Ordinance 2014-66 - Laserfiche WebLink

Home Browse Search

Confidential PROGRAM SCHEDULE �� 1 Program Name: Commercial Member Pay Program Program Brands: Prime PB and other brand names for the Commercial Member Pay Program communicated to Facility by Healthways from time to time Member Type: Commercial Program Description: The Program is offered to Members of the Sponsoring Organization. The Program includes basic fitness membership services for Members provided through a network of facilities; also included in the Program are all facets presented in the Duties and Obligations of Facility section of the Agreement. For purposes of this Program, Member Pay is defined as a monthly payment made by Member to Healthways to participate in the Program. 1. Program Duties and Obligations of Facility. In exchange for the compensation to be paid by Healthways, Facility shall perform the following services: a) Program Implementation Process. To prepare for Program commencement, Facility agrees to participate in the following 1) coordination with Healthways of electronic reporting containing the required data elements; and 2) Healthways - scheduled and led training. b) Introductory Orientation for Prime Members. Facility shall offer the Program to all Members identified by Healthways as eligible for the Program. In addition to a basic fitness membership at no cost to the Member, Facility shall provide Members with an added value program component (i.e., a thirty (30) minute personalized orientation session or personal training session). c) Reporting Obligations of Facility. Facility shall report Program utilization to Healthways on a monthly basis. Program utilization reporting shall consist of all a) Program forms, and b) Member visits for the month. Facility shall prepare a report of daily visits and utilization from the month summarizing activity and containing the required data elements and submit it electronically to Healthways no later than the fifth (5''') day of the following month. The required file format and data elements are defined in the Reference Guide. The Parties to this Agreement shall work cooperatively to establish correct and acceptable electronic monthly utilization data reporting; Healthways may provide technical support to Facility if necessary. d) Program Training for Facility Staff. Facility staff who have regular contact with Members are required to participate in Healthways training prior to commencement of the Program and as needed thereafter to account for staff turnover and to ensure proper service for Members. 2. Compensation. a) Program Utilization Payment. Healthways shall compensate Facility $3.50 per Program Visit, up to a maximum of $30.00 per Program Participant per month. Program Visit shall mean one distinct occasion, recorded and reported by Facility in accordance with procedures specified in the Reference Guide, during which a Member enters Facility to enroll in or use the Program. Healthways shall not compensate Facility for more than one Program Visit per day. Program Participant shall mean a Member, who, after completing the Program enrollment, has used the Program at a facility in the Healthways Network at least once in a given month. b) Payment Schedule. Payment shall be processed for direct deposit by Healthways by the last day of the month following the month in which Program Visits occurred ( "following month "), provided Healthways receives Facility's monthly utilization data in a timely manner. In the event utilization data is not received in a timely manner, payment may be delayed. Payment for monthly utilization received after the last day of the following month will be denied for non - timely filing and will not be eligible for reimbursement or appeal. Appeals must be brought to the attention of Healthways within thirty (30) days of receipt of payment; appeals brought at a later date will not be eligible for review. C4 FC V2014 -2 9 of 10