My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
02/07/2023
CBCC
>
Meetings
>
2020's
>
2023
>
02/07/2023
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/21/2023 2:37:00 PM
Creation date
3/21/2023 1:58:03 PM
Metadata
Fields
Template:
Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
02/07/2023
Meeting Body
Board of County Commissioners
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
232
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
.. .. <br />: <br />c <br />I. . <br />i.: <br />will be provided to Client upon request therefo} Cexecute (and shall cause <br />agrees thatlzt: f <br />i <br />any mutually acceptable independent, third patVainillor taking partfi MW such audit to execute) a <br />confidentiality agreement in form and conte4,010nably accio.Oft ft. Administrator and PBIItX. . <br />pilar to conducting anyaugoadit, so long art t 1ptment lgapenbW with hm- AV requea#' :: P <br />bar Client to permit an auditorto perform an audit will constitute CbW#Akwtion acid autltorizatiou.. : <br />a1 Administrator and PBM to disclose PHI to auditor. hu, err40 of an audit by a mutually <br />aot tt>pt#blts independent third para►. AAiinistrator,tsad afKJi W shall be <br />poops ed allot report or otherWud tit materials doeuittoWng such audit and Amu 87tatidt' llarvwl :: i <br />a reasonable opportunity to comment on any such report or written materials documed"a" <br />atttftbefore such we finalized. Upw '." ; results and agmsionlit <br />between Earl . <br />,dhistrator on any identified adjustments or discrepancies, if any, the period under rete witl <br />b eamidetted closed by the Parties and such agreed upon adjustment payments, if any, shathe paid <br />by appropriate party within thirty (* af4socution by the Parties of an appropriate release <br />downtettt cowering the audit period. 'Mot acknowledges that it shall not be entitled to audit <br />documents that Administrator is barred from disclosing by applicable law or pursuant to an <br />obligs*w of eonfidentiai ty to g Olrd party or that are not mldw the direct or control of <br />Adie. Admit : aa*b 100% of claims available to the COW or a mutually <br />e third PAY <br />r>mrlilsadtyC" 10 flit the processing contract:� f <br />3. cum aclttkow <br />kdges Ib1t getverrtrnow ageticies may seek eligibility or similar :data from <br />Administrator or PBM reprding Members and may submit to Administrator or PBM claims for <br />reimbursement for prescription drug benefits provided to such government agencies (or their agents) <br />to Members {"Government Claiars"). Administrator authorizes Administrator and PBM to provide <br />such data as requested by gets Ent agencies or their aur d agd s and furtlt . authorizes <br />Administrator and/or PBM 14 process such Goveraniatt Oams. Cum acknoloedges that <br />Administrator may advance payment for Goversuracrt Claim on behalf`of Client. Client shall <br />reimburse Administrator, in accordance with CN7Jt s payment oblimadons under thla Agrecment, <br />for all amounts advanced #ty Administrator' P payment. ti ent CIRU* .CUM <br />acknowledges that Government Chdms submitted bpetdta <br />x on blfofttrSWO Medicadd A&cy shall <br />be paid if submitted within throe M years from the original dde of fill unless a i period is <br />required by applicable Im In addition, Government Claims submitted Wv*4 �+ a state <br />Medicaid agency may not be denied on the basis of the ft" ofthe Go!t!ekr OW0.66 or failure <br />to present proper documentation at the point-of-sale. Chart shall also reirrtbeuxitAdministrator for <br />any adjustments orreconciliationsfop *Wously processed Governni M t i tRttlW be payahie i <br />to government agencies in accordance with applicable laws and regulat�Ri�adinistrative fee l <br />for processing Government Claims shall be invoiced at the paper sob~ claim rate already j <br />agreed to by the Parties or as otherwise agreed upon in writing bytr#.6pia j <br />Administrator reserves the right to (a) terminate these services upon nyiidy, *pllYoe b <br />Client, or (b) delegate these services to a third party claims processor othert <br />I. Confidential and ProprietarybillbrmatN" <br />1. The term "Confidential Information" lohtik4 W 1R akt#..limited 1% tit Agreement .ar ally <br />information of either Client or Administratot include wiNiout limitation its designees) (including gn ) #t0fieSw::. i <br />oral, written, electronic, visual or fixed in any tangible medium of expression) relating 1p either <br />party's services, operations, systems, program, mentions, techniques, suppliers, cWrs and <br />prospective customers, contractors, costs and pricing data, trade secrets, know-how, processes„ <br />plans, designs and other information of or relating to either party's business. Confidential <br />Information does not include Protected Healdi Information, the use and disclosure of which is ' <br />governed by Article IX.0 (including Exhibit B i(dis Agreement. <br />2. Unless otherwise provided by law and subjestto; ion lIIkv. )*rein, AdministratatstW=Ebo <br />shall not disclose or make use of any Confidential Informatibb except as permitted under this <br />Agreement without the prior written consent of the ton -disclosing party, which consent may be <br />conditioned upon the execution.eda apeftdqWlii y Agreement. Each party may jusclose <br />Confidential )hformation of the other party ti11 46 11lr*Uffiorized Representatives who haves need <br />NW MA DOM Tflt K =E INFORNOWN CONTAINft $ORIN IS CONFIDENTIAL, PA(WR !'r <br />AT 4=WITUTlg67FrADE SECRETS ttllt` AND RXBENEFiTS (. <br />90 J <br />:. <br />t <br />--- i <br />
The URL can be used to link to this page
Your browser does not support the video tag.