General Monitoring Obligations Sample Clauses

General Monitoring Obligations. Under the AB PM-▇▇▇ CMHIS, the Insurer shall monitor the entire process of Scheme implementation on an ongoing basis to ensure that it meets all its obligations under its Insurance Contract with the SHA. Towards this obligation the Insurer shall undertake, but not be limited to, the following tasks: a. Ensure compliance to all the terms, conditions, and provisions of the Scheme; b. Ensure monitoring of processes for seamless access to cashless health care services by the AB PM-▇▇▇ CMHIS beneficiaries under the provisions of the Scheme; c. Ensure monitoring of processes for timely processing, management, and payment of all claims of the EHCPs; d. Ensure monitoring of processes/transactions/entities for fraud control; e. Ensure fulfilment of minimum threshold levels as per the agreed Key Performance Indicators (KPIs) laid down in Schedules 13A to 13D; and f. Ensure compliance from all its sub-contractors, vendors and intermediaries hired/ contracted by the Insurer under the Scheme for the fulfilment of its obligations.
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General Monitoring Obligations. Under the AB-PMJAY, the Insurer shall monitor the entire process of implementation of the Scheme on an ongoing basis to ensure that it meets its obligations under its Insurance Contract with the SHA. Towards this obligation the Insurer shall undertake, but not be limited to, the following tasks: a. Ensure compliance to all the terms, conditions and provisions of the Scheme. b. Ensure monitoring of processes for seamless access to cashless health care services by the AB-PMJAY beneficiaries under the provisions of the Scheme. c. Ensure monitoring of processes for timely processing, management and payment of all claims of the EHCPs. d. Ensure monitoring of processes/transactions/entities for fraud control e. Ensure fulfilment of minimum threshold levels as per the agreed Key Performance Indicators (KPIs) laid down in Schedule 12. f. Ensure compliance from all its sub-contractors, vendors and intermediaries hired/ contracted by the Insurer under the Scheme for the fulfilment of its obligations.
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General Monitoring Obligations. Under the scheme convergence, the ISA shall monitor the entire process of implementation of the Scheme on an ongoing basis to ensure that it meets its obligations under its Implementation Support Contract with the NHA. Towards this obligation the ISA shall undertake, but not be limited to, the following tasks: a. Ensure compliance to all the terms, conditions and provisions of the Scheme. b. Ensure monitoring of processes for seamless access to cashless health care services by the beneficiaries under the provisions of the Scheme. c. Ensure monitoring of processes for timely claim processing and management of all claims of the HCPs. d. Ensure monitoring of processes/transactions/entities for fraud control e. Ensure fulfilment of minimum threshold levels as per the agreed Key Performance Indicators (KPIs) laid down in Schedule 12. f. Ensure compliance from all its sub-contractors, vendors and intermediaries hired/ contracted by the ISA under the Scheme for the fulfilment of its obligations.
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General Monitoring Obligations. Under the AB PM-▇▇▇ – KASP, the TPA / ISA shall cooperate with SHA in effective monitoring of the entire process of implementation of the Scheme on an ongoing basis to ensure that it meets its obligations under its Implementation Support Contract with the SHA. Towards this obligation the Third-Party Administrator / Implementation Support Agency shall undertake, but not be limited to, the following tasks: a. Ensure compliance to all the terms, conditions and provisions of the Scheme. b. Ensure monitoring of processes for seamless access to cashless health care services by the AB PM-▇▇▇-▇▇▇▇ beneficiaries under the provisions of the Scheme. c. Ensure monitoring of processes for timely processing and management of all claims of the EHCPs. d. Ensure fulfilment of obligations as per the agreed Key Performance Indicators (KPIs).
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General Monitoring Obligations. Under the AB PM-▇▇▇ CMHIS, the Insurer shall monitor the entire process of Scheme implementation on an ongoing basis to ensure that it meets all its obligations under its Insurance Contract with the SHA. Towards this obligation the Insurer shall undertake, but not be limited to, the following tasks: a. Ensure compliance to all the terms, conditions, and provisions of the Scheme; b. Ensure monitoring of processes for seamless access to cashless health care services by the AB PM-▇▇▇ CMHIS beneficiaries under the provisions of the Scheme; c. Ensure monitoring of processes for timely processing, management, and payment of all claims of the EHCPs; d. Ensure monitoring of processes/transactions/entities for fraud control; e. Ensure fulfilment of minimum threshold levels as per the agreed Key Performance Indicators (KPIs) laid down in Schedules 11A to 11D; and f. Ensure compliance from all its sub-contractors, vendors and intermediaries hired/ contracted by the Insurer under the Scheme for the fulfilment of its obligations. SHA shall impose a penalty of INR 5,000 per instance for procedural deficiencies committed by the Insurer, including but not limited to: • Failure to upload complete documents; • Contradictory or inconsistent rejection reasons; • Non-updation of claim status within prescribed timelines. Such penalties shall be recovered from the next payable premium instalment without requiring further notice.
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General Monitoring Obligations. Under the Ayushman Uttarakhand, the ISA shall cooperate with SHA in effective monitoring of the entire process of implementation of the Scheme on an ongoing basis to ensure that it meets its obligations under its Implementation Support Contract with the SHA. Towards this obligation the Implementation Support Agency shall undertake, but not be limited to, the following tasks: a. Ensure compliance to all the terms, conditions and provisions of the Scheme. b. Ensure monitoring of processes for seamless access to cashless health care services by the Ayushman Uttarakhand beneficiaries under the provisions of the Scheme. c. Ensure monitoring of processes for timely processing and management of all claims of the EHCPs. d. Ensure fulfilment of obligations as per the agreed Key Performance Indicators (KPIs). e. Ensure compliance from all its sub-contractors, vendors and intermediaries hired/ contracted by the Implementation Support Agency under the Scheme for the fulfilment of its obligations.
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Related to General Monitoring Obligations

  • Contract Monitoring The criminal background checks required by this rule shall be national in scope, and must be conducted at least once every three (3) years. Contractor shall make the criminal background checks required by Paragraph IV.G.1 available for inspection and copying by DRS personnel upon request of DRS.

  • Program Monitoring The Contractor will make all records and documents required under this Agreement as outlined here, in OEC Policies and NHECC Policies available to the SRO or its designee, the SR Fiscal Officer or their designee and the OEC. Scheduled monitoring visits will take place twice a year. The SRO and OEC reserve the right to make unannounced visits.

  • Project Monitoring Reporting and Evaluation The Recipient shall furnish to the Association each Project Report not later than forty-five (45) days after the end of each calendar semester, covering the calendar semester.

  • Program Monitoring and Evaluation The Recipient shall prepare, or cause to be prepared, and furnish to the Association not later than six months after the Closing Date, a report of such scope and in such detail as the Association shall reasonably request, on the execution of the Program, the performance by the Recipient and the Association of their respective obligations under the Legal Agreements and the accomplishment of the purposes of the Financing.”