Agenda - 05-17-2005-5k - Laserfiche WebLink

Browse Search

alternative services or supplies when determining which of the services or supplies will be Covered Services. 2. PROVIDER'S SERVICES AND OBLIGATIONS. Provider agrees to provide the services and carry out the obligations set forth as follows: 2.1 Member Services. Provider agrees to provide ambulance Covered Services for the transport of Members in accordance with: (i) all applicable local, state and federal laws acid regulations; (ii) accepted industry standards; and (iii) the terms and conditions set forth in this Agreement. 2.2 Vehicles, Equipment and Supplies. Provider agrees that all vehicles, equipment, supplies or other goods used by Provider in carrying out Provider's services and obligations under this agreement shall be: (i) properly serviced and maintained; (ii) titled, licensed, insured, bonded, registered, certified, or otherwise authorized as required by each jurisdiction in which Covered Services are provided under this Agreement, to provide ambulance services to Members. 2..3 Personnel. Provider agrees that all employees and/or independent contractors or other personnel designated by Provider to assist in carrying out Provider's duties and obligations under this Agreement shall be: (i) qualified to perform their designated functions; and (ii) licensed, certified, registered, or otherwise authorized as required by each,jurisdiction in which services are provided under this Agreement to perform their designated functions Provider presently maintains personal injury liability insurance in the amount of $1 million per person and $2 million per occurrence and umbrella coverage which provides an additional $4 million of personal injury liability coverage. Provider agrees that it will immediately notify BCBSNC of any change in the insurance coverage maintained by Provider. If the insurance coverage described becomes, in the aggregate, less than $1 million per person and $.3 million per occurrence, at the option of BCBSNC, this Agreement may be terminated by BCBSNC upon BCBSNC giving Provider notice of the termination of this Agreement as provided in Section 5 of this Agreement. 2.4 Provider Payment and Billin Provider agrees that billing and payment by BCBSNC for Covered Services to Members shall be as set forth in Exhibit 2.4 to this Agreement, which is hereby incorporated by reference into the terms of this Agreement. Provider fiirther agrees that such payment shall fully discharge BCBSNC, the Member, and all third parties, from any and all liability for Provider's charges, including, but not limited to, subrogation and workers' compensation, and that Provider shall not, under any circumstances, bill or otherwise seek payment from BCBSNC, a Member or any third party for Provider's services rendered, including but not limited to subrogation and workers' compensation.. Notwithstanding the above, the Provider may bill the Member for: (i) any applicable deductible, copayment or coinsurance; or (ii) any non-Covered Service 2.S BCBSNC Audit and Inspection. Subject to and consistent with HIPAA privacy laws, Provider agrees that BCBSNC shall have the right, upon request, to audit, inspect, and copy at reasonable times and at no additional charge, financial statements, accounting, administrative and medical records, and any and all other types of records 2