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2023-047
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2023-047
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3/9/2023 12:21:44 PM
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i. Member eligibility shall be determined through the use of the <br />eligibility census files for Client's adult and child populations. <br />ii. Client will provide Everside eligibility files for the adult and minor <br />populations of its employees and dependents within 30 days prior to the Health Center Opening <br />Date, and then on-going monthly eligibility files. <br />iii. Eligibility files must include Social Security Numbers in addition to <br />other data. <br />iv. Not providing timely and complete data, including Social Security <br />Numbers, may result in reduced patient engagement and impaired billing procedures. <br />(b) Client shall, at its sole expense, provide the following data access: <br />i. Access to at least 3 years of prior (historic) medical and pharmacy <br />claims experience data and corresponding eligibility data. <br />ii. Access to monthly data feeds of medical and pharmacy claims <br />experience data and corresponding eligibility data throughout the term of the Agreement. <br />(c) Communications: <br />i. Client shall provide the home mailing address, email address, and <br />phone numbers for all of Client's adult Eligible Members. In the event that Client does not provide <br />email addresses for at least 90% Eligible Members ages 18 and older, then Client shall be <br />responsible for additional direct mail marketing costs. <br />ii. Client and Everside shall agree upon a marketing campaign process, <br />which delivers a time -based series of communications shown to maximize engagement of Eligible <br />Members. Everside's marketing campaign process allows for customization within a prescribed <br />set of parameters. In the event that Client requires additional customization outside of those <br />parameters, then Client shall be responsible for additional marketing costs. <br />iii. Client shall educate Eligible Members about the Everside Health <br />benefit through the benefits enrollment process (new hires and annual renewal). <br />iv. To reduce disruption to the communication Client must adhere to <br />the Technology Compatibility Requirements of Everside (attached at Exhibit F). <br />V. Patients can manage their communication preferences, including <br />opting out of various communications, directly with Everside. <br />4.8 Consents and Authorizations. Client represents and warrants that it has obtained <br />and shall continuously obtain and maintain throughout the Term all necessary and required <br />notifications, consents and/or authorizations required by applicable law to permit Everside to <br />contact Eligible Members through unsecure electronic means, including unencrypted e-mail, <br />telephone and with patient consent via text message. <br />5. Financial Arrangement. In consideration of Everside's responsibilities under this <br />Agreement, Client shall pay to Everside the amounts described below. <br />5.1 Build -Out and Start -Up Costs. Client agrees to reimburse Everside on a pass- <br />through basis, as incurred by Everside, for all Build -Out and Start -Up Costs listed below that <br />Everside advises for the proper setup and administration of the Everside Health Center. If this <br />Agreement should terminate for any reason prior to the full reimbursement of Build -Out and Start - <br />Up Costs by Client, then all outstanding fees under this paragraph shall become due immediately <br />with no right of offset. Start -Up Fees, means the total cost which have been incurred associated <br />with the set-up activities and assets in accordance with the criteria set forth in Exhibit D, which <br />2122 Ewn idc llcalth. LLC. All rights r"mcd Confidential <br />10 <br />
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