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2018-668-E Health - Planned Parenthood professional services agreement
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2018-668-E Health - Planned Parenthood professional services agreement
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Last modified
10/8/2018 10:59:52 AM
Creation date
10/8/2018 10:52:36 AM
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Template:
Contract
Date
10/5/2018
Contract Starting Date
10/5/2018
Contract Ending Date
10/4/2019
Contract Document Type
Agreement - Services
Amount
$5,040.00
Document Relationships
R 2018-668 Health - Planned Parenthood professional services agreement
(Attachment)
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID:32C22978-D1B8-4515-AD1A-21853E88FAA8 <br /> 1.4 Scheduling of patients. PPSAT shall be responsible for scheduling all patients requiring <br /> the Subject Services at the Facility consistent with the customary operating schedule of <br /> the Facility. <br /> 1.5 Medical Records. PPSAT shall maintain medical records with respect to all of the <br /> patients in a professional manner consistent with the accepted practice of the community <br /> and in accordance with federal and state confidentiality laws. <br /> 1.6 No Discrimination. PPSAT shall not refuse to treat a patient on the basis of the patient's <br /> race, color,national origin, disability, gender,religion, or age. <br /> 2. Duties of OCHD. <br /> 2.1 Patient Eli ibg ili ty. OCHD shall be solely responsible for ensuring that patients meet the <br /> eligibility criteria. <br /> 2.2 Program Compliance. OCHD shall be solely responsible for completing and filing any <br /> applications and complying with any laws or regulations as necessary to allow it to bill <br /> and/or collect funds for the Subject Services performed under this Agreement. <br /> 3. Relationship of Parties. None of the provisions of this Agreement are intended to create, and <br /> none shall be deemed or construed to create, any relationship between OCHD and PPSAT other <br /> than that of independent entities contracting with each other solely for the purpose of effecting <br /> the provisions of this Agreement. Neither the parties hereto nor any of their respective employees <br /> or agents shall be construed under this Agreement to be the partner, joint venturer, agent, <br /> employer, or representative of, or investor in,the other. <br /> 4. Compensation and Billing Requirements. <br /> 4.1 Compensation. In exchange for Subject Services performed by PPSAT pursuant to this <br /> Agreement, OCHD shall pay to PPSAT the amount specified in Exhibit A, attached <br /> hereto and incorporated herein by reference, subject to adjustment at the beginning of <br /> each fiscal year. The maximum amount payable for Subject Services under this <br /> Agreement shall not exceed five thousand forty dollars($5040.00). <br /> 4.2 Financial Responsibility. OCHD shall act as the exclusive payor for Subject Services <br /> provided under this Agreement. PPSAT shall only look to OCHD for payment for the <br /> Subject Services performed under this Agreement, and not to the patient. <br /> 4.3 Billing and Payment Procedures. <br /> (a) Payment. Within 30 days of the Effective Date, OCHD shall deposit the amount <br /> of$5,040.00 with PPSAT as payment for the Subject Services to be performed <br /> under this Agreement. <br /> (b) Invoices. On a monthly basis, by the 10' day of each month, PPSAT shall <br /> present to OCHD an invoice indicating the number of Subject Services <br /> performed in the prior month and the corresponding fees. The obligation to <br /> present monthly invoices terminates when the funds provided by OCHD are <br /> exhausted. Any unused funds will be refunded to OCHD. <br /> 30843134 v3 2 <br />
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