Utah License Agreement between Missouri State Medical Assoc. and Missouri Medical Insurance Co.

• Category: Corporations - Public - Indebtedness and Financial Restructuring
• State: Multi-State
• Control #: US-CC-6-464
• Format: Word; Rich Text

Description

This is a multi-state form covering the subject matter of the title. Utah License Agreement between Missouri State Medical Assoc. And Missouri Medical Insurance Co. A Utah License Agreement between the Missouri State Medical Assoc. And the Missouri Medical Insurance Co. refers to a legally binding contract that outlines the terms and conditions for the licensing of medical services and the provision of medical insurance coverage in the state of Utah. The agreement serves to establish a partnership between the Missouri State Medical Association (Mother), representing medical professionals, and the Missouri Medical Insurance Company (MIMIC), representing the insurance provider. This agreement ensures that the medical professionals associated with the Mother are able to provide services to patients covered by the MIMIC insurance plans in Utah. It outlines the rights and responsibilities of both parties, ensuring a fair and efficient provision of medical care, as well as clear guidelines for insurance coverage and reimbursement. The Utah License Agreement covers various important aspects, including: 1. Licensing and Credentialing: The agreement specifies the requirements for medical professionals to obtain and maintain valid licenses, certifications, and credentials necessary to practice medicine in Utah. It also outlines the processes for verifying and approving these licenses, including any necessary ongoing professional education requirements. 2. Provider Participation: The agreement defines the terms under which medical professionals affiliated with the Mother can participate in the MIMIC insurance plans. It details the criteria for provider eligibility and the procedures for enrollment and termination. 3. Covered Services: The agreement clearly delineates the medical services that are eligible for coverage under the MIMIC insurance plans. This may include outpatient care, preventive services, diagnostic tests, surgeries, hospitalization, and other necessary medical treatments, subject to any predetermined limitations or exclusions. 4. Reimbursement and Payment: The agreement states the reimbursement rates and payment methodologies that the MIMIC will apply to the medical services provided by MSMA-affiliated professionals. It may outline how claims for reimbursement should be submitted, processed, and settled, ensuring prompt and accurate payment to the medical professionals. 5. Compliance with Laws and Regulations: The agreement stipulates that both parties must adhere to applicable federal, state, and local laws, regulations, and standards governing the practice of medicine and the provision of insurance services in Utah. This includes compliance with ethical guidelines, privacy rules, and quality assurance requirements. 6. Termination and Dispute Resolution: The agreement defines the conditions and procedures for termination, including the circumstances under which either party may terminate the agreement. It may also outline mechanisms for resolving any disputes or disagreements that may arise during the course of the agreement. Different types of Utah License Agreements between the Missouri State Medical Assoc. And the Missouri Medical Insurance Co. may include variations based on specific insurance plans or arrangements offered by the Missouri Medical Insurance Company. These variations may account for different coverage levels, patient co-payments, deductibles, or networks of medical providers. In conclusion, the Utah License Agreement between the Missouri State Medical Assoc. And the Missouri Medical Insurance Co. establishes a framework for cooperation and collaboration between medical professionals and the insurance provider to ensure quality medical care and efficient insurance coverage in Utah.

Utah License Agreement between Missouri State Medical Assoc. And Missouri Medical Insurance Co. A Utah License Agreement between the Missouri State Medical Assoc. And the Missouri Medical Insurance Co. refers to a legally binding contract that outlines the terms and conditions for the licensing of medical services and the provision of medical insurance coverage in the state of Utah. The agreement serves to establish a partnership between the Missouri State Medical Association (Mother), representing medical professionals, and the Missouri Medical Insurance Company (MIMIC), representing the insurance provider. This agreement ensures that the medical professionals associated with the Mother are able to provide services to patients covered by the MIMIC insurance plans in Utah. It outlines the rights and responsibilities of both parties, ensuring a fair and efficient provision of medical care, as well as clear guidelines for insurance coverage and reimbursement. The Utah License Agreement covers various important aspects, including: 1. Licensing and Credentialing: The agreement specifies the requirements for medical professionals to obtain and maintain valid licenses, certifications, and credentials necessary to practice medicine in Utah. It also outlines the processes for verifying and approving these licenses, including any necessary ongoing professional education requirements. 2. Provider Participation: The agreement defines the terms under which medical professionals affiliated with the Mother can participate in the MIMIC insurance plans. It details the criteria for provider eligibility and the procedures for enrollment and termination. 3. Covered Services: The agreement clearly delineates the medical services that are eligible for coverage under the MIMIC insurance plans. This may include outpatient care, preventive services, diagnostic tests, surgeries, hospitalization, and other necessary medical treatments, subject to any predetermined limitations or exclusions. 4. Reimbursement and Payment: The agreement states the reimbursement rates and payment methodologies that the MIMIC will apply to the medical services provided by MSMA-affiliated professionals. It may outline how claims for reimbursement should be submitted, processed, and settled, ensuring prompt and accurate payment to the medical professionals. 5. Compliance with Laws and Regulations: The agreement stipulates that both parties must adhere to applicable federal, state, and local laws, regulations, and standards governing the practice of medicine and the provision of insurance services in Utah. This includes compliance with ethical guidelines, privacy rules, and quality assurance requirements. 6. Termination and Dispute Resolution: The agreement defines the conditions and procedures for termination, including the circumstances under which either party may terminate the agreement. It may also outline mechanisms for resolving any disputes or disagreements that may arise during the course of the agreement. Different types of Utah License Agreements between the Missouri State Medical Assoc. And the Missouri Medical Insurance Co. may include variations based on specific insurance plans or arrangements offered by the Missouri Medical Insurance Company. These variations may account for different coverage levels, patient co-payments, deductibles, or networks of medical providers. In conclusion, the Utah License Agreement between the Missouri State Medical Assoc. And the Missouri Medical Insurance Co. establishes a framework for cooperation and collaboration between medical professionals and the insurance provider to ensure quality medical care and efficient insurance coverage in Utah.