Common use of General Monitoring Obligations Clause in Contracts

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.

General Monitoring Obligations. Under the AB-PMJAYMUHCS, the Insurer ISA shall monitor the entire process of implementation of the Scheme on an ongoing basis to ensure that it meets its obligations under its Insurance Implementation Support Contract with the SHAMSHCS. Towards this obligation the Insurer 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 AB-PMJAY MUHCS beneficiaries under the provisions of the Scheme. c. Ensure monitoring of processes for timely processing, claim processing and 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 126. f. Ensure compliance from all its sub-contractors, vendors and intermediaries hired/ contracted by the Insurer ISA under the Scheme for the fulfilment of its obligations.