Network

Where the statutory requirement is an additional obligation not otherwise specified in the Agreement, the parties agree that the statutory requirement will be added as an obligation. Where the statutory requirement specifically conflicts with a current obligation, the statutory requirement shall take precedence and replace the existing obligation as to the statutory requirement only, and shall not void any other valid provision of this Agreement. The statutory requirements identified below are limited to only those entities specifically covered by the statute.

3.1. If Network Provider participates in a discount medical plan organization as required by Florida Statute § 636.21492)(c), provider will not charge members more than the discounted rates.

3.2. As required by Florida Statute §627.64731 (2), contracting entity may sell, lease, rent, or otherwise grant access to the health care services of a participating provider under this health care contract. This health care contract applies to network rental arrangements and one purpose of this contract is selling, renting, or giving the contracting entity rights to the services of the participating provider, including other preferred provider organizations. Contracting entity may sell, lease, rent, or otherwise grant access to the participating provider's services only to a third party that is:

(a) A payor or a third-party administrator or other entity responsible for administering claims on behalf of the payor;

(b) A preferred provider organization or preferred provider network that receives access to the participating provider's services pursuant to an arrangement with the preferred provider organization or preferred provider network in a contract with the participating provider and that is required to comply with all of the terms, conditions, and affirmative obligations to which the originally contracted primary participating provider network is bound under its contract with the participating provider, including, but not limited to, obligations concerning patient steerage and the timeliness and manner of reimbursement; or

(c) An entity that is engaged in the business of providing electronic claims transport between the contracting entity and the payor or third-party administrator and that complies with all of the applicable terms, conditions, and affirmative obligations of the contracting entity's contract with the participating provider including, but not limited to, obligations concerning patient steerage and the timeliness and manner of reimbursement.