NMS RESPONSIBILITIES. During the term of this Agreement: 2.1. NMS will be responsible for ensuring that all services are rendered as described in Appendix A to this Agreement. 2.2. NMS will be responsible for the performance standards as described in Appendix B to this Agreement. 2.3. NMS will maintain all appropriate regulatory approvals necessary to provide the services specified in this Agreement. NMS will promptly notify ▇▇▇▇ Atlantic of the commencement of any disciplinary proceeding against it or any of its principal officers relating to any state or federal health care regulation. 2.4. NMS will be responsible for the overall management of ▇▇▇▇ Atlantic's Vendors relating to communicating eligibility, enrollment, financial and performance data between ▇▇▇▇ Atlantic and the Vendors. 2.5. NMS will provide to the Vendors summaries and detailed enrollment and premium payment information on an agreed upon basis, including full retroactivity data according to ▇▇▇▇ Atlantic and Vendor payment rules. 2.6. NMS will provide a customer service telephone number for use by ▇▇▇▇ Atlantic, the Vendors and Participants between 7:00 a.m. and 4:00 p.m. (Central Time) each business day and between 7:00 a.m. and 7:00 p.m. (Central Time) on Thursday during open enrollment. The number will be staffed with personnel trained to answer eligibility, premium and service fee payment, invoice and status questions relating to Plans. 2.7. NMS will promptly respond to all inquiries from ▇▇▇▇ Atlantic and the Vendors regarding eligibility, premium, service fees, invoice and status questions. NMS will promptly refer inquiries not related to its duties under this Agreement (e.g., coverage issues) to the appropriate Vendor or to ▇▇▇▇ Atlantic and ▇▇▇▇ Atlantic will direct Participants to call such Vendor or ▇▇▇▇ Atlantic regarding all such inquiries. 2.8. NMS will be the primary contact for most Vendor issues and will promptly respond to all inquiries from Vendors, whether directly from the Vendor or ▇▇▇▇ Atlantic, regarding the status of enrollees, billing, receipt and disbursement of premiums, and reconciliation issues. NMS shall promptly notify ▇▇▇▇ Atlantic of any concerns or problems identified by a Vendor. 2.9. NMS will send to ▇▇▇▇ Atlantic (via facsimile or other means) an invoice that provides a detailed account of the payments to be made to the Vendors and NMS. ▇▇▇▇ Atlantic shall review the invoice and contact NMS to resolve questions with respect thereto. NMS will endeavor to respond to such inquiries within one business day. Based on such invoice, ▇▇▇▇ Atlantic will then notify NMS of the amounts to be withdrawn from the fiduciary account(s) for transmission to the following parties: (a) the Vendors for premiums or ASO fees or claims payments due, and (b) NMS for administrative fees due. Payments to Vendors and NMS shall be made via electronic transfer to the account designated by each party. Premiums and other service fees shall be billed monthly, while claims funding requests submitted by Vendors shall be billed weekly. 2.10. NMS will utilize the BEN-NET(TM) system for performing its obligations under this Agreement. NMS hereby represents that such system will be fully capable of performing all systems functions necessary to fulfill NMS' responsibilities under this Agreement. NMS shall be solely responsible for the upkeep and maintenance of the BEN-NET(TM) system.
Appears in 2 contracts
Sources: Services Agreement (Ebenx Inc), Services Agreement (Ebenx Inc)
NMS RESPONSIBILITIES. During the term of this Agreement:
2.1. NMS will be responsible for ensuring that all services are rendered as described in Appendix A to this Agreement.
2.2. NMS will be responsible for the performance standards as described in Appendix B to this Agreement.
2.3. NMS will maintain all appropriate regulatory approvals necessary to provide the services specified in this Agreement. NMS will promptly notify ▇▇▇▇ Atlantic of the commencement of any disciplinary proceeding against it or any of its principal officers relating to any state or federal health care regulation.
2.4. NMS will be responsible for the overall management of ▇▇▇▇ Atlantic's Vendors relating to communicating eligibility, enrollment, financial and performance data between ▇▇▇▇ Atlantic and the Vendors. ***Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential portions of Exhibit 10.5 have been deleted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential treatment.
2.5. NMS will provide to the Vendors summaries and detailed enrollment and premium payment information on an agreed upon basis, including full retroactivity data according to ▇▇▇▇ Atlantic and Vendor payment rules.
2.6. NMS will provide a customer service telephone number for use by ▇▇▇▇ Atlantic, the Vendors and Participants between 7:00 a.m. and 4:00 p.m. (Central Time) each business day and between 7:00 a.m. and 7:00 p.m. (Central Time) on Thursday during open enrollment. The number will be staffed with personnel trained to answer eligibility, premium and service fee payment, invoice and status questions relating to Plans.
2.7. NMS will promptly respond to all inquiries from ▇▇▇▇ Atlantic and the Vendors regarding eligibility, premium, service fees, invoice and status questions. NMS will promptly refer inquiries not related to its duties under this Agreement (e.g., coverage issues) to the appropriate Vendor or to ▇▇▇▇ Atlantic and ▇▇▇▇ Atlantic will direct Participants to call such Vendor or ▇▇▇▇ Atlantic regarding all such inquiries.
2.8. NMS will be the primary contact for most Vendor issues and will promptly respond to all inquiries from Vendors, whether directly from the Vendor or ▇▇▇▇ Atlantic, regarding the status of enrollees, billing, receipt and disbursement of premiums, and reconciliation issues. NMS shall promptly notify ▇▇▇▇ Atlantic of any concerns or problems identified by a Vendor.
2.9. NMS will send to ▇▇▇▇ Atlantic (via facsimile or other means) an invoice that provides a detailed account of the payments to be made to the Vendors and NMS. ▇▇▇▇ Atlantic shall review the invoice and contact NMS to resolve questions with respect thereto. NMS will endeavor to respond to such inquiries within one business day. Based on such invoice, ▇▇▇▇ Atlantic will then notify NMS of the amounts to be withdrawn from the fiduciary account(s) for transmission to the following parties:
(a) the Vendors for premiums or ASO fees or claims payments due, and (b) NMS for administrative fees due. Payments to Vendors and NMS shall be made via electronic transfer to the account designated by each party. Premiums and other service fees shall be billed monthly, while claims funding requests submitted by Vendors shall be billed weekly.
2.10. NMS will utilize the BEN-NET(TM) system for performing its obligations under this Agreement. NMS hereby represents that such system will be fully capable of performing all systems functions necessary to fulfill NMS' responsibilities under this Agreement. NMS shall be solely responsible for the upkeep and maintenance of the BEN-NET(TM) system.
Appears in 1 contract
Sources: Services Agreement (Ebenx Inc)