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2025-126D
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2025-126D
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Last modified
9/18/2025 10:43:54 AM
Creation date
9/8/2025 1:42:16 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/03/2025
Control Number
2025-126D
Agenda Item Number
13.D.1.
Entity Name
Rightway Healthcare, Inc.
Subject
Pharmacy Benefit Management Services Agreement
Document Relationships
2025-126
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126A
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126B
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126C
(Cover Page)
Path:
\Official Documents\2020's\2025
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Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 <br />paid as provided by Insurer. (d) Payment to a group policyholder for remittance to Insurer entitled to such <br />remittance. (e) Payment to Administrator of the commission, fees, or charges of Administrator. (f) Remit- <br />tance of return premium to the person or persons entitled to such return premium. Fla. Stat. § 626.883(4). <br />7.5 All Claims paid by Administrator from funds collected on behalf of Insurer shall be paid <br />only on drafts of, and as authorized by, Insurer. Fla. Stat. § 626.883(5). <br />7.6 All payments to a health care provider by a fiscal intermediary for non -capitated providers <br />must include an explanation of services being reimbursed which includes, at a minimum, the patient's name, <br />the date of service, the procedure code, the amount of reimbursement, and the identification of the plan on <br />whose behalf the payment is being made. For capitated providers, the statement of services must include <br />the number of patients covered by the contract, the rate per patient, the total amount of the payment, and <br />the identification of the plan on whose behalf the payment is being made. Fla. Stat. § 626.883(6). <br />101 <br />This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, <br />transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc. <br />
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