privilege restrictions, responsibility for acts or omissions, limitation of liability, inspections, use of names, governing law, amendment procedures, entire agreement, dispute resolution, release of information, notice requirements, and conflict resolution.
348	Alliance Physicians Inc.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
349	Alliance Physicians Inc.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
350	Alliance Physicians Inc.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
351	Alliance Physicians Inc.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
352	Alliance Physicians Inc.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
353	Alliance Physicians Inc.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
354	Alliance Physicians Inc.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
355	Alliance Physicians Inc.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
356	Alliance Physicians Inc.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Addendum
357	Alliance Physicians Inc.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
358	Alliance Physicians Inc.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
359	Alliance Physicians Inc.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
360	Alliance Physicians Inc.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
361	Alliance Physicians Inc.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is not provided in the given context information.
362	Alliance Physicians Inc.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
363	Alliance Physicians Inc.txt				Group Practice		Not specified	105% of the prevailing Ohio Medicaid fee schedule for physician services	Fee Schedule		Group Practice's billed charges or CareSource's fee schedule	105%							For Medically Necessary Covered Services rendered to Members												Not specified		Y
364	Alliance Physicians Inc.txt				Group Practice		Non-physician Covered Services	100% of the current Ohio Medicaid fee schedule	Fee Schedule		Group Practice's billed charges or CareSource's fee schedule	100%							For Medically Necessary Covered Services rendered to Members												Not specified		Y
365	Ambient Healthcare of Georgia Inc dually executed contract.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
366	Ambient Healthcare of Georgia Inc dually executed contract.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
367	Ambient Healthcare of Georgia Inc dually executed contract.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the dispute resolution process and governing law between CareSource and Provider. It includes provisions for first-level and second-level dispute resolution, as well as binding arbitration if disputes are not resolved. The Agreement also includes provisions for indemnification and limitation of liability.
368	Ambient Healthcare of Georgia Inc dually executed contract.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
369	Ambient Healthcare of Georgia Inc dually executed contract.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
370	Ambient Healthcare of Georgia Inc dually executed contract.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
371	Ambient Healthcare of Georgia Inc dually executed contract.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
372	Ambient Healthcare of Georgia Inc dually executed contract.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
373	Ambient Healthcare of Georgia Inc dually executed contract.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
374	Ambient Healthcare of Georgia Inc dually executed contract.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
375	Ambient Healthcare of Georgia Inc dually executed contract.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
376	Ambient Healthcare of Georgia Inc dually executed contract.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
377	Ambient Healthcare of Georgia Inc dually executed contract.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
378	Ambient Healthcare of Georgia Inc dually executed contract.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
379	Ambient Healthcare of Georgia Inc dually executed contract.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
380	Ambient Healthcare of Georgia Inc dually executed contract.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
381	Ambient Healthcare of Georgia Inc dually executed contract.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	02/13/2017
382	Ambient Healthcare of Georgia Inc dually executed contract.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
383	Ambient Healthcare of Georgia Inc dually executed contract.txt				Hospital			Billed Charges	Billed Charges										70%												Inpatient	Trach	Y	For Covered Services rendered to Members below 199% of Federal Poverty Level
384	Ambient Healthcare of Georgia Inc dually executed contract.txt				Home Health and Home Infusion			Georgia Medicaid Fee Schedule	Fee Schedule			100%																			Home	Various	Y	Provider's billed charges
385	Ambient Healthcare of Georgia Inc dually executed contract.txt				Home Infusion Therapy Drugs			Medicare Average Sale Price + 6%	Fee Schedule										For unlisted codes, reimbursement is based on Medicare Average Sale Price + 6% when a valid NDC code is billed.												Home	Various	Y	Provider's billed charges
386	Ambient Healthcare of Georgia Inc dually executed contract.txt												N/A	N/A	N/A	N/A	N/A	N/A
387	American Health Network of IN_20140916_Contract.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
388	American Health Network of IN_20140916_Contract.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	The name of the Agreement is not provided in the given context.
389	American Health Network of IN_20140916_Contract.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the terms and conditions between the Plan and the Group Practice. It covers various aspects such as indemnification, limitation of liability, dispute resolution, compliance with regulatory requirements, assignment, non-exclusivity, and notice. The purpose of the Agreement is to establish a binding agreement between the Parties and govern their relationship. The scope of the Agreement includes the rights and obligations of both Parties, as well as the procedures for resolving disputes and complying with regulatory requirements.
390	American Health Network of IN_20140916_Contract.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
391	American Health Network of IN_20140916_Contract.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
392	American Health Network of IN_20140916_Contract.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
393	American Health Network of IN_20140916_Contract.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	35-2108729
394	American Health Network of IN_20140916_Contract.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
395	American Health Network of IN_20140916_Contract.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
396	American Health Network of IN_20140916_Contract.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
397	American Health Network of IN_20140916_Contract.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
398	American Health Network of IN_20140916_Contract.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
399	American Health Network of IN_20140916_Contract.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
400	American Health Network of IN_20140916_Contract.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
401	American Health Network of IN_20140916_Contract.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
402	American Health Network of IN_20140916_Contract.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
403	American Health Network of IN_20140916_Contract.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The create date of the contract is 2014-09-16.
404	American Health Network of IN_20140916_Contract.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
405	American Health Network of IN_20140916_Contract.txt				Hospital		Trach	Billed Charges	Billed Charges	Y	Allowable	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level			Inpatient
406	American Health Network of IN_20140916_Contract.txt				Provider		Not Specified	100% of the Medicare allowed amount	Fee Schedule	Y	Billed Charges or Allowable	Not Specified							Injectable medications will generally be paid according to the Medicare fee schedule, except for those drugs that may be available through a specialty pharmacy benefits manager. CareSource reserves the right to amend reimbursement policies with advanced notice.			Not Specified
407	American Health Network of IN_20140916_Contract.txt												N/A	N/A	N/A	N/A	N/A	N/A
408	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
409	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
410	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between the Provider and CareSource for the provision of Covered Services. The scope of the Agreement includes payment rates, claim denial appeals, actions against members, governing law and venue, amendment procedures, and termination provisions.
411	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
412	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
413	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
414	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	82-4681345
415	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
416	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
417	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
418	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
419	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
420	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
421	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
422	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
423	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
424	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is not provided in the given context information.
425	American Oncology Partners, P.A._20230308_ Eighth Amendment Updated MP Rates.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
426	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
427	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	National Agreement Template
428	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between Provider and CareSource Network Partners LLC. It covers the binding authority of Provider and CareSource, changes in law, compliance with regulatory requirements, assignment of the Agreement, non-exclusivity, entire agreement, enforceability and waiver, regulatory approval, notice requirements, utilization review, termination of Covered Services, indemnification, limitation of liability, period of limitations, dispute resolution, and governing law.
429	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
430	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
431	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
432	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	32-0073934
433	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
434	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
435	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
436	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
437	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
438	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
439	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
440	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
441	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
442	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	20161010
443	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
444	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt				Professional Services			Medicare Allowed Amount	Fee Schedule			100%							Injectable medications will generally be paid at 100%, according to the Medicare Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. CareSource reserves the right to amend reimbursement policies with advanced notice.												Not Specified	Not Specified	Yes	100%
445	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt				Professional Services			Medicare Allowed Amount	Fee Schedule			100%							Injectable medications will generally be paid at 100%, according to the Medicare Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager.												Not Specified	Not Specified	Yes	100%
446	Anderson Family Medicine PC_20170131_National Agreement Template (1).txt												140	Depressive neuroses	99284	Emergency department visit for the evaluation and management of a patient	0450	General
447	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
448	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	National Agreement Template
449	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the dispute resolution process and governing law between the Parties. It establishes the obligation to work together in good faith to resolve any disputes and provides a two-level dispute resolution mechanism. If a dispute is not resolved within a certain timeframe, it can be referred to binding arbitration. The Agreement also includes provisions for indemnification and limitation of liability. The purpose of the Agreement is to provide a framework for resolving disputes and protecting the interests of both Parties.
450	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
451	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
452	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
453	Anderson Family Medicine PC_20170131_National Agreement Template.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	32-0073934
454	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
455	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
456	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
457	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
458	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
459	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
460	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
461	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
462	Anderson Family Medicine PC_20170131_National Agreement Template.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
463	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	20161010
464	Anderson Family Medicine PC_20170131_National Agreement Template.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
465	Anderson Family Medicine PC_20170131_National Agreement Template.txt				Professional Services	Not Specified	Not Specified	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							Injectable medications will generally be paid at 100%, according to the Medicare Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. CareSource reserves the right to amend reimbursement policies with advanced notice.
466	Anderson Family Medicine PC_20170131_National Agreement Template.txt				Professional Services	Not Specified	Not Specified	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							Injectable medications will generally be paid at 100%, according to the Medicare Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager.
467	Anderson Family Medicine PC_20170131_National Agreement Template.txt												N/A	N/A	N/A	N/A	N/A	N/A
468	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
469	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	The name of the Agreement is "SECOND AMENDMENT TO THE AGREEMENT BETWEEN CARESOURCE AND APPALACHIAN REGIONAL HEALTHECARE, INC."
470	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing agreement between CareSource Network Partners LLC and Appalachian Regional Healthcare, Inc. The scope of the Agreement includes adding a Plan Compensation Schedule, adding hospitals to the Agreement, and maintaining all other terms and conditions of the original Agreement.
471	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
472	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Kentucky
473	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
474	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	45-2696517
475	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
476	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
477	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	6/21/2016
478	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
479	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
480	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
481	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
482	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
483	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
484	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	6/21/2016
485	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
486	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt				Hospital	Inpatient Facility Services	N/A	Medicare Allowed Amount	Billed Charges	Y	168% of the Medicare Allowed Amount	168%							Inpatient Reimbursement shall be calculated as the sum of the Provider's operating base rate and capital base rate multiplied by the Medicare DRG weight, plus adjustments for IME, DSH, and outlier payments if applicable.
487	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt				Hospital	Outpatient Facility Services	N/A	Total Eligible Billed Charges	Billed Charges	Y	65% or 60% of total eligible billed charges depending on the hospital	65% or 60%							Barbourville ARH, Mary Breckinridge ARH, McDowell ARH, Morgan County ARH - 65%; Middlesboro ARH, Tug Valley ARH Regional Medical Center, Whitesburg ARH, Harlan ARH, Hazard ARH Regional Medical Center - 60%
488	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt				Hospital	Professional Services	N/A	Medicare Allowed Amount	Billed Charges	Y	165% of the Medicare Allowed Amount	165%							Professional Services Reimbursement Rate
489	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt				Hospital	Home Health, Hospice, SNF, and Dialysis	N/A	Medicare Allowed Amount	Billed Charges	Y	100% of the Medicare Allowed Amount	100%							Home Health, Hospice, SNF, and Dialysis Reimbursement Rate
490	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt				Hospital	Reference Lab and DME	N/A	Medicare Allowed Amount	Billed Charges	Y	100% of the Medicare Allowed Amount	100%							Reference Lab and DME Reimbursement Rate
491	Appalachian Regional Healthcare Inc_20170312_Dually Exe-KY MP-C13439125AA.txt				Hospital	Injectable Medications	N/A	Medicare Fee Schedule	Billed Charges	Y	According to the 100% of the Medicare Fee Schedule	100%							Injectable medications will generally be paid according to the 100% of the Medicare Fee Schedule, except for those drugs that may be available through a specialty pharmacy benefits manager.
492	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	H2bnySCk57XNnqTbmL-j2g
493	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	National Agreement Template
494	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish a framework for resolving disputes between the Parties in a timely manner. It outlines the process for dispute resolution, including first-level and second-level discussions, and the option for binding arbitration if necessary. The Agreement also specifies the governing law and venue for any disputes. Additionally, it includes provisions for indemnification and limitation of liability.
495	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
496	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
497	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
498	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	82-0709593
499	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
500	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	82-0709593
501	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
502	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
503	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
504	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
505	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
506	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
507	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
508	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	20161010
509	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
510	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt				Hospital	Inpatient	Trach	Billed Charges	Billed Charges	Y	Allowable	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level
511	Atlanta Plus Urgent Care_20190805_National Agreement Template.txt												N/A	N/A	N/A	N/A	N/A	N/A
512	AU Medical Associates_20170410_ National Agreement Template.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
513	AU Medical Associates_20170410_ National Agreement Template.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	National Agreement Template
514	AU Medical Associates_20170410_ National Agreement Template.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to outline the terms and conditions between CareSource and the Provider. It covers various aspects such as the termination of covered services, indemnification, limitation of liability, dispute resolution, and governing law. The scope of the Agreement includes the obligations and responsibilities of both parties, as well as the procedures for resolving disputes and the applicable laws and venues.
515	AU Medical Associates_20170410_ National Agreement Template.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
516	AU Medical Associates_20170410_ National Agreement Template.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
517	AU Medical Associates_20170410_ National Agreement Template.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
518	AU Medical Associates_20170410_ National Agreement Template.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	58-0705892
519	AU Medical Associates_20170410_ National Agreement Template.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
520	AU Medical Associates_20170410_ National Agreement Template.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	58-0705892
521	AU Medical Associates_20170410_ National Agreement Template.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	20170410
522	AU Medical Associates_20170410_ National Agreement Template.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
523	AU Medical Associates_20170410_ National Agreement Template.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
524	AU Medical Associates_20170410_ National Agreement Template.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
525	AU Medical Associates_20170410_ National Agreement Template.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
526	AU Medical Associates_20170410_ National Agreement Template.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
527	AU Medical Associates_20170410_ National Agreement Template.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
528	AU Medical Associates_20170410_ National Agreement Template.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	20170410
529	AU Medical Associates_20170410_ National Agreement Template.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
530	AU Medical Associates_20170410_ National Agreement Template.txt				Physician/Provider/Group		Not Specified	100% of the prevailing Georgia (GA) Medicaid fee schedule for physician Covered Services	Fee Schedule		Provider's billed charges	100%							Injectable medications will generally be paid at 100%, according to the Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. Anesthesia will be reimbursed per GA Medicaid Fee Schedule.												Not Specified		Y
531	AU Medical Associates_20170410_ National Agreement Template.txt				Physician/Provider/Group		Non-physician Covered Services	90% of the current Georgia Medicaid fee schedule	Fee Schedule		Provider's billed charges	90%							Injectable medications will generally be paid at 100%, according to the Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. Anesthesia will be reimbursed per GA Medicaid Fee Schedule.												Not Specified		Y
532	AU Medical Associates_20170410_ National Agreement Template.txt												N/A	N/A	N/A	N/A	N/A	N/A
533	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
534	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	FOURTH AMENDMENT TO THE CARESOURCE PROVIDER AGREEMENT BETWEEN CARESOURCE NETWORK PARTNERS LLC AND AU MEDICAL ASSOCIATES, INC.
535	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing CareSource Provider Agreement between CareSource Network Partners LLC and AU Medical Associates, Inc. The scope of the Agreement includes adding Surgery Center of Columbia County to the Affiliations Attachment and incorporating the Affiliation Attachment into the Agreement. It also includes adding Exhibit C - Plan Compensation Schedule CareSource Georgia Medicaid Ambulatory Surgery Center to the Compensation Schedule. The Agreement states that all defined terms in the original Agreement remain the same, and except for the amendments, the terms of the original Agreement remain in full force and effect.
536	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
537	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
538	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Georgia
539	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	74-3171980
540	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	1598775231
541	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
542	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	July 01, 2023
543	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
544	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
545	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
546	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
547	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
548	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
549	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is April 10, 2017.
550	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
551	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt				Ambulatory Surgery Center	Outpatient	Surgery	GA Medicaid Fee Schedule	Fee Schedule	Y	100% of the Prevailing GA Medicaid Fee Schedule								Provider must comply with CareSource's Medical Management guidelines and contact the CareSource Member Check Line or internet site for eligibility. Credentialing of all physicians consistent with CareSource standards is required. Provider must refer CareSource members back to their primary care physician for follow-up unless follow-up is inclusive with the initial service rendered.
552	AU Medical Associates_20220222_Fourth Amendment_Adding GA MCD ASC.txt												N/A	N/A	N/A	N/A	N/A	N/A
553	AU Medical Center, Inc_20170511_Dually Executed.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
554	AU Medical Center, Inc_20170511_Dually Executed.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Dually Executed Agreement
555	AU Medical Center, Inc_20170511_Dually Executed.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the process for resolving disputes between the Parties. It includes provisions for first-level and second-level dispute resolution, as well as binding arbitration if disputes are not resolved. The Agreement also includes provisions for indemnification and limitation of liability. The purpose of the Agreement is to establish a framework for resolving disputes and protecting the interests of both Parties.
556	AU Medical Center, Inc_20170511_Dually Executed.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
557	AU Medical Center, Inc_20170511_Dually Executed.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
558	AU Medical Center, Inc_20170511_Dually Executed.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
559	AU Medical Center, Inc_20170511_Dually Executed.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
560	AU Medical Center, Inc_20170511_Dually Executed.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
561	AU Medical Center, Inc_20170511_Dually Executed.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
562	AU Medical Center, Inc_20170511_Dually Executed.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
563	AU Medical Center, Inc_20170511_Dually Executed.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
564	AU Medical Center, Inc_20170511_Dually Executed.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
565	AU Medical Center, Inc_20170511_Dually Executed.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
566	AU Medical Center, Inc_20170511_Dually Executed.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
567	AU Medical Center, Inc_20170511_Dually Executed.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
568	AU Medical Center, Inc_20170511_Dually Executed.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
569	AU Medical Center, Inc_20170511_Dually Executed.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	20170511
570	AU Medical Center, Inc_20170511_Dually Executed.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
571	AU Medical Center, Inc_20170511_Dually Executed.txt				Hospital		Trach	Billed Charges	Billed Charges			70%							For Covered Services rendered to Members below 199% of Federal Poverty Level												Inpatient		Y	Allowable
572	AU Medical Center, Inc_20170511_Dually Executed.txt				Hospital		General	Georgia Medicaid DRG	Fee Schedule			100%							Payments to Provider shall be based upon the payment rate in effect on the Member's date of admission for inpatient services.												Inpatient		Y	Allowable billed charges
573	AU Medical Center, Inc_20170511_Dually Executed.txt				Hospital		General	Georgia Medicaid Fee Schedule	Fee Schedule			N/A							Outpatient Hospital Services other than those specifically identified below shall be paid based upon the Provider's Billed Charges multiplied by the Provider's Interim Outpatient Rate (IOR).												Outpatient		Y	Allowable billed charges
574	AU Medical Center, Inc_20170511_Dually Executed.txt				Hospital		Laboratory/Pathology, Injectable Drugs, Dialysis and Oral Medications, Orthotics and Prosthetics, Emergency Ambulatory Services, Birthing and Parenting Classes	Georgia Medicaid Fee Schedule	Fee Schedule			100%							CareSource shall reimburse Provider the lesser of 100% of the Georgia Medicaid Fee Schedule or 100 % of Provider's allowable billed charges for the following services.												Outpatient		Y	Allowable billed charges
575	AU Medical Center, Inc_20170511_Dually Executed.txt												N/A	N/A	N/A	N/A	N/A	N/A
576	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
577	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	National Agreement Template
578	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the dispute resolution process and governing law between CareSource and Provider. It includes provisions for first-level and second-level dispute resolution, as well as binding arbitration if disputes are not resolved. The Agreement also includes indemnification and limitation of liability clauses. The purpose of the Agreement is to establish the terms and conditions for the relationship between CareSource and Provider.
579	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
580	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	N/A
581	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
582	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	80-0024651
583	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
584	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
585	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
586	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
587	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
588	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
589	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
590	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
591	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
592	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	20170817
593	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
594	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt				Physician/Provider/Group		Not Specified	100% of the prevailing Georgia (GA) Medicaid fee schedule for physician Covered Services	Fee Schedule		Provider's billed charges	100%							Injectable medications will generally be paid at 100%, according to the Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. Anesthesia will be reimbursed per GA Medicaid Fee Schedule.												Not Specified		Y
595	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt				Physician/Provider/Group		Non-physician Covered Services	90% of the current Georgia Medicaid fee schedule for non-physician Covered Services	Fee Schedule		Provider's billed charges	90%							Injectable medications will generally be paid at 100%, according to the Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. Anesthesia will be reimbursed per GA Medicaid Fee Schedule.												Not Specified		Y
596	Augusta Obstetrics and Gynecology Specialists, LLC_20170817_National Agreement Template.txt												N/A	N/A	N/A	N/A	N/A	N/A
597	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
598	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Base Contract
599	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the process for resolving disputes between the Parties. It includes provisions for first-level and second-level dispute resolution, as well as binding arbitration if necessary. The Agreement also includes provisions for indemnification and limitation of liability. The purpose of the Agreement is to establish a framework for resolving disputes and protecting the interests of both Parties.
600	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
601	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
602	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
603	Avenues Recovery Center of Fort Wayne_Base Contract.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
604	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
605	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
606	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	09-04-2020
607	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
608	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
609	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
610	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
611	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
612	Avenues Recovery Center of Fort Wayne_Base Contract.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
613	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is not provided in the given context information.
614	Avenues Recovery Center of Fort Wayne_Base Contract.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
615	Avenues Recovery Center of Fort Wayne_Base Contract.txt				Hospital		N/A	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							The Inpatient Reimbursement shall be calculated as the sum of the Provider's operating base rate and capital base rate multiplied by the Medicare DRG weight, plus adjustments for indirect medical education (IME), disproportional share (DSH) and outlier payments if applicable.			Inpatient and Outpatient Facility Services
616	Avenues Recovery Center of Fort Wayne_Base Contract.txt				Professional Services		N/A	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							If the contract doesn't specify terms for reimbursement, then CareSource pays the provider at 100% of the Medicare set cost/price for the specific procedure or service.			N/A
617	Avenues Recovery Center of Fort Wayne_Base Contract.txt				Professional Services		N/A	Indiana Medicaid Fee Schedule	Fee Schedule	Y	100% of the prevailing Indiana Medicaid Fee Schedule	100%							CareSource reserves the right to amend reimbursement policies with advanced notice.			N/A
618	Avenues Recovery Center of Fort Wayne_Base Contract.txt				Group/Ancillary		N/A	Indiana Medicaid Fee Schedule	Fee Schedule	Y	130% of the prevailing Indiana Medicaid Fee Schedule for Professional Services	130%							All Services payable per IHCP guidelines.			N/A
619	Avenues Recovery Center of Fort Wayne_Base Contract.txt				Hospital		N/A	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							Injectable medications will generally be paid according to the Medicare Fee Schedule except for those drugs that may be available through a specialty pharmacy benefits manager.			Inpatient and Outpatient Facility Services
620	Avenues Recovery Center of Fort Wayne_Base Contract.txt				Professional Services		N/A	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							CareSource reserves the right to amend reimbursement policies with advanced notice.			N/A
621	Avenues Recovery Center of Fort Wayne_Base Contract.txt												N/A	N/A	N/A	N/A	N/A	N/A
622	Bon Secours Mercy Health_20190101_Base Contract.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
623	Bon Secours Mercy Health_20190101_Base Contract.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Base Contract
624	Bon Secours Mercy Health_20190101_Base Contract.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between CareSource and Provider. It covers various aspects such as indemnification, limitation of liability, dispute resolution, and governing law. The Agreement also outlines the authority of the parties, the requirement to comply with regulatory requirements, and the non-exclusivity of the agreement.
625	Bon Secours Mercy Health_20190101_Base Contract.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
626	Bon Secours Mercy Health_20190101_Base Contract.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
627	Bon Secours Mercy Health_20190101_Base Contract.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
628	Bon Secours Mercy Health_20190101_Base Contract.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	34-4445373
629	Bon Secours Mercy Health_20190101_Base Contract.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
630	Bon Secours Mercy Health_20190101_Base Contract.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
631	Bon Secours Mercy Health_20190101_Base Contract.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	04-08-2019
632	Bon Secours Mercy Health_20190101_Base Contract.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
633	Bon Secours Mercy Health_20190101_Base Contract.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
634	Bon Secours Mercy Health_20190101_Base Contract.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
635	Bon Secours Mercy Health_20190101_Base Contract.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
636	Bon Secours Mercy Health_20190101_Base Contract.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	Yes
637	Bon Secours Mercy Health_20190101_Base Contract.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
638	Bon Secours Mercy Health_20190101_Base Contract.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	20190101
639	Bon Secours Mercy Health_20190101_Base Contract.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
640	Bon Secours Mercy Health_20190101_Base Contract.txt				Hospital		Trach	Billed Charges	Billed Charges	Y	Billed Charges or Allowable	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level			Inpatient
641	Bon_Secours_Mercy_Third_Amendment.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
642	Bon_Secours_Mercy_Third_Amendment.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Provider Agreement
643	Bon_Secours_Mercy_Third_Amendment.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the CareSource Provider Agreement between CareSource Network Partners, LLC and Bon Secours Mercy Health. The Agreement outlines the terms and conditions of the contract between the two parties, including the compensation terms and the products or networks covered. The scope of the Agreement includes the deletion and replacement of Exhibit A and Exhibit C, as well as the continuation of the Agreement's terms, except as expressly amended.
644	Bon_Secours_Mercy_Third_Amendment.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
645	Bon_Secours_Mercy_Third_Amendment.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
646	Bon_Secours_Mercy_Third_Amendment.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Ohio
647	Bon_Secours_Mercy_Third_Amendment.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	31-1091597, 31-0537085, 31-0538532, 27-1408630, 31-0830955, 02-0701635, 34-1577110, 34-4431174, 34-4428250, 34-4445373, 31-1556401, 34-1105619, 31-0785684, 34-0714704, 34-0864230, 34-0505560
648	Bon_Secours_Mercy_Third_Amendment.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
649	Bon_Secours_Mercy_Third_Amendment.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
650	Bon_Secours_Mercy_Third_Amendment.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	October 1, 2021
651	Bon_Secours_Mercy_Third_Amendment.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
652	Bon_Secours_Mercy_Third_Amendment.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
653	Bon_Secours_Mercy_Third_Amendment.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
654	Bon_Secours_Mercy_Third_Amendment.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
655	Bon_Secours_Mercy_Third_Amendment.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	Yes
656	Bon_Secours_Mercy_Third_Amendment.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
657	Bon_Secours_Mercy_Third_Amendment.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	October 1, 2021.
658	Bon_Secours_Mercy_Third_Amendment.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
659	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid DRG	Fee Schedule			103.50%							For inpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital 103.5% of the Ohio Medicaid DRG (based on Hospital's current ODM payment rate).												Inpatient	Acute Care	Y	100% of Hospital's allowable billed charges
660	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid Fee Schedule	Fee Schedule			103.50%							For outpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital 103.5% of the prevailing Ohio Medicaid Fee schedule.												Outpatient	Ambulatory/Outpatient Surgery	Y	100% of Hospital's allowable billed charges
661	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid DRG	Fee Schedule			103.50%							For inpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital the lesser of 103.5% of the Ohio Medicaid DRG (based on Hospital's current ODM payment rate) or 100% of Hospital's allowable billed charges.												Inpatient	Acute Care	Y	100% of Hospital's allowable billed charges
662	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid Fee Schedule	Fee Schedule			105.00%							For outpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital 105.0% of the prevailing Ohio Medicaid Fee schedule.												Outpatient	Ambulatory/Outpatient Surgery	Y	100% of Hospital's allowable billed charges
663	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid DRG	Fee Schedule			101%							For inpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital the lesser of 101% of the Ohio Medicaid DRG (based on Hospital's current ODM payment rate) or 100% of Hospital's allowable billed charges.												Inpatient	Acute Care	Y	100% of Hospital's allowable billed charges
664	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid Fee Schedule	Fee Schedule			101.00%							For outpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital 101.0% of the prevailing Ohio Medicaid Fee schedule.												Outpatient	Ambulatory/Outpatient Surgery	Y	100% of Hospital's allowable billed charges
665	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid DRG	Fee Schedule			101.00%							For inpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital 101.0% of the Ohio Medicaid DRG (based on Hospital's current ODM payment rate).												Inpatient	Acute Care	Y	100% of Hospital's allowable billed charges
666	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid Fee Schedule	Fee Schedule			100%							For outpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital the lesser of 100% of the prevailing Ohio Medicaid Fee schedule or 100% of Hospital's allowable billed charges.												Outpatient	Ambulatory/Outpatient Surgery	Y	100% of Hospital's allowable billed charges
667	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid DRG	Fee Schedule			105.00%							For inpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital 105.0% of the Ohio Medicaid DRG (based on Hospital's current ODM payment rate).												Inpatient	Acute Care	Y	100% of Hospital's allowable billed charges
668	Bon_Secours_Mercy_Third_Amendment.txt				Hospital			Ohio Medicaid Fee Schedule	Fee Schedule			100%							For outpatient services rendered at Hospital facilities as set forth below, Plan shall reimburse Hospital the lesser of 100% of the prevailing Ohio Medicaid Fee schedule or 100% of Hospital's allowable billed charges.												Outpatient	Ambulatory/Outpatient Surgery	Y	100% of Hospital's allowable billed charges
669	Bon_Secours_Mercy_Third_Amendment.txt												N/A	N/A	N/A	N/A	N/A	N/A
670	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	10F2204E-DE32-471C-A407-E9DA119E1ED1
671	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Provider Agreement
672	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement is a Sixth Amendment between CareSource and Brightview LLC. It aims to amend the existing CareSource Provider Agreement and includes provisions related to reimbursement for Medicaid services, the addition of an Integrated Delivery System, negotiation of alternate payment models, monitoring of drug testing utilization, compliance with CareSource policies, and the definition of terms.
673	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
674	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
675	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
676	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
677	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
678	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
679	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	12-03-2021
680	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
681	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
682	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
683	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
684	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
685	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
686	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is June 1, 2021.
687	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
688	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt				Community Mental Health Center	Medicaid	Mental Health	Ohio Medicaid fee schedule	Fee Schedule	Y	Group Practice's billed charges or CareSource's fee schedule	100%							Urinary Drug Testing to be reimbursed as set forth below
689	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt				Community Mental Health Center	Medicaid	Mental Health	Ohio Medicaid fee schedule	Fee Schedule	Y	Definitive Urinary Drug Testing: G0480, G0481, G0482, G0483	93.80%							Definitive Urinary Drug Testing reimbursement
690	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt				Community Mental Health Center	Medicaid	Mental Health	Ohio Medicaid fee schedule	Fee Schedule	Y	Presumptive Urinary Drug Testing: 80305, 80306, 80307	93.80%							Presumptive Urinary Drug Testing reimbursement
691	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt				Community Mental Health Center	Medicare/Medicaid (MyCare)	Mental Health	Medicare Allowed Amount	Fee Schedule	Y	Provider's billed charges or Medicare Allowed Amount	100%							For Medicare portion of MyCare Member's benefit
692	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt				Community Mental Health Center	Medicare/Medicaid (MyCare)	Mental Health	Medicare Allowed Amount	Fee Schedule	Y	Definitive Urinary Drug Testing: G0480, G0481, G0482, G0483	75.04%							Definitive Urinary Drug Testing reimbursement for Medicare portion
693	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt				Community Mental Health Center	Medicare/Medicaid (MyCare)	Mental Health	Ohio Medicaid Fee Schedule	Fee Schedule	Y	Medicaid portion of MyCare Member's benefit	100%							For Medicaid portion of MyCare Member's benefit
694	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt				Community Mental Health Center	Medicare/Medicaid (MyCare)	Mental Health	Ohio Medicaid Fee Schedule	Fee Schedule	Y	Definitive Urinary Drug Testing: G0480, G0481, G0482, G0483	93.80%							Definitive Urinary Drug Testing reimbursement for Medicaid portion
695	Brightview LLC_20210601_Sixth Amendment_Adj UDT rates for MCD OH MyCare (1).txt				Community Mental Health Center	Medicare/Medicaid (MyCare)	Mental Health	Ohio Medicaid Fee Schedule	Fee Schedule	Y	Presumptive Urinary Drug Testing: 80305, 80306, 80307	93.80%							Presumptive Urinary Drug Testing reimbursement for Medicaid portion
696	Brightview_Amendment One.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
697	Brightview_Amendment One.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Provider Agreement
698	Brightview_Amendment One.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the CareSource Provider Agreement between CareSource and Brightview LLC. The scope of the Agreement includes adding D-SNP reimbursement to the agreement, while all other terms and provisions of the agreement remain in effect.
699	Brightview_Amendment One.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
700	Brightview_Amendment One.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	N/A
701	Brightview_Amendment One.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
702	Brightview_Amendment One.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	47-2519577
703	Brightview_Amendment One.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
704	Brightview_Amendment One.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
705	Brightview_Amendment One.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	6th day of October, 2017
706	Brightview_Amendment One.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
707	Brightview_Amendment One.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
708	Brightview_Amendment One.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
709	Brightview_Amendment One.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
710	Brightview_Amendment One.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
711	Brightview_Amendment One.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
712	Brightview_Amendment One.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The create date of the contract is the 8th day of March, 2016.
713	Brightview_Amendment One.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
714	Brightview_Amendment One.txt				Group Practice	Professional Services	Not specified	Medicare Allowed Amount	Billed Charges	Y	100% of the Medicare Allowed Amount	100%							Injectable medications paid according to 100% of the Medicare Fee schedule
715	Brightview_Amendment One.txt				Group Practice	Not specified	Not specified	Ohio Medicaid Fee Schedule	Billed Charges	Y	Medicare Covered Person Cost Share or Medicaid allowable amount	Not specified							D-SNP Covered Persons have no cost share obligations
716	Brightview_Amendment Two.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
717	Brightview_Amendment Two.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Provider Agreement
718	Brightview_Amendment Two.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish a contractual relationship between CareSource, an Ohio not-for-profit corporation, and Brightview LLC. The Agreement outlines the terms and conditions for the provision of services by Brightview LLC to CareSource. The scope of the Agreement includes the amendment of the original CareSource Provider Agreement to add the Ohio Community Transition Program Plan Compensation, effective from October 26, 2018. All other terms and provisions of the Agreement remain in effect.
719	Brightview_Amendment Two.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
720	Brightview_Amendment Two.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
721	Brightview_Amendment Two.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
722	Brightview_Amendment Two.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	47-2519577
723	Brightview_Amendment Two.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
724	Brightview_Amendment Two.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
725	Brightview_Amendment Two.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	October 26, 2018
726	Brightview_Amendment Two.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
727	Brightview_Amendment Two.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
728	Brightview_Amendment Two.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
729	Brightview_Amendment Two.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
730	Brightview_Amendment Two.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
731	Brightview_Amendment Two.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
732	Brightview_Amendment Two.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is October 26, 2018.
733	Brightview_Amendment Two.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
734	Brightview_Amendment Two.txt				Not Specified	Not Specified	Not Specified	Ohio Medicaid	Fee Schedule	Y	100% of the prevailing Ohio Medicaid fee schedule	Not Specified							For Medically Necessary Covered Services rendered to Members by Provider in accordance with the terms of this Agreement
735	Brightview_Amendment Two.txt				Not Specified	Not Specified	Not Specified	CareSource's proprietary fee schedule	Fee Schedule	Y	CareSource's proprietary fee schedule when applicable	Not Specified							CareSource reserves the right to amend reimbursement policies with advanced notice
736	Brightview_Amendment Two.txt
737	Brightview_Amendment Two.txt
738	Brightview_Amendment Two.txt												N/A	N/A	N/A	N/A	N/A	N/A
739	Brightview_Base Contract.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
740	Brightview_Base Contract.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Brightview_Base Contract
741	Brightview_Base Contract.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between the Group Practice and the Plan Provider. It covers various aspects such as release of information, notice requirements, conflict resolution, compensation provisions, and miscellaneous provisions. The Agreement is governed by applicable federal and state laws and includes specific provisions for the state of Ohio.
742	Brightview_Base Contract.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
743	Brightview_Base Contract.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
744	Brightview_Base Contract.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
745	Brightview_Base Contract.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
746	Brightview_Base Contract.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
747	Brightview_Base Contract.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
748	Brightview_Base Contract.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	Dec-09
749	Brightview_Base Contract.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
750	Brightview_Base Contract.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
751	Brightview_Base Contract.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
752	Brightview_Base Contract.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
753	Brightview_Base Contract.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
754	Brightview_Base Contract.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
755	Brightview_Base Contract.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	Dec-09
756	Brightview_Base Contract.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
757	Brightview_Base Contract.txt				Physician			Ohio Medicaid fee schedule	Fee Schedule			105%																			Not Specified	MD/DO providers	Y	105%
758	Brightview_Base Contract.txt				Non-Physician			Ohio Medicaid fee schedule	Fee Schedule			100%																			Not Specified	non MD/non DO providers	Y	100%
759	Brightview_Base Contract.txt				Physician			Medicare allowed amount	Fee Schedule			100%							When combined with all other sources of payment, CareSource's Payment cannot exceed the Payment listed in existing Medicare Addendum.												Not Specified	Not Specified	Y	100% of the Medicare allowed amount
760	Brightview_Base Contract.txt				Non-Physician			Medicare allowed amount	Fee Schedule			100%							When combined with all other sources of payment, CareSource's Payment cannot exceed the Payment listed in existing Medicare Addendum.												Not Specified	Not Specified	Y	100% of the Medicare allowed amount
761	Brightview_Base Contract.txt												N/A	N/A	N/A	N/A	N/A	N/A
762	Brightview_Fourth Amendment.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
763	Brightview_Fourth Amendment.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Provider Agreement
764	Brightview_Fourth Amendment.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement is a fourth amendment to the CareSource Provider Agreement between CareSource and Brightview LLC. It aims to amend the original Agreement by adding a CareSource Community Mental Health Center Plan Compensation Schedule, terminating a Physician/Provider/Group Reimbursement for Medicaid Addenda to Contract, and clarifying the definitions of terms used in the Agreement. The Agreement's purpose is to establish the terms and conditions for the provision of medically necessary covered services to members by Brightview LLC, including reimbursement rates and prior authorization requirements.
765	Brightview_Fourth Amendment.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
766	Brightview_Fourth Amendment.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
767	Brightview_Fourth Amendment.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
768	Brightview_Fourth Amendment.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	47-2519577
769	Brightview_Fourth Amendment.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
770	Brightview_Fourth Amendment.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
771	Brightview_Fourth Amendment.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	April 1, 2020
772	Brightview_Fourth Amendment.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
773	Brightview_Fourth Amendment.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
774	Brightview_Fourth Amendment.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
775	Brightview_Fourth Amendment.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
776	Brightview_Fourth Amendment.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
777	Brightview_Fourth Amendment.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
778	Brightview_Fourth Amendment.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	April 1, 2020
779	Brightview_Fourth Amendment.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
780	Brightview_Fourth Amendment.txt				Community Mental Health Center	Outpatient	Mental Health	Ohio Medicaid	Fee Schedule	Y	Provider's billed charges	100%							For Medically Necessary Covered Services rendered to Members
781	Brightview_Fourth Amendment.txt				Community Mental Health Center	Outpatient	Mental Health	Ohio Medicaid	Fee Schedule	Y	Provider's billed charges	100%							Presumptive Urinary Drug Testing (UDT)
782	Brightview_Fourth Amendment.txt				Community Mental Health Center	Outpatient	Mental Health	Ohio Medicaid	Fee Schedule	Y	Provider's billed charges	75%							Definitive Urinary Drug Testing (UDT)
783	Brightview_Fourth Amendment.txt												N/A	N/A	80307	Presumptive UDTs	N/A	N/A
784	Brightview_Fourth Amendment.txt												N/A	N/A	N/A	Definitive UDTs	N/A	N/A
785	Cabell Huntington Hospital_Base Contract_OH.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
786	Cabell Huntington Hospital_Base Contract_OH.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Base Contract
787	Cabell Huntington Hospital_Base Contract_OH.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish the rights and obligations of the Hospital and the Plan. It outlines the termination process, the provision of services, and the responsibilities of each party. The scope of the Agreement includes the provision of medically necessary services to covered persons, adherence to Plan requirements, and compliance with applicable laws and regulations.
788	Cabell Huntington Hospital_Base Contract_OH.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
789	Cabell Huntington Hospital_Base Contract_OH.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
790	Cabell Huntington Hospital_Base Contract_OH.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
791	Cabell Huntington Hospital_Base Contract_OH.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
792	Cabell Huntington Hospital_Base Contract_OH.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
793	Cabell Huntington Hospital_Base Contract_OH.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
794	Cabell Huntington Hospital_Base Contract_OH.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	4-20-07
795	Cabell Huntington Hospital_Base Contract_OH.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
796	Cabell Huntington Hospital_Base Contract_OH.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
797	Cabell Huntington Hospital_Base Contract_OH.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
798	Cabell Huntington Hospital_Base Contract_OH.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
799	Cabell Huntington Hospital_Base Contract_OH.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
800	Cabell Huntington Hospital_Base Contract_OH.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
801	Cabell Huntington Hospital_Base Contract_OH.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 4-20-07.
802	Cabell Huntington Hospital_Base Contract_OH.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
803	Cabell Huntington Hospital_Base Contract_WV.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
804	Cabell Huntington Hospital_Base Contract_WV.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Cabell Huntington Hospital_Base Contract_WV
805	Cabell Huntington Hospital_Base Contract_WV.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the terms and conditions between the Plan and the Hospital. It covers various aspects such as termination, suspension, indemnification, limitation of liability, dispute resolution, compliance with regulatory requirements, assignment, non-exclusivity, and notice. The purpose of the Agreement is to establish a binding relationship between the Parties and govern their interactions.
806	Cabell Huntington Hospital_Base Contract_WV.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
807	Cabell Huntington Hospital_Base Contract_WV.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	WV
808	Cabell Huntington Hospital_Base Contract_WV.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
809	Cabell Huntington Hospital_Base Contract_WV.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
810	Cabell Huntington Hospital_Base Contract_WV.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
811	Cabell Huntington Hospital_Base Contract_WV.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
812	Cabell Huntington Hospital_Base Contract_WV.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	4/22/15
813	Cabell Huntington Hospital_Base Contract_WV.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
814	Cabell Huntington Hospital_Base Contract_WV.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
815	Cabell Huntington Hospital_Base Contract_WV.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
816	Cabell Huntington Hospital_Base Contract_WV.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
817	Cabell Huntington Hospital_Base Contract_WV.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
818	Cabell Huntington Hospital_Base Contract_WV.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
819	Cabell Huntington Hospital_Base Contract_WV.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	7/18/2013
820	Cabell Huntington Hospital_Base Contract_WV.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
821	Cabell Huntington Hospital_Base Contract_WV.txt				Hospital		General	Billed Charges	Billed Charges	Y	95% of billed charges	95%							All Hospital services reimbursement rate			Inpatient
822	Cabell Huntington Hospital_Base Contract_WV.txt				Hospital		General	Medicare Allowed Amount	Fee Schedule	Y	95% of billed charges	95%							All Hospital services reimbursement rate			Outpatient
823	Cabell Huntington Hospital_Base Contract_WV.txt												140	Depressive neuroses	99284	Emergency department visit for the evaluation and management of a patient	0450	General
824	Cabell Huntington_OH MCD Addendum.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
825	Cabell Huntington_OH MCD Addendum.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
826	Cabell Huntington_OH MCD Addendum.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the terms and conditions for the provider to serve members of the MCP's Medicaid program. It includes provisions related to financial liability, licensing requirements, medical record transfer, quality assessment, termination procedures, and member rights. The Agreement also specifies the minimum number of Medicaid members that primary care physicians must serve and the services that hospitals must provide.
827	Cabell Huntington_OH MCD Addendum.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
828	Cabell Huntington_OH MCD Addendum.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
829	Cabell Huntington_OH MCD Addendum.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
830	Cabell Huntington_OH MCD Addendum.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
831	Cabell Huntington_OH MCD Addendum.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
832	Cabell Huntington_OH MCD Addendum.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
833	Cabell Huntington_OH MCD Addendum.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	12-12-2006
834	Cabell Huntington_OH MCD Addendum.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
835	Cabell Huntington_OH MCD Addendum.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Addendum
836	Cabell Huntington_OH MCD Addendum.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
837	Cabell Huntington_OH MCD Addendum.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
838	Cabell Huntington_OH MCD Addendum.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
839	Cabell Huntington_OH MCD Addendum.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
840	Cabell Huntington_OH MCD Addendum.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The create date of the contract is 11/28/05.
841	Cabell Huntington_OH MCD Addendum.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
842	Cabell Huntington_OH MCD Compensation.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
843	Cabell Huntington_OH MCD Compensation.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
844	Cabell Huntington_OH MCD Compensation.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the reimbursement terms for medically necessary covered services rendered by the Hospital and Provider/Group Practice Providers to Members. It specifies the payment rates based on the prevailing Ohio Medicaid fee schedule or the Hospital's allowable billed charges. The Agreement also includes provisions for outliers, transfers, and reimbursement for other services such as home health and hospice.
845	Cabell Huntington_OH MCD Compensation.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
846	Cabell Huntington_OH MCD Compensation.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
847	Cabell Huntington_OH MCD Compensation.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
848	Cabell Huntington_OH MCD Compensation.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
849	Cabell Huntington_OH MCD Compensation.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
850	Cabell Huntington_OH MCD Compensation.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
851	Cabell Huntington_OH MCD Compensation.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	4-30-07
852	Cabell Huntington_OH MCD Compensation.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
853	Cabell Huntington_OH MCD Compensation.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
854	Cabell Huntington_OH MCD Compensation.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
855	Cabell Huntington_OH MCD Compensation.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
856	Cabell Huntington_OH MCD Compensation.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
857	Cabell Huntington_OH MCD Compensation.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
858	Cabell Huntington_OH MCD Compensation.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	12-12-2006
859	Cabell Huntington_OH MCD Compensation.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
860	Cabell Huntington_OH MCD Compensation.txt				Hospital	Inpatient	General	Ohio Medicaid DRG	Billed Charges	Y	100% of Hospital's allowable billed charges	100%
861	Cabell Huntington_OH MCD Compensation.txt				Hospital	Inpatient	Neonatal Intensive Care	Ohio Medicaid DRG	Billed Charges	Y	100% of Hospital's allowable billed charges	110%
862	Cabell Huntington_OH MCD Compensation.txt				Hospital	Outpatient	General	Ohio Medicaid Fee Schedule	Billed Charges	Y	100% of Hospital's allowable billed charges	100%
863	Cabell Huntington_OH MCD Compensation.txt				Provider	Physician Services	General	Ohio Medicaid fee schedule for physician services	Billed Charges	Y	105% of the prevailing Ohio Medicaid fee schedule	105%
864	Cabell Huntington_OH MCD Compensation.txt				Provider	Non-Physician Covered Services	General	Ohio Medicaid fee schedule	Billed Charges	Y	100% of the current Ohio Medicaid fee schedule	100%
865	Cabell Huntington_OH MCD Compensation.txt												N/A	N/A	N/A	N/A	N/A	N/A
866	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
867	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Health Care Services Agreement
868	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement is a seventh amendment to the Health Care Services Agreement between CareSource and Cincinnati Children's Hospital Medical Center. It updates the reimbursement schedules for the Ohio and Kentucky Marketplace plans and rescinds a termination notice previously sent by CareSource to the Hospital. The Agreement remains in full force and effect, with the terms of the Seventh Amendment controlling in the event of a conflict. The purpose of the Agreement is to establish the reimbursement rates for Covered Services rendered by the Hospital to members, based on a percentage of the Hospital's billed charges or the Medicare Allowed Amount. The Agreement also includes provisions for the conversion to a percent of Medicare within 90 days, the use of specific Tax Identification Numbers for billing, and the conversion of the contract and arrangement to HealthVine, LLC. Additionally, the Parties agree to work towards an upside only value-based reimbursement structure by January 1, 2024, and the Hospital is required to provide advance written notice of any increase to its Chargemaster.
869	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	Seventh
870	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio and Kentucky
871	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
872	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	310833936 & 311459815
873	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
874	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
875	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	August 1, 2022
876	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
877	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
878	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
879	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
880	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	Yes
881	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
882	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	August 1, 2022
883	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
884	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt				Hospital	Inpatient and Outpatient Facility Services	N/A	Billed Charges	Billed Charges	Y	48% of the Hospital's billed charges	48%							N/A
885	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt				Hospital	Professional Services	N/A	Billed Charges	Billed Charges	Y	50% of the Hospital's billed charges	50%							N/A
886	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt				Hospital	Home Health, Home Infusion, Hospice, SNF, and DME	N/A	Billed Charges	Billed Charges	Y	50% of the Hospital's billed charges	50%							N/A
887	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt				Hospital	Reference Lab	N/A	Medicare Allowed Amount	Fee Schedule	Y	100% of Medicare Allowed Amount	100%							N/A
888	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt				Hospital	All Other Services	N/A	Medicare Allowed Amount	Fee Schedule	Y	200% of Medicare Allowed Amount	200%							N/A
889	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt				Hospital	Services without Medicare Allowed Amount	N/A	Billed Charges	Billed Charges	Y	48% of the Hospital's billed charges	48%							N/A
890	CareSource and CCHMC Marketplace 8-1-2022 Amendment Final.txt				Hospital	Injectable Medications	N/A	Billed Charges	Billed Charges	Y	48% of the Hospital's billed charges	48%							Except for drugs available through a specialty pharmacy benefits manager
891	Caresource Exchange Hosp 110121 Partial_MP.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
892	Caresource Exchange Hosp 110121 Partial_MP.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	FOURTH AMENDMENT TO THE AGREEMENT BETWEEN CARESOURCE AND THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
893	Caresource Exchange Hosp 110121 Partial_MP.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement is a Fourth Amendment to an existing agreement between CareSource Network Partners LLC and The Health and Hospital Corporation of Marion County. The purpose of the Amendment is to amend the existing Agreement and replace certain exhibits related to compensation schedules for covered services rendered by the Hospital. The scope of the Agreement is limited to the specific amendments and replacements outlined in the Fourth Amendment.
894	Caresource Exchange Hosp 110121 Partial_MP.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
895	Caresource Exchange Hosp 110121 Partial_MP.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
896	Caresource Exchange Hosp 110121 Partial_MP.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
897	Caresource Exchange Hosp 110121 Partial_MP.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	35-6005697
898	Caresource Exchange Hosp 110121 Partial_MP.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
899	Caresource Exchange Hosp 110121 Partial_MP.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
900	Caresource Exchange Hosp 110121 Partial_MP.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	11-05-2021
901	Caresource Exchange Hosp 110121 Partial_MP.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
902	Caresource Exchange Hosp 110121 Partial_MP.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
903	Caresource Exchange Hosp 110121 Partial_MP.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
904	Caresource Exchange Hosp 110121 Partial_MP.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
905	Caresource Exchange Hosp 110121 Partial_MP.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
906	Caresource Exchange Hosp 110121 Partial_MP.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
907	Caresource Exchange Hosp 110121 Partial_MP.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is not provided in the given context.
908	Caresource Exchange Hosp 110121 Partial_MP.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
909	Caresource Exchange Hosp 110121 Partial_MP.txt				Hospital	Inpatient and Outpatient Facility	N/A	Medicare Allowed Amount	Fee Schedule	Y	160% of the Medicare Allowed Amount	160%							N/A
910	Caresource Exchange Hosp 110121 Partial_MP.txt				Hospital	Home Health, Hospice and Dialysis	N/A	Medicare Allowed Amount	Fee Schedule	Y	125% of the Medicare Allowed Amount	125%							N/A
911	Caresource Exchange Hosp 110121 Partial_MP.txt				Hospital	Reference Lab	N/A	Medicare Allowed Amount	Fee Schedule	Y	125% of the Medicare Allowed Amount	125%							N/A
912	Caresource Exchange Hosp 110121 Partial_MP.txt				Hospital	Ambulance	N/A	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							N/A
913	Caresource Exchange Hosp 110121 Partial_MP.txt				Hospital	Professional Services	N/A	Medicare Allowed Amount	Fee Schedule	Y	130% of the Medicare Allowed Amount	130%							N/A
914	Caresource Exchange Hosp 110121 Partial_MP.txt				Hospital	DME	N/A	Medicare Fee Schedule	Fee Schedule	Y	100% of the Medicare Fee Schedule or 75% of MSRP	100% or 75% of MSRP							N/A
915	Caresource Exchange Hosp 110121 Partial_MP.txt				Hospital	Outpatient Drug and Services	N/A	Medicare Allowed Amount	Fee Schedule	Y	115% of the Medicare Allowed Amount or AWP minus 15%	115% or AWP minus 15%							N/A
916	Caresource Exchange Hosp 110121 Partial_MP.txt				FQHC	N/A	N/A	FQHC Encounter Rate	Fee Schedule	Y	110% of the FQHC Encounter Rate	110%							N/A
917	Caresource Exchange Hosp 110121 Partial_MP.txt				FQHC	Outpatient Drug and Services	N/A	Medicare Allowed Amount	Fee Schedule	Y	115% of the Medicare Allowed Amount or AWP minus 15%	115% or AWP minus 15%							N/A
918	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
919	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Network Partners LLC Provider Agreement
920	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the obligations and responsibilities of the Parties involved, including the provision of indemnification, limitations of liability, dispute resolution procedures, and the assignment of rights. It also specifies that the Agreement supersedes all other agreements and contains provisions for amendments.
921	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
922	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
923	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Georgia
924	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
925	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
926	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
927	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	11-01-2017
928	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
929	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
930	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
931	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
932	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
933	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
934	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	11-01-2017
935	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
936	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt				Laboratory	N/A	N/A	75% of the prevailing Georgia (GA) Medicaid fee schedule	Fee Schedule	Y	Provider's billed charges	75%							CareSource reserves the right to amend the reimbursement rate to reflect the national rate when a national contract is executed. CareSource reserves the right to amend reimbursement policies with advanced notice.
937	CareSourceNtwrkPrtnrsLLCProvAgree_FullyExe_Effect_11-1-17.txt												N/A	N/A	N/A	N/A	N/A	N/A
938	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
939	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Provider Agreement
940	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement is a contract between CareSource Network Partners LLC and Laboratory Corporation of America Holdings. It was entered into on May 25, 2018, and has been amended twice, with the most recent amendment effective as of January 1, 2020. The purpose of the Agreement is to establish the terms and conditions for the provision of healthcare services by Laboratory Corporation of America to CareSource and its affiliates. The Agreement includes provisions related to payment, retroactive denial of claims, termination, and governing law. It also specifies that the Agreement applies to all types of licensed healthcare providers.
941	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
942	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	West Virginia
943	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	West Virginia
944	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	13-3757370 & 84-0611484
945	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
946	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
947	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	January 1, 2019
948	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
949	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
950	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
951	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
952	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
953	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
954	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is not provided in the given context information.
955	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
956	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt				Laboratory	Reference Lab	Laboratory Services	Medicare Fee Schedule	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							For Medically Necessary Covered Services rendered to Covered Persons by Provider
957	CaresourceNtwrkPrtnrsLLC_LCAHLCA Second Amendment Add WV Executed 2020.txt				Laboratory	Reference Lab	Laboratory Services	Medicare Fee Schedule	Fee Schedule	Y	105% of the Medicare Allowed Amount	105%							For Medically Necessary Covered Services rendered to Covered Persons by Provider
958	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
959	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	LCAHLCA-ProvAgree
960	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the indemnification and limitation of liability between CareSource and the Provider. It also includes provisions for dispute resolution and governing law. The Agreement may be subject to review and approval by state and federal agencies. It is binding upon the respective legal successors and assignees of the Parties. The Agreement supersedes all other agreements regarding the subject matter.
961	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
962	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
963	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Kentucky
964	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
965	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
966	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
967	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	5/25/18
968	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
969	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
970	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
971	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
972	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
973	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
974	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The create date of the contract is not provided in the given context information.
975	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
976	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt				Laboratory	N/A	N/A	75% of 2017 Kentucky Medicare fee schedule	Fee Schedule	Y	Provider's billed charges	75%							N/A
977	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt				Laboratory	N/A	N/A	75% of 2017 Indiana Medicare fee schedule	Fee Schedule	Y	Provider's billed charges	75%							N/A
978	CareSourceNtwrkPrtnrsLLC_LCAHLCA-ProvAgree_FullyExe_Effective date.txt												N/A	N/A	N/A	N/A	N/A	N/A
979	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
980	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource_and_OSU_2023_VBR_Program_Addendum
981	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish the terms and conditions for the transmission and sharing of data between two parties. The scope of the Agreement includes the testing of software and systems, limitation of access to data, security controls and disaster recovery, and the handling of data sent in error.
982	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
983	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
984	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
985	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
986	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
987	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
988	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
989	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
990	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Addendum
991	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
992	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
993	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	Yes
994	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
995	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	There is no information provided in the given context about the create date of the contract.
996	CareSource_and_OSU_2023_VBR_Program_Addendum-Dually Exectued.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
997	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	C20838433AA
998	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Health Care Services Agreement
999	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish a Health Care Services Agreement between CareSource and Cincinnati Children's Hospital Medical Center. The Agreement outlines the terms and conditions for reimbursement of Covered Services provided by the Hospital to members of the Ohio and Kentucky Marketplace plans. The Agreement also includes provisions for the conversion to a percent of Medicare reimbursement and the potential transition to Health Vine, LLC. The scope of the Agreement covers the period from August 1, 2022, to December 31, 2023, with the possibility of future amendments and a transition to an upside-only value-based reimbursement structure by January 1, 2024.
1000	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	Seventh
1001	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio and Kentucky
1002	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1003	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	310833936 & 311459815
1004	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1005	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1006	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	August 1, 2022
1007	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1008	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1009	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1010	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1011	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	Yes
1012	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1013	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is August 1, 2022.
1014	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	07/29/2022
1015	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt				Hospital	Inpatient and Outpatient Facility Services	N/A	Billed Charges	Billed Charges	Y	48% of the Hospital's billed charges	48%							N/A
1016	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt				Hospital	Professional Services	N/A	Billed Charges	Billed Charges	Y	50% of the Hospital's billed charges	50%							N/A
1017	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt				Hospital	Home Health, Home Infusion, Hospice, SNF, and DME	N/A	Billed Charges	Billed Charges	Y	50% of the Hospital's billed charges	50%							N/A
1018	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt				Hospital	Reference Lab	N/A	Medicare Allowed Amount	Fee Schedule	Y	100% of Medicare Allowed Amount	100%							N/A
1019	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt				Hospital	All Other Services	N/A	Medicare Allowed Amount	Fee Schedule	Y	200% of Medicare Allowed Amount	200%							N/A
1020	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt				Hospital	Services without Medicare Allowed Amount	N/A	Billed Charges	Billed Charges	Y	48% of the Hospital's billed charges	48%							N/A
1021	CCHMC Cincinnati Childrens Marketplace 8-1-2022 Amendment Final-Base Contract ID C20838433AA.txt				Hospital	Injectable Medications	N/A	Billed Charges	Billed Charges	Y	48% of the Hospital's billed charges	48%							Except for drugs available through a specialty pharmacy benefits manager
1022	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1023	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Provider Agreement
1024	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing Provider Agreement between CareSource and DEGC Enterprises (U.S.), Inc. dba CCS Medical. The Agreement outlines the terms and conditions for the provision of healthcare services to covered persons. The scope of the Agreement includes the addition of an attachment titled "Exhibit C - Indiana Plan Compensation Schedules" which specifies the reimbursement rates for various medical equipment and supplies.
1025	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1026	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1027	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1028	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	59-3271823
1029	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1030	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1031	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	08-01-2020
1032	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1033	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1034	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1035	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1036	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1037	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1038	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is August 01, 2020.
1039	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1040	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt				DME	N/A	Insulin Supplies	Medicare Allowed Amount	Billed Charges	Y	Provider's billed charges or Medicare Allowed Amount	100%							Specific code shall be paid according to the chart below
1041	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt				DME	N/A	Urological and Wound	65% of the prevailing Medicare rate	Billed Charges	Y	Provider's billed charges or 65% of the prevailing Medicare rate	65%							Incontinence supplies will reimburse at 65% of Indiana Medicaid fee schedule
1042	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt				DME	N/A	Ostomy Supplies	Indiana Medicaid Fee Schedule	Billed Charges	Y	Provider's billed charges or Indiana Medicaid Fee Schedule	100%							Ostomy supplies will reimburse at 100% of the Indiana Medicaid Fee Schedule
1043	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt				DME	N/A	Urological and Wound Care	80% of Indiana Medicaid fee schedule	Billed Charges	Y	Provider's billed charges or 80% of Indiana Medicaid fee schedule	80%							Urological and Wound Care supplies will reimburse at 80% of Indiana Medicaid fee schedule
1044	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt				DME	N/A	Incontinence Supplies	65% of Indiana Medicaid fee schedule	Billed Charges	Y	Provider's billed charges or 65% of Indiana Medicaid fee schedule	65%							Incontinence supplies will reimburse at 65% of Indiana Medicaid fee schedule
1045	CCS Medical IN HIP Hoosier Healthwise - Second Amendment Revised -DEGC signed.txt												N/A	N/A	N/A	N/A	N/A	N/A
1046	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1047	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Ancillary Services Agreement
1048	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish the terms and conditions for the provision of ancillary services by the Servicer to the Plan. The Agreement outlines the rights and obligations of both parties, including reimbursement for payments made in error, termination provisions, and the responsibilities of each party upon termination. The Agreement also addresses false claims, compliance with applicable laws and regulations, and the transfer of medical records.
1049	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1050	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
1051	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1052	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1053	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1054	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1055	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	01-01-2015
1056	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1057	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Addendum
1058	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1059	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1060	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1061	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1062	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The create date of the contract is 20150101.
1063	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1064	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt				Durable Medical Equipment		Not Specified	Ohio Medicaid Fee Schedule	Fee Schedule	N									Insulin Infusion Pump, code E0784 - 100% of the prevailing Ohio Medicaid Fee Schedule.			Not Specified
1065	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt				Durable Medical Equipment		Not Specified	$42.00 each	Billed Charges	N									Scales, code E1639 - $42.00 each.			Not Specified
1066	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt				Durable Medical Equipment		Not Specified	$368.74 monthly	Billed Charges	N									The rental of an insulin pump, maximum 13 months: Insulin Infusion Pump, code E0784 - $368.74 monthly.			Not Specified
1067	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt				Durable Medical Equipment		Not Specified	$13.00 per day	Billed Charges	N									Continuous glucose monitoring: Sensor, code A9276 - $13.00 per day.			Not Specified
1068	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt				Durable Medical Equipment		Not Specified	$685.00 each	Billed Charges	N									Continuous glucose monitoring: Transmitter, code A9277 - $685.00 each.			Not Specified
1069	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt				Durable Medical Equipment		Not Specified	$585.00 each	Billed Charges	N									Continuous glucose monitoring: Receiver, code A9278 - $585.00 each.			Not Specified
1070	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt				Durable Medical Equipment		Not Specified	$695.00 each	Billed Charges	N									Omnipod: Personal Device Manager (replacement every 4 years), code E1399 - $695.00 each.			Not Specified
1071	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt				Durable Medical Equipment		Not Specified	$34.00 each	Billed Charges	N									Omnipod: Pods, code A9274 - $34.00 each.			Not Specified
1072	CCS Medical_DEGC Enterprises US Inc_Ancillary Services Agreement_20150101.txt												N/A	N/A	N/A	N/A	N/A	N/A
1073	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1074	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Dually Executed GA
1075	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between CareSource and the Provider. It covers various aspects such as summary suspension, indemnification, limitation of liability, dispute resolution, and governing law. The Agreement aims to ensure the fair treatment of Covered Persons and outlines the responsibilities and obligations of both parties.
1076	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1077	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
1078	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Georgia
1079	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1080	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1081	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1082	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	July, 1, 2017
1083	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1084	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
1085	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
1086	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1087	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	Yes
1088	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1089	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The create date of the contract is August 1, 2017.
1090	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1091	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt				Hospital			Billed Charges	Billed Charges																						Inpatient	Trach	Y	For Covered Services rendered to Members below 199% of Federal Poverty Level 70%
1092	Chattanooga-Hamilton County Hospital Authority_20170801_Dually Executed GA_ MCD.txt												N/A	N/A	N/A	N/A	N/A	N/A
1093	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1094	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Base Contract
1095	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the rights and obligations between CARESOURCE and CHILDREN'S HOSPITAL AND PHYSICIANS' HEALTHCARE NETWORK, INC. D.B.A. PARTNERS FOR KIDS (PFK). It outlines the conditions for the use of PFK's name, the governing laws, the process for amending the Agreement, and the confidentiality requirements. The Agreement also includes provisions for indemnification, termination, and the return or destruction of protected health information (PHI) and electronic protected health information (ePHI).
1096	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1097	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
1098	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1099	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1100	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1101	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1102	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	12-01-2006
1103	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1104	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
1105	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1106	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1107	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1108	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1109	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	12-01-2006
1110	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1111	Children's Hospital and Physicians' Healthcare Network_Base Contract.txt												N/A	N/A	N/A	N/A	N/A	N/A
1112	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1113	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	The Agreement
1114	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing agreement between CareSource and Community Health Network, Inc. The scope of the Agreement includes changes to the compensation schedules for various healthcare services provided by Community Health Network, Inc. under the CareSource Indiana Marketplace Qualified Health Plan. Additionally, the Agreement clarifies that facilities located within Hamilton and Marion County are not considered in-network or participating providers for the CareSource Indiana Marketplace Plan.
1115	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	9
1116	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1117	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1118	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1119	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1120	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1121	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	January 1, 2022
1122	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1123	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1124	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1125	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1126	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1127	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1128	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	January 1, 2022
1129	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1130	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt				Hospital	Inpatient Facility Services	General	Medicare Allowed Amount	Fee Schedule	Y	135%								Inpatient Reimbursement calculated as sum of operating base rate and capital base rate multiplied by Medicare DRG weight, plus adjustments for IME, DSH, and outlier payments if applicable.
1131	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt				Hospital	Outpatient Facility Services	General	Medicare Allowed Amount	Fee Schedule	Y	135%								All Procedure Codes not covered by Medicare or Indiana Medicaid shall be non-covered except for Procedure Codes listed in Table 1.
1132	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt				Ambulatory Surgery Center	ASC	General	Medicare Allowed Amount	Fee Schedule	Y	135%
1133	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt				Home Health/Home Infusion	Home Health	General	Medicare Allowed Amount	Fee Schedule	Y	120%
1134	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt				Hospice	Hospice	General	Medicare Allowed Amount	Fee Schedule	Y	120%
1135	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt				Durable Medical Equipment	DME	General	Medicare Allowed Amount	Fee Schedule	Y	120% or MSRP minus 15%								Reimbursement is 75% of MSRP for codes manually priced.
1136	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt				Physician/Provider Group/Ancillary	Physician Services	General	Medicare Allowed Amount	Fee Schedule	Y	120%
1137	CHN HOS mp_Executed-Community HIX BH Amendment 9th.txt												N/A	N/A	N/A	N/A	N/A	N/A
1138	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1139	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Group Practice Agreement
1140	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing Group Practice Agreement between CareSource and Community Physicians of Indiana, Inc. The Agreement includes provisions for state-specific provisions for Indiana, Medicaid plan addendum, plan compensation schedules, and other terms and conditions related to payment of claims, termination, medical record transfer, compliance with laws and regulations, and reimbursement for covered services. The Agreement applies to the services provided by the Provider to Covered Persons under the CareSource Plan in the State of Indiana.
1141	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1142	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1143	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1144	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1145	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1146	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1147	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	09-08-2016
1148	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1149	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1150	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1151	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1152	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1153	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1154	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 9/8/16.
1155	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1156	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt				Physician/Provider Group	Outpatient	General	Indiana Medicaid Fee Schedule	Fee Schedule	Y	100% of the prevailing Indiana Medicaid fee schedule	100%							Injectable medications will generally be paid at 100%, according to the prevailing Indiana Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager.
1157	CHN Provider Group IN Amendment Dually Executed 9.8.2016 (1).txt				Group/Ancillary	Outpatient	General	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							Injectable medications will generally be paid at 100% according to the Medicare Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager.
1158	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1159	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Group Practice Agreement
1160	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing Group Practice Agreement between CareSource and Community Physicians of Indiana, Inc. The Agreement includes provisions for payment of claims, timing for payment of claims, termination options for the Primary Medical Provider, transfer of medical records, compliance with laws and regulations, and reimbursement policies. The Agreement applies to Covered Services provided to Covered Persons in the State of Indiana.
1161	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1162	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1163	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1164	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1165	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1166	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1167	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	09-08-2016
1168	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1169	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1170	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1171	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1172	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1173	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1174	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	09-08-2016
1175	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1176	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt				Physician/Provider Group		General	Indiana Medicaid Fee Schedule	Fee Schedule	Y	100% of the prevailing Indiana Medicaid fee schedule	100%							Injectable medications will generally be paid at 100%, according to the prevailing Indiana Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager.			Outpatient
1177	CHN Provider Group IN Amendment Dually Executed 9.8.2016.txt				Physician/Provider Group		General	Medicare Allowed Amount	Fee Schedule	Y	100% of the Medicare Allowed Amount	100%							Injectable medications will generally be paid at 100% according to the Medicare Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager.			Outpatient
1178	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1179	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Provider Agreement
1180	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement is a contract between CareSource Georgia, Co. and Children's Healthcare of Atlanta, Inc. It is an amendment to an existing Provider Agreement and its purpose is to modify and update certain sections of the Agreement. The scope of the Agreement includes the provision of health benefit plans and covered services to eligible individuals, as well as the reimbursement of services provided by Children's.
1181	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1182	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
1183	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1184	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	01-0723254
1185	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	1316456825
1186	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	(404) 785-3229
1187	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	07-01-2022
1188	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	June 30, 2023
1189	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1190	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1191	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1192	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1193	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1194	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	08-06-2022
1195	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1196	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt				Hospital		Trach	Billed Charges	Billed Charges	Y	Allowable	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level												Inpatient
1197	CHOA Ninth Amendment GA MCD_Extend_07.01.2022 -06.30.23_ MP Revisions Eff.07-01-2022.txt												N/A	N/A	N/A	N/A	N/A	N/A
1198	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1199	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	2023 04 01 Children's CareSource Amendment CHOA signed 1
1200	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to modify certain provisions related to Medicaid PCS - Provider - Attachment 3, Attachment 4, Attachment 5, Exhibit I, and Exhibit J. The Agreement affirms the existing terms and conditions of the Agreement, except for the modifications specified. It also establishes that this Amendment will control in case of any conflicts with the original Agreement.
1201	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1202	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	N/A
1203	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1204	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1205	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1206	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1207	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	Jan 25, 2023
1208	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1209	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
1210	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
1211	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1212	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1213	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1214	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	25-01-2023
1215	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1216	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt				Hospital			DCH DRG classification (Tricare Version 35 that was in effect for FFS Medicaid January 1, 2019)	Fee Schedule	Y	100% of the DRG payment amount	100%							CareSource shall pay HSOC 100.00% of the DRG payment amount												Inpatient	Trach
1217	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt				Hospital			Billed Charges	Billed Charges	Y	100% of the DRG payment amount	100%							CareSource shall pay HSOC 100.00% of the DRG payment amount												Inpatient	Trach
1218	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt												140	Simple Pneumonia & Pleurisy Age 0-17	881	Depressive neuroses	99284	Emergency department visit for the evaluation and management of a patient
1219	CHOA Tenth Amendment GA MCD 2023 04 01 Children's CareSource Amendment CHOA signed_Rates Inpt_Prof.txt												140	Simple Pneumonia & Pleurisy Age 0-17	N/A	N/A	0450	General
1220	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1221	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Provider Agreement
1222	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement is a provider agreement between CareSource Georgia, Co. and Children's Healthcare of Atlanta, Inc. It is intended to amend the existing Provider Agreement between the two parties. The purpose of the Agreement is to outline the terms and conditions for the provision of healthcare services by Children's Hospitals to CareSource members. The scope of the Agreement includes the reimbursement terms for Children's Hospitals, the applicability of the attachment to Children's Hospitals, and the control of the Amendment over conflicting provisions in the Agreement.
1223	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1224	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
1225	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1226	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1227	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1228	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1229	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
1230	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1231	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1232	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1233	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1234	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1235	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1236	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is not provided in the given context information.
1237	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1238	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt				Hospital		Trach	Billed Charges	Billed Charges	Y	67.97% of Allowable Charges	67.97%							For Covered Services rendered to Members below 199% of Federal Poverty Level 70%			Inpatient
1239	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt				Hospital		Trach	Billed Charges	Billed Charges	Y	67.97% of Allowable Charges	67.97%										Outpatient
1240	CHOA_Eighth Amendment _MCD-Commerical PCS Revised_Eff. 05-01-21.txt												140	N/A	99284	Emergency department visit for the evaluation and management of a patient	0450	General
1241	CHOA_Second Amendment_QHP.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1242	CHOA_Second Amendment_QHP.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
1243	CHOA_Second Amendment_QHP.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between CareSource and Children's Healthcare of Atlanta, Inc. It covers various aspects such as confidentiality, coding edits, compliance with policies, tiered network assignment, laboratory services, pharmaceutical purchases, reimbursement for health services, timely filing requirements, and the effective term of the agreement.
1244	CHOA_Second Amendment_QHP.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1245	CHOA_Second Amendment_QHP.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
1246	CHOA_Second Amendment_QHP.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1247	CHOA_Second Amendment_QHP.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1248	CHOA_Second Amendment_QHP.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1249	CHOA_Second Amendment_QHP.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1250	CHOA_Second Amendment_QHP.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
1251	CHOA_Second Amendment_QHP.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1252	CHOA_Second Amendment_QHP.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1253	CHOA_Second Amendment_QHP.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1254	CHOA_Second Amendment_QHP.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1255	CHOA_Second Amendment_QHP.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1256	CHOA_Second Amendment_QHP.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1257	CHOA_Second Amendment_QHP.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is not provided in the given context information.
1258	CHOA_Second Amendment_QHP.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1259	CHOA_Second Amendment_QHP.txt				Hospital	Inpatient	General	68% of Allowable Charges	Billed Charges	N		68%							Allowed Amount for inpatient Covered Services
1260	CHOA_Second Amendment_QHP.txt				Hospital	Outpatient	General	68% of Allowable Charges	Billed Charges	N		68%							Allowed Amount for outpatient Covered Services
1261	CHOA_Second Amendment_QHP.txt				Provider	Professional Services	Surgical and Anesthesia	350% of the 2019 Medicare Fee Schedule	Fee Schedule	Y	Allowable Charges	350%							For services with a Medicare Fee assigned
1262	CHOA_Second Amendment_QHP.txt				Provider	Professional Services	All Other Services	280% of the 2019 Medicare Fee Schedule	Fee Schedule	Y	Allowable Charges	280%							For services with a Medicare Fee assigned
1263	CHOA_Second Amendment_QHP.txt				Provider	Professional Services	Services without a Medicare Fee	80% of Allowable Charges	Billed Charges	N		80%							For services that do not have a 2019 Medicare Fee Assigned
1264	CHOA_Second Amendment_QHP.txt				Provider	Day Treatment Programs	Feeding Program	$2,025 Per Diem	Per Diem	N									Fixed payment for services rendered on a single date of service
1265	CHOA_Second Amendment_QHP.txt				Provider	Day Treatment Programs	Severe Behavioral Program	$2,025 Per Diem	Per Diem	N									Fixed payment for services rendered on a single date of service
1266	CHOA_Second Amendment_QHP.txt												N/A	N/A	N/A	N/A	N/A	N/A
1267	Cincinnati Children's Second Amendment_20140101_MP.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1268	Cincinnati Children's Second Amendment_20140101_MP.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Agreement
1269	Cincinnati Children's Second Amendment_20140101_MP.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing agreement between CareSource and Cincinnati Children's Hospital Medical Center. The amendment includes the addition of a reimbursement for CareSource Just4Me, a qualified health plan for the Health Insurance Exchange or Marketplace. The scope of the Agreement includes the acceptance of payment in full by the Hospital for covered services rendered to members, based on specified reimbursement rates.
1270	Cincinnati Children's Second Amendment_20140101_MP.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1271	Cincinnati Children's Second Amendment_20140101_MP.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	N/A
1272	Cincinnati Children's Second Amendment_20140101_MP.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1273	Cincinnati Children's Second Amendment_20140101_MP.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1274	Cincinnati Children's Second Amendment_20140101_MP.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1275	Cincinnati Children's Second Amendment_20140101_MP.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1276	Cincinnati Children's Second Amendment_20140101_MP.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	January 1, 2014
1277	Cincinnati Children's Second Amendment_20140101_MP.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1278	Cincinnati Children's Second Amendment_20140101_MP.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1279	Cincinnati Children's Second Amendment_20140101_MP.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1280	Cincinnati Children's Second Amendment_20140101_MP.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1281	Cincinnati Children's Second Amendment_20140101_MP.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1282	Cincinnati Children's Second Amendment_20140101_MP.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1283	Cincinnati Children's Second Amendment_20140101_MP.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	January 1, 2014
1284	Cincinnati Children's Second Amendment_20140101_MP.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1285	Cincinnati Children's Second Amendment_20140101_MP.txt				Hospital	Inpatient and Outpatient Facility Services	N/A	Billed Charges	Billed Charges	Y	95%	95							Reimbursement Rate: 95% of the Hospital's billed charges
1286	Cincinnati Children's Second Amendment_20140101_MP.txt				Hospital	Professional Services	N/A	Billed Charges	Billed Charges	Y	95%	95							Reimbursement Rate: 95% of the Hospital's billed charges
1287	Cincinnati Children's Second Amendment_20140101_MP.txt				Hospital	Home Health, Home Infusion, Hospice, SNF and DME	N/A	Billed Charges	Billed Charges	Y	85%	85							Reimbursement Rate: 85% of the Hospital's billed charges
1288	Cincinnati Children's Second Amendment_20140101_MP.txt				Hospital	Reference Lab	N/A	Medicare Allowed Amount	Fee Schedule	Y	100% or 50% of billed charges	100							100% of the Medicare Allowed Amount or 50% of billed charges for services without a Medicare Allowed Amount
1289	Cincinnati Children's Second Amendment_20140101_MP.txt				Hospital	Injectable medications	N/A	Billed Charges	Billed Charges	Y	85%	85							Generally paid according to 85% of the Hospital's billed charges
1290	Cincinnati Children's Second Amendment_20140101_MP.txt												N/A	N/A	N/A	N/A	N/A	N/A
1291	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1292	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Ohio Hospital Agreement
1293	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing CareSource Ohio Hospital Agreement to include Cincinnati Children's Hospital Medical Center as a provider in the network established by CareSource Kentucky for the CareSource Kentucky Just4MeTM Product on the Kentucky Exchange. The scope of the Agreement includes the reimbursement rates for covered services rendered by the Hospital and the filing deadlines, reimbursement process, and appeals process for claims submitted by the Hospital to Plan.
1294	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1295	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio, Kentucky
1296	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Kentucky
1297	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1298	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1299	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1300	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	1st day of January, 2017
1301	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1302	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1303	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1304	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1305	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1306	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1307	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	1st day of January, 2017
1308	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1309	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt				Hospital	Inpatient and Outpatient Facility Services	N/A	Billed Charges	Billed Charges	Y	95%	95%							Reimbursement Rate: 95% of the Hospital's billed charges.
1310	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt				Hospital	Professional Services	N/A	Billed Charges	Billed Charges	Y	95%	95%							Reimbursement Rate: 95% of the Hospital's billed charges.
1311	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt				Hospital	Home Health, Home Infusion, Hospice, SNF, and DME	N/A	Billed Charges	Billed Charges	Y	85%	85%							Reimbursement Rate: 85% of the Hospital's billed charges.
1312	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt				Hospital	Reference Lab	N/A	Medicare Allowed Amount	Fee Schedule	Y	100% Medicare Allowed Amount or 50% of billed charges	100% or 50%							Covered Services that have not been assigned a Medicare Allowed Amount shall be paid at 50% of billed charges.
1313	Cincinnati Children's Third Amendment_20170101_ A4 OH KY.txt				Hospital	Injectable medications	N/A	Billed Charges	Billed Charges	Y	85%	85%							Injectable medications will generally be paid according to the 85% of the Hospital's billed charges.
1314	Cleveland Clinic Provider Agreement_20171201.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1315	Cleveland Clinic Provider Agreement_20171201.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Cleveland Clinic Provider Agreement
1316	Cleveland Clinic Provider Agreement_20171201.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between the Parties involved. It covers various aspects such as indemnification, limitation of liability, dispute resolution, governing law, compliance with regulatory requirements, and contracting authority. The scope of the Agreement includes intellectual property protection, confidentiality, reimbursement, operational issues, and compliance with applicable laws and regulations.
1317	Cleveland Clinic Provider Agreement_20171201.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1318	Cleveland Clinic Provider Agreement_20171201.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
1319	Cleveland Clinic Provider Agreement_20171201.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1320	Cleveland Clinic Provider Agreement_20171201.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1321	Cleveland Clinic Provider Agreement_20171201.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1322	Cleveland Clinic Provider Agreement_20171201.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1323	Cleveland Clinic Provider Agreement_20171201.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	December 1, 2017
1324	Cleveland Clinic Provider Agreement_20171201.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1325	Cleveland Clinic Provider Agreement_20171201.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
1326	Cleveland Clinic Provider Agreement_20171201.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
1327	Cleveland Clinic Provider Agreement_20171201.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1328	Cleveland Clinic Provider Agreement_20171201.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1329	Cleveland Clinic Provider Agreement_20171201.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1330	Cleveland Clinic Provider Agreement_20171201.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	December 1, 2017
1331	Cleveland Clinic Provider Agreement_20171201.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1332	Cleveland Clinic Provider Agreement_20171201.txt				Hospital		General	Ohio Medicaid	Fee Schedule			107%							For inpatient services, CareSource shall reimburse Provider at a rate of 107% of the relevant ODM rate schedule and reimbursement methodology in effect on the date of service.												Inpatient		Y	107% of the relevant ODM rate schedule and reimbursement methodology
1333	Cleveland Clinic Provider Agreement_20171201.txt				Hospital		General	Ohio Medicaid	Fee Schedule			100%							For outpatient services, CareSource shall reimburse Provider at a rate of 100% of the relevant ODM rate schedule and reimbursement methodology in effect on the date of service.												Outpatient		Y	100% of the relevant ODM rate schedule and reimbursement methodology
1334	Cleveland Clinic Provider Agreement_20171201.txt				Professional		Anesthesiology	Ohio Medicaid	Fee Schedule			105%							For professional anesthesiology services, CareSource shall reimburse Provider at a rate of 105% of the relevant ODM rate schedule in effect on the date of service.												General		Y	105% of the relevant ODM rate schedule
1335	Cleveland Clinic Provider Agreement_20171201.txt				Professional		Radiology	Ohio Medicaid	Fee Schedule			100%							For professional radiology services, CareSource shall reimburse Provider at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.												General		Y	100% of the relevant ODM rate schedule
1336	Cleveland Clinic Provider Agreement_20171201.txt				Professional		Laboratory	Ohio Medicaid	Fee Schedule			100%							For reference lab services, CareSource shall reimburse Provider at a rate of 100% of the relevant ODM rate schedule and reimbursement methodology in effect on the date of service.												General		Y	100% of the relevant ODM rate schedule
1337	Cleveland Clinic Provider Agreement_20171201.txt				Professional		Home Health	Ohio Medicaid	Fee Schedule			100%							For home care services, CareSource shall reimburse Provider at a rate of 100% of the relevant ODM rate schedule and reimbursement methodology in effect on the date of service.												General		Y	100% of the relevant ODM rate schedule
1338	Cleveland Clinic Provider Agreement_20171201.txt				Professional		Home Infusion	Ohio Medicaid	Fee Schedule			100%							For home infusion services the Parties will mutually agree on a time frame and methodology for reducing Provider's reimbursement for home infusion services to 100% of the relevant ODM rate schedule by December 1, 2017.												General		Y	100% of the relevant ODM rate schedule by October 1, 2018
1339	Cleveland Clinic Provider Agreement_20171201.txt				Professional		Hospice	Ohio Medicaid	Fee Schedule			100%							For hospice services, CareSource shall reimburse Provider at a rate of 100% of the relevant ODM rate schedule and reimbursement methodology in effect on the date of service.												General		Y	100% of the relevant ODM rate schedule
1340	Cleveland Clinic Provider Agreement_20171201.txt				Professional		DME	Ohio Medicaid	Fee Schedule			100%							For DME, CareSource shall reimburse Provider at a rate of 100% of the relevant ODM rate schedule and reimbursement methodology in effect on the date of service.												General		Y	100% of the relevant ODM rate schedule
1341	Cleveland Clinic Provider Agreement_20171201.txt				Professional		Anesthesia	Per Diem	Per Diem										For anesthesia services, CareSource shall reimburse Provider at a rate of $26.00 per ASA unit.												General		N
1342	Cleveland Clinic Provider Agreement_20171201.txt				Professional		Unpriced/Unlisted Codes	Billed Charges	Billed Charges			60%, 50%, 45%							For codes that are not priced by ODM, CareSource shall reimburse Provider 60% of billed charges for inpatient facility, 50% of billed charges for outpatient facility and 45% of billed charges for professional services.												General		Y	60% of billed charges for inpatient facility, 50% of billed charges for outpatient facility and 45% of billed charges for professional services
1343	Cleveland Clinic Provider Agreement_20171201.txt												N/A	N/A	N/A	N/A	0450	General
1344	Community Health Network_Base Contract.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1345	Community Health Network_Base Contract.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Base Contract
1346	Community Health Network_Base Contract.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish the terms and conditions between the Parties involved, namely the Plan and the Hospital. The Agreement covers various aspects such as indemnification, limitation of liability, dispute resolution, compliance with HIPAA regulations, access to data, use of names, and the relationship between the Parties. The Agreement also outlines the termination provisions.
1347	Community Health Network_Base Contract.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1348	Community Health Network_Base Contract.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1349	Community Health Network_Base Contract.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1350	Community Health Network_Base Contract.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1351	Community Health Network_Base Contract.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1352	Community Health Network_Base Contract.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1353	Community Health Network_Base Contract.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	10.6.15
1354	Community Health Network_Base Contract.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1355	Community Health Network_Base Contract.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
1356	Community Health Network_Base Contract.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1357	Community Health Network_Base Contract.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1358	Community Health Network_Base Contract.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1359	Community Health Network_Base Contract.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1360	Community Health Network_Base Contract.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	10.6.15
1361	Community Health Network_Base Contract.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1362	Community Health Network_Base Contract.txt				Hospital		N/A	Medicare Allowed Amount	Billed Charges	Y	100% of the Medicare Allowed Amount	100%							The Inpatient Reimbursement shall be calculated as the sum of the Provider's operating base rate and capital base rate multiplied by the Medicare DRG weight, plus adjustments for indirect medical education (IME), disproportional share (DSH) and outlier payments if applicable.			Inpatient and Outpatient Facility Services
1363	Community Health Network_Base Contract.txt				Hospital		N/A	Medicare Allowed Amount	Billed Charges	Y	100% of the Medicare Allowed Amount	100%										Home Health, Hospice, SNF, and Dialysis
1364	Community Health Network_Base Contract.txt				Hospital		N/A	Medicare Allowed Amount	Billed Charges	Y	100% of the Medicare Allowed Amount	100%							When combined with all other sources of payment, CareSource's Payment cannot exceed the Payment listed in this Medicare Addendum.			Reference Lab and DME
1365	Community Health Network_Base Contract.txt												N/A	N/A	N/A	N/A	N/A	N/A
1366	Community Health Network_Eighth Amendment.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1367	Community Health Network_Eighth Amendment.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement between CareSource and Community Health Network, Inc
1368	Community Health Network_Eighth Amendment.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing agreement between CareSource and Community Health Network, Inc. The scope of the Agreement includes the addition of a new exhibit related to the Healthy Indiana Plan Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence.
1369	Community Health Network_Eighth Amendment.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1370	Community Health Network_Eighth Amendment.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1371	Community Health Network_Eighth Amendment.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1372	Community Health Network_Eighth Amendment.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1373	Community Health Network_Eighth Amendment.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1374	Community Health Network_Eighth Amendment.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1375	Community Health Network_Eighth Amendment.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	07-01-2022
1376	Community Health Network_Eighth Amendment.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1377	Community Health Network_Eighth Amendment.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1378	Community Health Network_Eighth Amendment.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1379	Community Health Network_Eighth Amendment.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1380	Community Health Network_Eighth Amendment.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1381	Community Health Network_Eighth Amendment.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1382	Community Health Network_Eighth Amendment.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	07-01-2022
1383	Community Health Network_Eighth Amendment.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1384	Community Health Network_Exchange Addendum.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1385	Community Health Network_Exchange Addendum.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Caresource Provider Agreement for Delegation
1386	Community Health Network_Exchange Addendum.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to delegate responsibilities from the Sponsor to the Provider for the provision of services related to Qualified Health Plans. The scope of the Agreement includes compliance with applicable laws, regulations, and Health Insurance Exchange Rules, reporting obligations, access to books and records, and subcontracting requirements.
1387	Community Health Network_Exchange Addendum.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1388	Community Health Network_Exchange Addendum.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1389	Community Health Network_Exchange Addendum.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1390	Community Health Network_Exchange Addendum.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1391	Community Health Network_Exchange Addendum.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1392	Community Health Network_Exchange Addendum.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1393	Community Health Network_Exchange Addendum.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	07-01-2019
1394	Community Health Network_Exchange Addendum.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1395	Community Health Network_Exchange Addendum.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1396	Community Health Network_Exchange Addendum.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1397	Community Health Network_Exchange Addendum.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1398	Community Health Network_Exchange Addendum.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1399	Community Health Network_Exchange Addendum.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1400	Community Health Network_Exchange Addendum.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	07-11-2019
1401	Community Health Network_Exchange Addendum.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1402	Community Health Network_Exchange Addendum.txt												N/A	N/A	N/A	N/A	N/A	N/A
1403	Community Health Network_Fifth Amendment_Adding TINs.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1404	Community Health Network_Fifth Amendment_Adding TINs.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	The name of the Agreement is "FIFTH AMENDMENT TO THE AGREEMENT BETWEEN CARESOURCE AND COMMUNITY HEALTH NETWORK, INC."
1405	Community Health Network_Fifth Amendment_Adding TINs.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing agreement between CareSource and Community Health Network, Inc. The scope of the Agreement includes adding Federal Tax IDs to the Agreement, adding an exhibit for compensation schedules, clarifying that certain facilities are not in-network, and maintaining the terms and conditions of the original Agreement.
1406	Community Health Network_Fifth Amendment_Adding TINs.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	FIFTH
1407	Community Health Network_Fifth Amendment_Adding TINs.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1408	Community Health Network_Fifth Amendment_Adding TINs.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1409	Community Health Network_Fifth Amendment_Adding TINs.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	350983617
1410	Community Health Network_Fifth Amendment_Adding TINs.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	1336119478
1411	Community Health Network_Fifth Amendment_Adding TINs.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1412	Community Health Network_Fifth Amendment_Adding TINs.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	04-01-2019
1413	Community Health Network_Fifth Amendment_Adding TINs.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1414	Community Health Network_Fifth Amendment_Adding TINs.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1415	Community Health Network_Fifth Amendment_Adding TINs.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1416	Community Health Network_Fifth Amendment_Adding TINs.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1417	Community Health Network_Fifth Amendment_Adding TINs.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1418	Community Health Network_Fifth Amendment_Adding TINs.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1419	Community Health Network_Fifth Amendment_Adding TINs.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	April 1, 2019
1420	Community Health Network_Fifth Amendment_Adding TINs.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1421	Community Health Network_Fifth Amendment_Adding TINs.txt				Ambulatory Surgery Center	Outpatient	Surgery	Medicare Allowed Amount	Billed Charges	Y	100% of the Medicare Allowed Amount	100%							Injectable medications will be paid according to the Medicare fee schedule in effect as of the date the services are rendered.
1422	Community Health Network_Fifth Amendment_Adding TINs.txt				Ambulatory Surgery Center	Outpatient	Surgery	Prevailing Indiana Medicaid Fee Schedule	Billed Charges	Y	Global fee based on 100% of the Prevailing Indiana Medicaid Fee Schedule	100%							Provider acknowledges CareSource shall reimburse the lesser of billed charges or a global fee based on 100% of the Prevailing Indiana Medicaid Fee Schedule.
1423	Community Health Network_Fifth Amendment_Adding TINs.txt				Ambulatory Surgery Center	Outpatient	Surgery	Medicare Allowed Amount	Billed Charges	Y	150% of the Medicare Allowed Amount	150%							Injectable medications will be paid according to the Medicare fee schedule in effect as of the date the services are rendered.
1424	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1425	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Provider Agreement
1426	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing Provider Agreement between CareSource and Community Health Network, Inc. The scope of the Agreement includes the addition of a new exhibit titled "CareSource Indiana, Inc. CareSource Hoosier Choice Plan Compensation Schedule" and the revision of the Affiliations Attachment. All other terms and conditions of the Agreement, including its exhibits and attachments, remain unchanged.
1427	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1428	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1429	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1430	Community Health Network_First Amendment_Adding Hoosier Choice.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	35-0983617
1431	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1432	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1433	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	08-12-2016
1434	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1435	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1436	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
1437	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1438	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1439	Community Health Network_First Amendment_Adding Hoosier Choice.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1440	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	August 1st, 2016
1441	Community Health Network_First Amendment_Adding Hoosier Choice.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1442	Community Health Network_First Amendment_Adding Hoosier Choice.txt				Hospital	Inpatient	Facility Services	Medicare Allowed Amount	Billed Charges	Y	150% of the Medicare Allowed Amount	150%
1443	Community Health Network_First Amendment_Adding Hoosier Choice.txt				Hospital	Outpatient	Facility Services	Medicare Allowed Amount	Billed Charges	Y	150% of the Medicare Allowed Amount	150%
1444	Community Health Network_First Amendment_Adding Hoosier Choice.txt				Professional	N/A	Professional Services	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%
1445	Community Health Network_First Amendment_Adding Hoosier Choice.txt				Home Health/Hospice/SNF/Dialysis	N/A	Home Health, Hospice, SNF, Dialysis	Medicare Allowed Amount	Billed Charges	Y	100% of the Medicare Allowed Amount	100%
1446	Community Health Network_First Amendment_Adding Hoosier Choice.txt				Laboratory/DME	Reference Lab and DME	Lab and DME Services	Medicare Allowed Amount	Billed Charges	Y	100% of the Medicare Allowed Amount	100%
1447	Community Health Network_First Amendment_Adding Hoosier Choice.txt												N/A	N/A	N/A	N/A	N/A	N/A
1448	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1449	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
1450	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions for Provider's participation in Plan's Medicare Advantage, Dual-Eligible Special Needs Plan (D-SNP), and other Medicare product plans. The Agreement outlines the Provider's obligations, compliance with CMS Rules, oversight by Plan, accessibility and continuity of care, treatment plans for Covered Persons with complex medical conditions, and financial protections for Covered Persons. The Agreement's scope covers the provision of Covered Services to Covered Persons and the adherence to CMS Rules and Plan's contractual obligations with CMS.
1451	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1452	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1453	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1454	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1455	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1456	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1457	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	April 1, 2020
1458	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1459	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1460	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1461	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1462	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1463	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1464	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	There is no information provided in the given context about the create date of the contract.
1465	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1466	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt				Hospital		Trach	Billed Charges	Billed Charges	Y	Allowable	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level			Inpatient
1467	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt				Hospital		Trach	Medicare Allowed Amount	Billed Charges	Y	Allowable	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level			Inpatient
1468	Community Health Network_MA DSNP Deeming Letter_IN Timely Filing.txt												N/A	N/A	N/A	N/A	N/A	N/A
1469	Community Health Network_Ninth Amendment.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1470	Community Health Network_Ninth Amendment.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
1471	Community Health Network_Ninth Amendment.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing agreement between CareSource and Community Health Network, Inc. The scope of the Agreement includes the deletion and replacement of certain compensation schedules, the addition of new compensation schedules, and the clarification that facilities located within Hamilton and Marion County are not in-network or participating providers for the CareSource Indiana Marketplace Plan.
1472	Community Health Network_Ninth Amendment.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1473	Community Health Network_Ninth Amendment.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1474	Community Health Network_Ninth Amendment.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1475	Community Health Network_Ninth Amendment.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1476	Community Health Network_Ninth Amendment.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1477	Community Health Network_Ninth Amendment.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1478	Community Health Network_Ninth Amendment.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	January 1, 2022
1479	Community Health Network_Ninth Amendment.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1480	Community Health Network_Ninth Amendment.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1481	Community Health Network_Ninth Amendment.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1482	Community Health Network_Ninth Amendment.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1483	Community Health Network_Ninth Amendment.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1484	Community Health Network_Ninth Amendment.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1485	Community Health Network_Ninth Amendment.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	January 1, 2022
1486	Community Health Network_Ninth Amendment.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	6/21/22
1487	Community Health Network_Ninth Amendment.txt				Hospital	Inpatient Facility Services	General	Medicare Allowed Amount	Fee Schedule	Y	135%								Reimbursement calculated as sum of operating base rate and capital base rate multiplied by Medicare DRG weight, plus adjustments for IME, DSH, and outlier payments if applicable.
1488	Community Health Network_Ninth Amendment.txt				Hospital	Outpatient Facility Services	General	Medicare Allowed Amount	Fee Schedule	Y	135%								All Procedure Codes not covered by Medicare or Indiana Medicaid shall be non-covered except for Procedure Codes listed in Table 1.
1489	Community Health Network_Ninth Amendment.txt				Ambulatory Surgery Center	ASC	General	Medicare Allowed Amount	Fee Schedule	Y	135%
1490	Community Health Network_Ninth Amendment.txt				Home Health/Home Infusion	Home Health	General	Medicare Allowed Amount	Fee Schedule	Y	120%
1491	Community Health Network_Ninth Amendment.txt				Hospice	Hospice	General	Medicare Allowed Amount	Fee Schedule	Y	120%
1492	Community Health Network_Ninth Amendment.txt				Durable Medical Equipment	DME	General	Medicare Allowed Amount	Fee Schedule	Y	120%								Reimbursement is 75% of MSRP for codes manually priced.
1493	Community Health Network_Ninth Amendment.txt				Physician/Provider Group/Ancillary	Physician Services	General	Medicare Allowed Amount	Fee Schedule	Y	120%
1494	Community Health Network_Ninth Amendment.txt												N/A	N/A	N/A	N/A	N/A	N/A
1495	Community Health Network_Second Amendment_Adding IN MCD.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1496	Community Health Network_Second Amendment_Adding IN MCD.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Hospital Agreement
1497	Community Health Network_Second Amendment_Adding IN MCD.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish the terms and conditions governing the provision of and payment for health services provided to covered persons under the CareSource Indiana, Inc. Medicaid Plan. The Agreement applies to providers who participate in the Plan's Medicaid Network and includes provisions related to claims submission, payment, timing, and compliance with applicable laws and regulations. The Agreement also specifies that Hamilton County, Indiana is the sole venue for any arbitration or legal proceedings related to the Agreement.
1498	Community Health Network_Second Amendment_Adding IN MCD.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1499	Community Health Network_Second Amendment_Adding IN MCD.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1500	Community Health Network_Second Amendment_Adding IN MCD.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1501	Community Health Network_Second Amendment_Adding IN MCD.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1502	Community Health Network_Second Amendment_Adding IN MCD.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1503	Community Health Network_Second Amendment_Adding IN MCD.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1504	Community Health Network_Second Amendment_Adding IN MCD.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	January 1, 2017
1505	Community Health Network_Second Amendment_Adding IN MCD.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1506	Community Health Network_Second Amendment_Adding IN MCD.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1507	Community Health Network_Second Amendment_Adding IN MCD.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1508	Community Health Network_Second Amendment_Adding IN MCD.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1509	Community Health Network_Second Amendment_Adding IN MCD.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1510	Community Health Network_Second Amendment_Adding IN MCD.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1511	Community Health Network_Second Amendment_Adding IN MCD.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 9/8/16.
1512	Community Health Network_Second Amendment_Adding IN MCD.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1513	Community Health Network_Second Amendment_Adding IN MCD.txt				Hospital		General	Indiana Medicaid DRG	Billed Charges	Y	100% of Provider's allowable billed charges	100%							Outliers and transfers reimbursed according to State Methodology			Inpatient
1514	Community Health Network_Second Amendment_Adding IN MCD.txt				Hospital		General	Indiana Medicaid Fee Schedule	Billed Charges	Y	100% of Provider's allowable billed charges	100%										Outpatient
1515	Community Health Network_Second Amendment_Adding IN MCD.txt				Hospital		General	Medicare Allowed Amount	Billed Charges	Y	Provider's billed charges	100%							Includes IME, DSH, and outlier payments if applicable			Inpatient and Outpatient Facility Services
1516	Community Health Network_Second Amendment_Adding IN MCD.txt				Hospital		General	Medicare Allowed Amount	Billed Charges	Y	Provider's billed charges	100%										Professional Services
1517	Community Health Network_Second Amendment_Adding IN MCD.txt				Hospital		General	Medicare Allowed Amount	Billed Charges	Y	Provider's billed charges	100%										Home Health, Hospice, SNF, and Dialysis
1518	Community Health Network_Second Amendment_Adding IN MCD.txt				Hospital		General	Medicare Allowed Amount	Billed Charges	Y	Provider's billed charges	100%							Injectable medications may be available through a specialty pharmacy benefits manager			Reference Lab and DME
1519	Community Health Network_Seventh Amendment.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1520	Community Health Network_Seventh Amendment.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	The name of the Agreement is "SEVENTH AMENDMENT TO THE AGREEMENT BETWEEN CARESOURCE AND COMMUNITY HEALTH NETWORK, INC".
1521	Community Health Network_Seventh Amendment.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing agreement between CareSource and Community Health Network, Inc. The scope of the Agreement includes the reimbursement of facility services, the exclusion of certain facilities from being considered in-network or participating providers, the definition of terms, the continuation of all other terms and conditions of the Agreement, and the prohibition of the provider from billing or seeking payment from covered individuals for covered services.
1522	Community Health Network_Seventh Amendment.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1523	Community Health Network_Seventh Amendment.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1524	Community Health Network_Seventh Amendment.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1525	Community Health Network_Seventh Amendment.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1526	Community Health Network_Seventh Amendment.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1527	Community Health Network_Seventh Amendment.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1528	Community Health Network_Seventh Amendment.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	1/21/2020
1529	Community Health Network_Seventh Amendment.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1530	Community Health Network_Seventh Amendment.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1531	Community Health Network_Seventh Amendment.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1532	Community Health Network_Seventh Amendment.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1533	Community Health Network_Seventh Amendment.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1534	Community Health Network_Seventh Amendment.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1535	Community Health Network_Seventh Amendment.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	1/21/2020
1536	Community Health Network_Seventh Amendment.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	1/21/2020
1537	Community Health Network_Seventh Amendment.txt				Hospital	Inpatient Facility Services	N/A	Medicare Allowed Amount	Billed Charges	Y	135% of the Medicare Allowed Amount	135%							Inpatient Reimbursement includes operating base rate, capital base rate, DRG weight, plus adjustments for IME, DSH, and outlier payments if applicable.
1538	Community Health Network_Seventh Amendment.txt				Hospital	Outpatient Facility Services	N/A	Medicare Allowed Amount	Billed Charges	Y	135% of the Medicare Allowed Amount	135%							N/A
1539	Community Health Network_Seventh Amendment.txt				Hospital	Inpatient Rehabilitation	N/A	Medicare CMG Allowed Amount	Billed Charges	Y	135% of Medicare CMG Allowed Amount	135%							N/A
1540	Community Health Network_Seventh Amendment.txt				Hospital	Professional Services	N/A	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%							N/A
1541	Community Health Network_Seventh Amendment.txt				Hospital	Home Health, Hospice, SNF, Dialysis	N/A	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%							N/A
1542	Community Health Network_Seventh Amendment.txt				Hospital	Reference Lab, DME, Radiology	N/A	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%							N/A
1543	Community Health Network_Seventh Amendment.txt				Ambulatory Surgery Center	Ambulatory Surgery Center Services	N/A	Medicare Allowed Amount	Billed Charges	Y	135% of the Medicare Allowed Amount	135%							Injectable medications paid at 120% of Medicare fee schedule, subject to change with notice.
1544	Community Health Network_Seventh Amendment.txt				Hospital	Professional Urgent Care	N/A	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%							N/A
1545	Community Health Network_Seventh Amendment.txt				Hospital	Anesthesia	N/A	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%							N/A
1546	Community Health Network_Seventh Amendment.txt												N/A	N/A	N/A	N/A	N/A	N/A
1547	Community Health Network_Sixth Amendment.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1548	Community Health Network_Sixth Amendment.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement between CareSource and Community Health Network, Inc.
1549	Community Health Network_Sixth Amendment.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish a contractual relationship between CareSource and Community Health Network, Inc. The Agreement outlines the terms and conditions for the provision of Covered Services by Community Health Network, Inc. to Covered Persons under the CareSource Indiana Healthy Indiana Plan. The Agreement also includes compensation schedules and provisions regarding billing, collection, and reimbursement.
1550	Community Health Network_Sixth Amendment.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1551	Community Health Network_Sixth Amendment.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1552	Community Health Network_Sixth Amendment.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1553	Community Health Network_Sixth Amendment.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1554	Community Health Network_Sixth Amendment.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1555	Community Health Network_Sixth Amendment.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1556	Community Health Network_Sixth Amendment.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	01-01-2020
1557	Community Health Network_Sixth Amendment.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1558	Community Health Network_Sixth Amendment.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1559	Community Health Network_Sixth Amendment.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1560	Community Health Network_Sixth Amendment.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1561	Community Health Network_Sixth Amendment.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1562	Community Health Network_Sixth Amendment.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1563	Community Health Network_Sixth Amendment.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 08/26/19.
1564	Community Health Network_Sixth Amendment.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1565	Community Health Network_Sixth Amendment.txt				Ambulatory Surgery Center	Outpatient	Surgery	Medicare	Billed Charges	Y	100% of the Medicare Allowed Amount	100%							Injectable medications will be paid according to the Medicare fee schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager.
1566	Community Health Network_Sixth Amendment.txt				Hospital	Inpatient	General	Medicare	Billed Charges	Y	100% of the Medicare Allowed Amount	100%							Inpatient Reimbursement shall be calculated as the sum of the Provider's operating base rate and capital base rate multiplied by the Medicare DRG weight, plus adjustments for IME, DSH and outlier payments if applicable.
1567	Community Health Network_Sixth Amendment.txt				Hospital	Outpatient	General	Medicare	Billed Charges	Y	100% of the Medicare Allowed Amount	100%							Outpatient Facility Services Reimbursement Rate
1568	Community Health Network_Sixth Amendment.txt				Hospital	Inpatient	Rehabilitation	Medicare CMG	Billed Charges	Y	100% of Medicare CMG Allowed Amount	100%							Inpatient Rehabilitation Rate
1569	Community Health Network_Sixth Amendment.txt				Hospital	Outpatient	General	Indiana Medicaid	Billed Charges	Y	100% of the Indiana Medicaid Fee Schedule	100%							Outpatient Services Reimbursement Rate
1570	Community Health Network_Sixth Amendment.txt				Hospital	Inpatient	General	Indiana Medicaid DRG	Billed Charges	Y	100% of the Indiana Medicaid DRG	100%							Inpatient Services Reimbursement Rate
1571	Community Health Network_Sixth Amendment.txt				Hospital	Inpatient	Rehabilitation	State Methodology	Billed Charges	Y	Inpatient Rehabilitation shall be reimbursed according to State Methodology								Inpatient Rehabilitation Reimbursement
1572	Community Health Network_Sixth Amendment.txt				Hospital	Inpatient	General	Medicare	Billed Charges	Y	150% of the Medicare Allowed Amount	150%							Inpatient and Outpatient Facility Services Reimbursement Rate
1573	Community Health Network_Sixth Amendment.txt				Hospital	Inpatient	Rehabilitation	Medicare CMG	Billed Charges	Y	150% of Medicare CMG Allowed Amount	150%							Inpatient Rehabilitation Rate
1574	Community Health Network_Sixth Amendment.txt				Hospital	Outpatient	General	Medicare	Billed Charges	Y	120% of the Medicare Allowed Amount	120%							Professional Services, Home Health, Hospice, SNF, Dialysis, Reference Lab, DME, and Radiology Reimbursement Rate
1575	Community Health Network_Sixth Amendment.txt				Ambulatory Surgery Center	Outpatient	Surgery	Medicare	Billed Charges	Y	150% of the Medicare Allowed Amount	150%							Ambulatory Surgery Center Services Reimbursement Rate
1576	Community Health Network_Tenth Amendment.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1577	Community Health Network_Tenth Amendment.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
1578	Community Health Network_Tenth Amendment.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing agreement between CareSource and Community Health Network, Inc. The scope of the Agreement includes the addition of a new exhibit related to the Healthy Indiana Plan (HIP) and improving outcomes for substance use through targeted provider outreach.
1579	Community Health Network_Tenth Amendment.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	Tenth
1580	Community Health Network_Tenth Amendment.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1581	Community Health Network_Tenth Amendment.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1582	Community Health Network_Tenth Amendment.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1583	Community Health Network_Tenth Amendment.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1584	Community Health Network_Tenth Amendment.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1585	Community Health Network_Tenth Amendment.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	08-02-2022
1586	Community Health Network_Tenth Amendment.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1587	Community Health Network_Tenth Amendment.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1588	Community Health Network_Tenth Amendment.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
1589	Community Health Network_Tenth Amendment.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1590	Community Health Network_Tenth Amendment.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1591	Community Health Network_Tenth Amendment.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1592	Community Health Network_Tenth Amendment.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 8/2/2022.
1593	Community Health Network_Tenth Amendment.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	08-02-2022
1594	Community Health Network_Third and Fourth Amendments.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1595	Community Health Network_Third and Fourth Amendments.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
1596	Community Health Network_Third and Fourth Amendments.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to outline the terms and conditions between CareSource Indiana, Inc. and Community Health Network, Inc. It specifies that facilities located within Hamilton and Marion County are not considered in-network or participating providers for the CareSource Indiana Marketplace Plan. The Agreement also prohibits the provider from billing or seeking remuneration from covered persons for covered services, except for cost shares required by the plan or non-covered services. The Agreement's terms remain in full force and effect unless expressly amended.
1597	Community Health Network_Third and Fourth Amendments.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1598	Community Health Network_Third and Fourth Amendments.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1599	Community Health Network_Third and Fourth Amendments.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1600	Community Health Network_Third and Fourth Amendments.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	350983617
1601	Community Health Network_Third and Fourth Amendments.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1602	Community Health Network_Third and Fourth Amendments.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1603	Community Health Network_Third and Fourth Amendments.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	01-01-2017
1604	Community Health Network_Third and Fourth Amendments.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1605	Community Health Network_Third and Fourth Amendments.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1606	Community Health Network_Third and Fourth Amendments.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1607	Community Health Network_Third and Fourth Amendments.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1608	Community Health Network_Third and Fourth Amendments.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1609	Community Health Network_Third and Fourth Amendments.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1610	Community Health Network_Third and Fourth Amendments.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	12/20/17
1611	Community Health Network_Third and Fourth Amendments.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	12/20/17
1612	Community Health Network_Third and Fourth Amendments.txt				Hospital		General	Medicare Allowed Amount	Billed Charges	Y	150% of the Medicare Allowed Amount	150%							Inpatient Reimbursement includes operating base rate, capital base rate, DRG weight, plus adjustments for IME, DSH, and outlier payments if applicable.			Inpatient
1613	Community Health Network_Third and Fourth Amendments.txt				Hospital		General	Medicare Allowed Amount	Billed Charges	Y	150% of the Medicare Allowed Amount	150%										Outpatient
1614	Community Health Network_Third and Fourth Amendments.txt				Professional		General	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%										Professional Services
1615	Community Health Network_Third and Fourth Amendments.txt				Home Health		General	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%										Home Health
1616	Community Health Network_Third and Fourth Amendments.txt				Hospice		General	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%										Hospice
1617	Community Health Network_Third and Fourth Amendments.txt				SNF		General	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%										SNF
1618	Community Health Network_Third and Fourth Amendments.txt				Dialysis		General	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%										Dialysis
1619	Community Health Network_Third and Fourth Amendments.txt				Lab		General	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%										Reference Lab
1620	Community Health Network_Third and Fourth Amendments.txt				DME		General	Medicare Allowed Amount	Billed Charges	Y	120% of the Medicare Allowed Amount	120%										DME
1621	Community Health Network_Third and Fourth Amendments.txt				Pharmacy		General	Medicare Fee Schedule	Billed Charges	Y	120% of the Medicare Fee Schedule	120%							Except for drugs available through a specialty pharmacy benefits manager			Injectable Medications
1622	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1623	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	The name of the Agreement is not provided in the given context.
1624	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement establishes the terms and conditions between the Group Practice and the Plan. It covers matters such as notice requirements, conflict resolution through arbitration, exceptions for seeking equitable remedies, governing law and venue, contracting authority, changes in law, compliance with regulatory requirements, assignment, non-exclusivity, and the entire agreement.
1625	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1626	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Hamilton County, Indiana
1627	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1628	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	61-1276316 , 61-0978438 61-0703799
1629	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1630	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1631	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	2-17-2015
1632	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1633	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1634	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
1635	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1636	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1637	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1638	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	January 1, 2015
1639	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1640	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt				Professional Services		Adult Covered Persons	Medicare Allowed Amount	Fee Schedule			125%																			Not Specified		Y	125% of the Medicare Allowed Amount
1641	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt				Professional Services		Pediatric Covered Persons	Medicare Allowed Amount	Fee Schedule			135%																			Not Specified		Y	135% of the Medicare Allowed Amount
1642	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt				Injectable Medications		Not Specified	Medicare Fee Schedule	Fee Schedule			110%							Except for those drugs that may be available through a specialty pharmacy benefits manager												Not Specified		Y	110% of the Medicare Fee Schedule
1643	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt				Services Not on Medicare Fee Schedule		Not Specified	Billed Charges	Billed Charges			35%																			Not Specified		Y	35% of billed charges
1644	Community Medical Associates_20150217_Dually Executed_IN MP-ID C12324214AA.txt												140	Depressive neuroses	99284	Emergency department visit for the evaluation and management of a patient	0450	General
1645	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1646	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
1647	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement is a comprehensive document that outlines the terms and conditions agreed upon by the Parties. It covers various aspects such as non-exclusivity, notice requirements, conflict resolution, and limitation of liability. The purpose of the Agreement is to establish a mutually beneficial relationship between the Parties and govern their interactions regarding the subject matter. It supersedes all other agreements and sets out the rights and obligations of each Party.
1648	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1649	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Kentucky
1650	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Kentucky
1651	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1652	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1653	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1654	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	2/17/15
1655	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1656	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
1657	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1658	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1659	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1660	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1661	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The create date of the contract is January 1, 2015.
1662	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1663	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt				Professional Services			130% of the Medicare Allowed Amount	Fee Schedule			130%																			Not Specified	Not Specified	Y	Group Practice's billed charges
1664	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt				Professional Services			140% of the Medicare Allowed Amount	Fee Schedule			140%																			Not Specified	Maternal Fetal Medicine, Oncology, Neurosurgery, Orthopaedics	Y	Group Practice's billed charges
1665	Community Medical Associates_20150217_Dually Executed_KY MP-ID C12297981AA.txt				Professional Services			110% of the Medicare Fee Schedule	Fee Schedule			110%							Injectable medications												Not Specified	Not Specified	Y	Group Practice's billed charges
1666	Community Physicians of Indiana Inc.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1667	Community Physicians of Indiana Inc.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
1668	Community Physicians of Indiana Inc.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions for Provider's participation in Plan's Medicare Advantage Plan. It outlines the Provider's obligations, including compliance with CMS Rules and allowing audits by HHS and the Comptroller General. The Agreement also addresses the accessibility and continuity of care for Covered Persons and the financial protections for Dual Eligible Members.
1669	Community Physicians of Indiana Inc.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1670	Community Physicians of Indiana Inc.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1671	Community Physicians of Indiana Inc.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1672	Community Physicians of Indiana Inc.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1673	Community Physicians of Indiana Inc.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1674	Community Physicians of Indiana Inc.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1675	Community Physicians of Indiana Inc.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	April 1, 2020
1676	Community Physicians of Indiana Inc.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1677	Community Physicians of Indiana Inc.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1678	Community Physicians of Indiana Inc.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
1679	Community Physicians of Indiana Inc.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1680	Community Physicians of Indiana Inc.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1681	Community Physicians of Indiana Inc.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1682	Community Physicians of Indiana Inc.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	There is no information provided in the given context about the create date of the contract.
1683	Community Physicians of Indiana Inc.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1684	Community Physicians of Indiana Inc.txt				Hospital	Inpatient	Trach	Billed Charges	Billed Charges	Y	100% of the Medicare allowed amount	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level
1685	Community Physicians of Indiana Inc.txt				Hospital	Inpatient	Trach	Medicare Allowed Amount	Billed Charges	Y	Billed Charges	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level
1686	Community Physicians of Indiana Inc.txt												N/A	N/A	N/A	N/A	N/A	N/A
1687	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1688	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Hospital Agreement
1689	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing CareSource Hospital Agreement between CareSource and Dayton Children's Hospital. The scope of the Agreement includes the reimbursement rates for medically necessary covered services provided by the Hospital to members, as well as the terms and conditions governing the agreement.
1690	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1691	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
1692	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1693	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	31-0672132
1694	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1695	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1696	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	January 1, 2022
1697	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1698	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1699	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1700	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1701	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1702	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1703	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is January 1, 2022.
1704	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1705	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt				Hospital	Inpatient	Facility Services	Billed Charges	Billed Charges	Y	25% of Hospital's total Eligible Billed Charges	25%
1706	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt				Hospital	Outpatient	Facility Services	Medicare	Fee Schedule	Y	150% of the Medicare allowed amount	150%
1707	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt				Hospital	Outpatient	Professional Services	Medicare	Fee Schedule	Y	150% of the Medicare Allowed Amount	150%
1708	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt				Hospital	Outpatient	Reference Lab / DME	Medicare	Fee Schedule	Y	150% of the Medicare Allowed Amount	150%
1709	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt				Hospital	Outpatient	Home Health, Hospice, Dialysis, SNF	Medicare	Fee Schedule	Y	150% of the Medicare Allowed Amount	150%
1710	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt				Hospital	Outpatient	Specialty and Non-Specialty Drugs and Services	Medicare	Fee Schedule	Y	100% of the Medicare allowed amount	100%
1711	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt				Hospital	Outpatient	Drugs not otherwise specified	AWP	Billed Charges	Y	AWP minus 15%	AWP minus 15%
1712	DCH_Tenth Amendment_20220401_OH Marketplace A.4_20220510_Final.txt												N/A	N/A	N/A	N/A	N/A	N/A
1713	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1714	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement
1715	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the dispute resolution process between CareSource and Provider. It specifies that if a dispute is not resolved within a certain timeframe, it can be referred to binding arbitration. The Agreement also includes provisions for indemnification and limitation of liability. Additionally, it states that the Agreement may be subject to review and approval by state and federal agencies.
1716	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1717	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
1718	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Indiana
1719	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1720	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1721	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1722	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
1723	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1724	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
1725	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1726	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1727	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1728	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1729	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	11-22-16
1730	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1731	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Hospital	Inpatient	HAF Eligible Inpatient Facility Services	Medicaid Fee Schedule with the HAF adjustment factors applied	Fee Schedule	N		100%
1732	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Hospital	Outpatient	HAF Eligible Outpatient Facility	Medicaid Fee Schedule with the HAF adjustment factors applied	Fee Schedule	N		100%
1733	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Hospital	Inpatient	Non-Eligible HAF Hospital Inpatient	Medicare Fee Schedule	Fee Schedule	N	If Medicare Fee Schedule does not exist, 130% of the Medicaid Fee Schedule shall apply	100%
1734	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Hospital	Outpatient	Non-Eligible HAF Hospital Outpatient	Medicare Fee Schedule	Fee Schedule	N	If Medicare Fee Schedule does not exist, 130% of the Medicaid Fee Schedule shall apply	100%
1735	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Hospital	Outpatient	Reference Laboratory	Medicare Fee Schedule	Fee Schedule	N	If Medicare Fee Schedule does not exist, 130% of the Medicaid Fee Schedule shall apply	100%							Covered Services provided at a hospital based reference laboratory
1736	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Other Services	Home Health	Home Health	Medicaid Fee Schedule	Fee Schedule	N		100%
1737	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Other Services	Hospice	Hospice	Medicaid Fee Schedule	Fee Schedule	N		100%
1738	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Other Services	Ancillary Services	Ancillary Services	Medicaid Fee Schedule	Fee Schedule	N		100%
1739	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Other Services	DME	DME	Medicaid Fee Schedule	Fee Schedule	N		100%
1740	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Physicians	Office	Physicians	Medicaid Fee Schedule	Fee Schedule	N		100%							For Covered Services rendered by physicians
1741	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt				Physicians	Office	Non-physicians	Medicaid Fee Schedule	Fee Schedule	N		100%							For Covered Services rendered by non-physicians
1742	Deaconess Health System Dually Executed 11.22.16 IN CareSource Mdcd Agreement.txt												N/A	N/A	N/A	N/A	N/A	N/A
1743	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	UzeWBR0pv60xsM-0vEAF7w
1744	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	National Agreement Template
1745	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish the terms and conditions between CareSource and the Provider. It outlines the rights and obligations of both parties and covers areas such as covered services, termination of coverage, indemnification, limitation of liability, dispute resolution, and governing law. The Agreement applies to the provision of healthcare services and is intended to benefit covered persons.
1746	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1747	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Ohio
1748	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1749	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	58-2643952
1750	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	58-2643952
1751	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	58-2643952
1752	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	N/A
1753	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1754	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
1755	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Professional
1756	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1757	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1758	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1759	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	20170623
1760	East Georgia Pediatrics PC_20170623_National Agreement Template.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1761	East Georgia Pediatrics PC_20170623_National Agreement Template.txt				Physician/Provider/Group		Not Specified	100% of the prevailing Georgia (GA) Medicaid fee schedule for physician Covered Services	Fee Schedule		Provider's billed charges	100%							Injectable medications will generally be paid at 100%, according to the Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. Anesthesia will be reimbursed per GA Medicaid Fee Schedule. CareSource reserves the right to amend reimbursement policies with advanced notice.												Not Specified		Y
1762	East Georgia Pediatrics PC_20170623_National Agreement Template.txt				Non-Physician		Not Specified	90% of the current Georgia Medicaid fee schedule for non-physician Covered Services	Fee Schedule		Provider's billed charges	90%							Injectable medications will generally be paid at 100%, according to the Medicaid Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. Anesthesia will be reimbursed per GA Medicaid Fee Schedule. CareSource reserves the right to amend reimbursement policies with advanced notice.												Not Specified		Y
1763	East Georgia Pediatrics PC_20170623_National Agreement Template.txt												N/A	N/A	N/A	N/A	N/A	N/A
1764	East Georgia Regional Medical Center_Base Contract.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1765	East Georgia Regional Medical Center_Base Contract.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	East Georgia Medical Center National Provider Agreement
1766	East Georgia Regional Medical Center_Base Contract.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions between the Parties involved. It covers various aspects such as arbitration, governing law and venue, contracting authority, change in law, compliance with regulatory requirements, assignment, limitation of liability, and dispute resolution. The Agreement aims to define the rights, obligations, and limitations of the Parties in a clear and comprehensive manner.
1767	East Georgia Regional Medical Center_Base Contract.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1768	East Georgia Regional Medical Center_Base Contract.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
1769	East Georgia Regional Medical Center_Base Contract.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Georgia
1770	East Georgia Regional Medical Center_Base Contract.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1771	East Georgia Regional Medical Center_Base Contract.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1772	East Georgia Regional Medical Center_Base Contract.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1773	East Georgia Regional Medical Center_Base Contract.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	01-10-2017
1774	East Georgia Regional Medical Center_Base Contract.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1775	East Georgia Regional Medical Center_Base Contract.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Base Agreement
1776	East Georgia Regional Medical Center_Base Contract.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1777	East Georgia Regional Medical Center_Base Contract.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1778	East Georgia Regional Medical Center_Base Contract.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1779	East Georgia Regional Medical Center_Base Contract.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1780	East Georgia Regional Medical Center_Base Contract.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	There is no information provided in the context about the create date of the contract.
1781	East Georgia Regional Medical Center_Base Contract.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1782	East Georgia Regional Medical Center_Base Contract.txt				Hospital	Inpatient	Trach	Billed Charges	Billed Charges	Y	Billed Charges or Allowable	70%							For Covered Services rendered to Members below 199% of Federal Poverty Level
1783	East Georgia Regional Medical Center_Base Contract.txt				Hospital	Outpatient	General	Georgia Medicaid Fee Schedule	Fee Schedule	Y	Allowable billed charges	105%
1784	East Georgia Regional Medical Center_Base Contract.txt				Hospital	Professional Services	General	Medicare Allowed Amount	Fee Schedule	Y	Allowable billed charges	100%
1785	East Georgia Regional Medical Center_Base Contract.txt				Hospital	Home Health, Hospice, SNF, Dialysis	General	Medicare Allowed Amount	Fee Schedule	Y	Allowable billed charges	100%
1786	East Georgia Regional Medical Center_Base Contract.txt				Hospital	Reference Lab and DME	General	Medicare Allowed Amount	Fee Schedule	Y	Allowable billed charges	100%
1787	East Georgia Regional Medical Center_Base Contract.txt												N/A	N/A	N/A	N/A	N/A	N/A
1788	East Georgia Regional Medical Center_First Amendment_QHP.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1789	East Georgia Regional Medical Center_First Amendment_QHP.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Provider Agreement
1790	East Georgia Regional Medical Center_First Amendment_QHP.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to amend the existing CareSource Provider Agreement between CareSource Network Partners LLC and East Georgia Regional Medical Center, LLC. The amendment allows the provider to offer Covered Services to Covered Persons enrolled in CareSource's Qualified Health Plan and participate in CareSource's Qualified Health Plan Network. The scope of the Agreement includes the addition of specific provisions and compensation schedules for the Qualified Health Plan in Georgia.
1791	East Georgia Regional Medical Center_First Amendment_QHP.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1792	East Georgia Regional Medical Center_First Amendment_QHP.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
1793	East Georgia Regional Medical Center_First Amendment_QHP.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1794	East Georgia Regional Medical Center_First Amendment_QHP.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	58-21090713
1795	East Georgia Regional Medical Center_First Amendment_QHP.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1796	East Georgia Regional Medical Center_First Amendment_QHP.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1797	East Georgia Regional Medical Center_First Amendment_QHP.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	10-01-2019
1798	East Georgia Regional Medical Center_First Amendment_QHP.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1799	East Georgia Regional Medical Center_First Amendment_QHP.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1800	East Georgia Regional Medical Center_First Amendment_QHP.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	Facility
1801	East Georgia Regional Medical Center_First Amendment_QHP.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1802	East Georgia Regional Medical Center_First Amendment_QHP.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1803	East Georgia Regional Medical Center_First Amendment_QHP.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1804	East Georgia Regional Medical Center_First Amendment_QHP.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 10-1-19.
1805	East Georgia Regional Medical Center_First Amendment_QHP.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1806	East Georgia Regional Medical Center_First Amendment_QHP.txt				Hospital		Facility Services	Medicare Allowed Amount	Fee Schedule	Y	180% of the Medicare Allowed Amount	180%							The Inpatient Reimbursement shall be calculated as the sum of the Provider's operating base rate and capital base rate multiplied by the Medicare DRG weight, plus adjustments for indirect medical education (IME), disproportional share (DSH, Capital and Operating), Uncompensated Care and outlier payments if applicable.			Inpatient
1807	East Georgia Regional Medical Center_First Amendment_QHP.txt				Hospital		Facility Services	Medicare Allowed Amount	Fee Schedule	Y	180% of the Medicare Allowed Amount	180%										Outpatient
1808	East Georgia Regional Medical Center_First Amendment_QHP.txt				Hospital		Facility Services	Medicare Allowed Amount	Fee Schedule	Y	140% of the Medicare Allowed Amount	140%										Home Health
1809	East Georgia Regional Medical Center_First Amendment_QHP.txt				Hospital		Facility Services	Medicare Allowed Amount	Fee Schedule	Y	140% of the Medicare Allowed Amount	140%										Hospice
1810	East Georgia Regional Medical Center_First Amendment_QHP.txt				Hospital		Facility Services	Medicare Allowed Amount	Fee Schedule	Y	140% of the Medicare Allowed Amount	140%										SNF
1811	East Georgia Regional Medical Center_First Amendment_QHP.txt				Hospital		Facility Services	Medicare Allowed Amount	Fee Schedule	Y	140% of the Medicare Allowed Amount	140%										Dialysis
1812	East Georgia Regional Medical Center_First Amendment_QHP.txt				Hospital		Facility Services	Billed Charges	Billed Charges	Y	40% of the Providers Billed Charges	40%							If there is not a Medicare Allowed Amount dictated in the Medicare Fee Schedule for Medically Necessary Covered Services rendered to Covered Persons by Provider			Other
1813	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1814	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Agreement
1815	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the terms and conditions between CareSource and Provider for the provision of Covered Services to Members. It includes provisions for termination, appeals procedures, and the non-exclusive nature of the Agreement. The Agreement also specifies that Provider is not limited in acting within the lawful scope of practice and has the right to advocate on behalf of Members. Additionally, it addresses requirements related to pre-service consultation, access to records, cultural competency, marketing materials, newborn notification, eligibility verification, and compliance with federal regulations.
1816	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1817	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
1818	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Georgia
1819	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1820	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1821	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1822	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	11-09-2021
1823	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1824	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Addendum
1825	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1826	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1827	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1828	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	Yes
1829	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is 11/09/2021.
1830	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1831	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt				Professional Services	N/A	N/A	140% of the Medicare Allowed Amount	Billed Charges	Y	140%	140%							If there is not a Medicare Allowed Amount dictated in the Medicare Fee Schedule for Medically Necessary Covered Services rendered to Covered Persons by Provider, then Provider shall accept as payment-in-full 100% of the CareSource fee schedule for such Covered Services, which shall be based on Resource-Based Relative Value Units (RBRVU) reimbursement methodology.
1832	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt				Professional Services	N/A	N/A	100% of the CareSource fee schedule	Fee Schedule	Y	100%	100%							Injectable medications will generally be paid at 100%, according to the Medicare Fee Schedule in effect as of the date the services are rendered, except for those drugs that may be available through a specialty pharmacy benefits manager. CareSource reserves the right to amend reimbursement policies with advanced notice.
1833	East Georgia Women's Center PC_20211109_ Second Amendment adding GA, Marketplace(Just4Me)_NSSplaceholder5.txt												N/A	N/A	N/A	N/A	N/A	N/A
1834	Eleventh Amendment_MetroHealth System_20140601.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1835	Eleventh Amendment_MetroHealth System_20140601.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Eleventh Amendment
1836	Eleventh Amendment_MetroHealth System_20140601.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement outlines the terms and conditions for the Value-Based Reimbursement (VBR) Program between the Plan and the Hospital. It covers the provision of services, data sharing and collaboration, payment and audit procedures, and the development of additional VBR programs. The purpose of the Agreement is to establish a collaborative relationship between the parties and promote improved quality and health outcomes through innovative payment models.
1837	Eleventh Amendment_MetroHealth System_20140601.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1838	Eleventh Amendment_MetroHealth System_20140601.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	N/A
1839	Eleventh Amendment_MetroHealth System_20140601.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1840	Eleventh Amendment_MetroHealth System_20140601.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1841	Eleventh Amendment_MetroHealth System_20140601.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1842	Eleventh Amendment_MetroHealth System_20140601.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1843	Eleventh Amendment_MetroHealth System_20140601.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	06-01-2015
1844	Eleventh Amendment_MetroHealth System_20140601.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1845	Eleventh Amendment_MetroHealth System_20140601.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1846	Eleventh Amendment_MetroHealth System_20140601.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1847	Eleventh Amendment_MetroHealth System_20140601.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1848	Eleventh Amendment_MetroHealth System_20140601.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	Yes
1849	Eleventh Amendment_MetroHealth System_20140601.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1850	Eleventh Amendment_MetroHealth System_20140601.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is not provided in the given context information.
1851	Eleventh Amendment_MetroHealth System_20140601.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1852	Eleventh Amendment_MetroHealth System_20140601.txt				Hospital		General	Ohio Medicaid DRG/PPS base rate	Billed Charges	Y	115% or Allowable Billed Charges	115%							Inpatient Services reimbursement calculation includes base rate, IME, DRG weight, adjustments for capital add-on and outlier payments												Inpatient
1853	Eleventh Amendment_MetroHealth System_20140601.txt				Hospital		General	Ohio Medicaid DRG/PPS base rate	Billed Charges	Y	112% or Allowable Billed Charges	112%							Inpatient Services reimbursement calculation includes base rate, IME, DRG weight, adjustments for capital add-on and outlier payments												Inpatient
1854	Eleventh Amendment_MetroHealth System_20140601.txt				Hospital		General	Ohio Medicaid Fee Schedule	Billed Charges	Y	115% or Allowable Billed Charges	115%							Outpatient Services reimbursement												Outpatient
1855	Eleventh Amendment_MetroHealth System_20140601.txt				Hospital		General	Ohio Medicaid Fee Schedule	Billed Charges	Y	112% or Allowable Billed Charges	112%							Outpatient Services reimbursement												Outpatient
1856	Eleventh Amendment_MetroHealth System_20140601.txt				Professional		Primary Care	Ohio Medicaid Fee Schedule	Billed Charges	Y	105% or Allowable Billed Charges	105%							Reimbursement for primary and specialty physicians, and non-physician professionals												Office
1857	Eleventh Amendment_MetroHealth System_20140601.txt				Hospital		General	Medicare per diem	Per Diem	Y	75% or Allowable Billed Charges	75%							Skilled nursing facility Covered Services reimbursement												Skilled Nursing Facility
1858	Eleventh Amendment_MetroHealth System_20140601.txt												N/A	N/A	N/A	N/A	N/A	N/A
1859	Emory Healthcare Inc_20190403_ First Amendment_.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1860	Emory Healthcare Inc_20190403_ First Amendment_.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	CareSource Provider Agreement
1861	Emory Healthcare Inc_20190403_ First Amendment_.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The purpose of the Agreement is to establish the terms and conditions for the provision of Covered Services by Emory Healthcare Inc. and its Affiliates to CareSource Members. The Agreement outlines the limitations and requirements for Primary Care Physicians and OB/GYN physicians, as well as the reimbursement process for Certified Nurse Midwives. It also includes provisions for the participation of Emory Providers in CareSource's network for Behavioral Health services. The Agreement remains in full force and effect, except as expressly amended.
1862	Emory Healthcare Inc_20190403_ First Amendment_.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1863	Emory Healthcare Inc_20190403_ First Amendment_.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
1864	Emory Healthcare Inc_20190403_ First Amendment_.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1865	Emory Healthcare Inc_20190403_ First Amendment_.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	58-1966795
1866	Emory Healthcare Inc_20190403_ First Amendment_.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1867	Emory Healthcare Inc_20190403_ First Amendment_.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1868	Emory Healthcare Inc_20190403_ First Amendment_.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	April 1, 2019
1869	Emory Healthcare Inc_20190403_ First Amendment_.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1870	Emory Healthcare Inc_20190403_ First Amendment_.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	Amendment
1871	Emory Healthcare Inc_20190403_ First Amendment_.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1872	Emory Healthcare Inc_20190403_ First Amendment_.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1873	Emory Healthcare Inc_20190403_ First Amendment_.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1874	Emory Healthcare Inc_20190403_ First Amendment_.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1875	Emory Healthcare Inc_20190403_ First Amendment_.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	The Create Date of the contract is April 1, 2019.
1876	Emory Healthcare Inc_20190403_ First Amendment_.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1877	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1878	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Dually Executed Agreement
1879	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement's purpose is to establish the terms and conditions for the provision of Covered Services by the Provider. It outlines the rights and obligations of both parties and includes provisions for termination, arbitration, compliance with regulatory requirements, and assignment. The Agreement is binding upon the respective legal successors and assignees of the Parties and supersedes all other agreements regarding the subject matter.
1880	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1881	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Georgia
1882	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	Georgia
1883	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1884	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1885	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Group/Billing NPI	What is the National Provider Identifier for the provider group or billing entity? Answer in one or two words. National Provider Identifier:	N/A
1886	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Effective Date	What is the Effective Date mentioned in the contract? Answer in one or two words. Effective Date:	07-01-2018
1887	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Termination Date	When does the contract terminate? Answer in one or two words. Termination Date:	N/A
1888	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Agreement Type	What is the agreement type? It can either be 'Base Agreement' or 'Amendment'. Answer in one or two words. Agreement Type:	N/A
1889	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Contract Type	What is the Contract Type? It can either be 'Professional' or 'Facility'. Answer in one or two words. Contract Type:	N/A
1890	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Gold Carded	Is the provider a Gold Carded Provider? Answer can either be 'yes' or 'no'.	No
1891	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Value-Based Contract	Is this contract part of a Value Based Contract Arrangement? Answer can either be 'Yes' or 'No'.	No
1892	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	National Contract	Does the contract cover multiple states or markets? Indicate if it's a National Contract with Yes or No.	No
1893	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Create Date	What is the Create Date mentioned in the contract? Create Date mentioned in the contract:	07-01-2017
1894	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt	Modify Date	When were the last modifications made to the contract data? Answer in one or two words. Modify Date:	N/A
1895	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt				Hospital			CHAMPUS DRG Grouper	Fee Schedule										Minimum based on the then-current year CHAMPUS DRG Grouper used by State of Georgia for Medicaid claims payment. The then-current year DRG and relative weights assigned by this CHAMPUS DRG Grouper shall apply. The then-current year Medicaid base rate will be multiplied by DRG relative weights and then the current year Medicaid add-ons will be applied, including but not limited to direct graduate medical education and capital for each Emory Hospital.												Inpatient	Trach	Y	DRG billed by Hospital in Box 78
1896	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt				Hospital			Medicaid fee schedule	Fee Schedule										All outpatient clinical diagnostic laboratory services and injectable drugs billed by the Emory Hospitals on a UB-92 will be paid by the then-current year Medicaid fee schedule.												Outpatient	Clinical Diagnostic Laboratory Services and Injectable Drugs	Y	Hospital specific Outpatient Cost to Charge Ratio (CCR)
1897	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt				Hospital			Percent of Billed Charges	Billed Charges										To simulate the current Medicaid outpatient payment reimbursement rates for all clinical diagnostic laboratory services and injectable drugs not noted in the above Medicaid fee schedule and all other outpatient services, Emory Hospitals will be reimbursed at a percent of billed charges as defined by the then current hospital specific Outpatient Cost to Charge Ratio (CCR) as determined by the most recent audited cost reports by Medicaid.												Outpatient	Other Outpatient Services	Y	Hospital specific Outpatient Cost to Charge Ratio (CCR)
1898	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt				Ambulatory Surgery Center			Georgia Medicaid Ambulatory Surgical Center (ASC) Payment Rate by Group	Fee Schedule										Free-Standing Emory Clinic Ambulatory Surgery Centers will be paid per the then-current Georgia Medicaid Ambulatory Surgical Center (ASC) Payment Rate by Group (Atlanta 03).												Outpatient	Surgery	N
1899	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt				Physician			Georgia Medicaid Maximum Allowable Payment	Fee Schedule			112%							Services for all primary care physicians defined as general medicine, internal medicine, pediatric and family practice will be paid at 112% of the then-current year Georgia Medicaid Maximum Allowable Payment.												Office	Primary Care	N
1900	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt				Physician			Georgia Medicaid Maximum Allowable Payment	Fee Schedule			110%							All other specialty physicians and all other professional services, including but not limited to Anesthesiology, and the Emory Clinic Cardiac Catheterization Laboratories will be paid at 110% of the then-current year Georgia Medicaid Maximum Allowable Payments.												Office	Specialty Physicians	N
1901	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt				Physician			Georgia Medicaid Maximum Allowable Payment	Fee Schedule			150%							Services for all pediatric physicians will be paid at 150% of the then-current year Georgia Medicaid Maximum Allowable Payments.												Office	Pediatric	N
1902	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt				Physician			Unlisted Codes	Billed Charges			60%							Any unlisted codes or codes not addressed by the Georgia Medicaid Maximum Allowable Payments shall be reimbursed at 60% of billed charges.												Office	Unlisted Codes	N
1903	Emory University Inc, dba Emory University Hospital_20170701_ Dually Executed Agreement.txt												N/A	N/A	N/A	N/A	N/A	N/A
1904	Executed-Community QR.txt	Agreement ID	What is the Agreement ID mentioned in the context? Answer in one or two words. Agreement ID:	N/A
1905	Executed-Community QR.txt	Agreement Name	What is the name of the Agreement mentioned in the context? Name of the Agreement:	Provider Agreement
1906	Executed-Community QR.txt	Summary	Provide a brief description of the Agreement's purpose and scope. Return only a summary. Summary:	The Agreement is a Quality Rewards Addendum to the CareSource Provider Agreement. It allows Community Physicians of IN Inc. to participate in CareSource's Quality Rewards Program, which aims to improve the quality and efficiency of healthcare services while reducing costs. The Agreement outlines the terms and conditions of Provider's participation in the program.
1907	Executed-Community QR.txt	Agreement Sequence Number	What is the Amendment Sequence Number for tracking changes? This is found in first paragraph or title. Answer in one or two words. Amendment Sequence Number:	N/A
1908	Executed-Community QR.txt	Contract State	In which state or states is the Contract applicable? Answer in one or two words. State name:	Indiana
1909	Executed-Community QR.txt	Provider State	What is the Provider's state where the rate is applicable? This is found by the compensation schedule. Answer in one or two words. Provider's state:	N/A
1910	Executed-Community QR.txt	TIN	What is the provider's Taxpayer Identification Number (TIN)? Answer in one or two words. Taxpayer Identification Number (TIN):	N/A
1911	Executed-Community QR.txt	Provider NPI	What is the National Provider Identifier (NPI) for the provider billing entity? Answer in one or two words. National Provider Identifier (NPI) is:	N/A
1912	Executed-Communi

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