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DRAFT AGREEMENT
BETWEEN
PUNJAB STATE POWER CORPORATION LIMITED
AND
……………………
(Empanelled hospital)
on a non-judicial stamp paper of Rs. 100/This Agreement is made on the ________ day of _________, 2015 between the Punjab State
Power Corporation Limited having its registered office at PSEB Head office Building,
The Mall, Patiala (hereinafter called PSPCL, which expression shall, unless repugnant to
the context or meaning thereof, be deemed to mean and include its successors and
assigns) of the First Part
AND
………………………………………..
(Name of the Hospital with Address) of the Second Part.
WHEREAS, the PSPCL is providing comprehensive medical care facilities to PSPCL
Employees / Pensioners.
NOW, THEREFORE, IT IS HEREBY AGREED between the Parties as follows:
1) DEFINITIONS & INTERPRETATIONS
1.1.
The following terms and expressions shall have the following meanings
for purposes of this Agreement:
1.1.1. “Agreement” shall mean this Agreement and all Schedules, supplements,
appendices, appendages and modifications thereof made in accordance
with the terms of this Agreement.
1.1.2. “Benefit” shall mean the extent or degree of service the beneficiaries are
entitled to receive as per the rules on the subject.
1.1.3. “Family Health Identity Card” shall mean the Family Health Identity Card,
issued by any competent authority, of PSPCL.
1.1.4. “Members/beneficiary” shall mean employees (Regular including the
employees appointed under New Pension Scheme and work charged) of
the PSPCL, their dependents and retired employees including dependents
eligible to the benefits of this scheme. The definition of the family is as per
instructions issued by the PSPCL from time to time.
1.1.5. “Coverage” shall mean the types of persons to be eligible as the
beneficiaries of the Scheme to health services provided under the Scheme,
subject to the terms, conditions and limitations.
1.1.6. “Emergency” shall mean any condition or symptom resulting from any
cause, arising suddenly and if not treated at the earliest opportunity
would be detrimental to the health of the patient or shall jeopardize the
life of the patient.
1.1.7. “Hospital” shall mean the (Name of the Hospital) while performing under
this Agreement providing medical investigation, treatment and the
healthcare of human beings.
1.1.8. “De-recognition of Hospital” shall mean debarring the hospital on account
of adopting unethical practices or fraudulent means in providing medical
treatment to or not following the good industry practices of the health
care for the PSPCL beneficiaries after following certain procedure of
inquiry.
1.1.9. “Package rate” shall means and include Lump sum cost of inpatient
treatment /day care/diagnostic procedure for which a beneficiary has
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been permitted by the competent authority or for treatment under
emergency from the time to time of admission to the time of discharge
including (but not limited to ) – Registration charges, Admission charges,
Accommodation charges including patient’s diet, Operation charges,
Injection charges, dressing charges, Doctors /consultants’ visit charges,
ICU/ICCU charges, Monitoring charges, transfusing charges, Anesthesia
charges, Operation Theatre Charges, Procedural charges/ Surgeon’s fee,
Cost of Surgical disposables and all sundries used during hospitalization,
Cost of Medicines and Drugs, Related routine and essential investigations,
Physiotherapy charges etc., Pre-anesthetic check-up, Nursing care and
charges for its services during stay under package days duration.
The package rate, however, does not include expenses on
telephone, tonics, cosmetics / toiletries, etc. These are not part of the
treatment regimen. Cost of these additional items, if provided with the
prior consent of the patient, has to be settled with the patient, for which
no reimbursement shall be admissible.
The rate quoted for a particular procedure shall be inclusive of all
sub-procedures and all related procedures to complete the treatment
procedure. The patient shall not bear the cost of any such procedure/item.
The cost of Implant/stents/grafts is reimbursable in addition to
package rates as per CGHS ceiling rates for implants/stents/grafts or as
per actual, whichever is less, or if the patient wants to have better &
Higher quality Coronary Stent /implant and as per existing policy, the
patient /beneficiary may opt for the same after paying the difference in
Cost over and above the ceiling rates.
The treatment charges for a new born baby are separately
reimbursable in addition to delivery charges for mother.
The package rates envisage up to a maximum duration of indoor
treatment as follows;12 days for Specialized (Super Specialties) Treatment;
27 days for other Major Surgeries;
3 days for Laparoscopic surgeries / normal deliveries;
1 day for day care / minor (OPD) surgeries
There are certain procedures where there is no proscribed package
rate under CGHS. Similarly there are medical emergencies where the
treatment is mainly conservative. The admissible amount in such cases is
calculated item wise; room rent, procedure, investigation, etc
The package rates prescribed are for semi private ward. If
beneficiary is entitled for general ward there will be a decrease of 10% in
the rates; for private ward entitlement there will be an increase of 15%
but shall not be more than hospital normal rates; However the rates shall
be same for investigation irrespective of entitlement, whether the patient
is admitted or not.
1.1.10 “Specialized treatment” shall mean the treatment in a particular specialty.
1.1.11 “Rate” – Charges for approved procedures / services as may be notified
by CGHS from time to time and rebate/discount given by the
provider/hospital on CGHS rates and the rates negotiated by the standing
Committee with the hospitals .
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2.
3.
4.
5.
1.1.12 “Medical benefits” shall means the hospitalization relating to the ailments
mentioned in the authorization letter issued by Punjab State Power
Corporation Limited and providing treatment and any outdoor/day care
treatment taken by the PSPCL beneficiaries and their dependents.
APPROVED RATES TO BE CHARGED
The Hospital agrees that it shall charge from the PSPCL beneficiary as per the rates
for a particular procedure / package deal as prescribed by the CGHS and attached
as Annexure (rate list) amended from time to time, minus rebate/discount
negotiated (if any) and other rates negotiated (if any) by the standing committee
with the hospital which shall be an integral part of this Agreement.
PERIOD OF EMPANELMENT
This Agreement shall remain in force for a period of 2 years or till it is modified or
revoked, whichever is earlier subject to renewal on yearly basis on such terms and
conditions as may be mutually agreed. The Agreement may be extended for
another year subject to fulfilment of all the terms and conditions of this Agreement
and with mutual consent.However, PSPCL patients should not be admitted on
PSPCL account even in emergencies after expiry of the period of the Agreement,
except in case the treatment is started before the expiry period. In case of any
violation of this clause, PSPCL shall not in any case be responsible to settle such
claims.
TREATMENT IN EMERGENCY
In emergency the hospital shall not refuse admission or demand an advance
payment from the beneficiary or his family member on production of a valid PSPCL
Family Health Identity card. The refusal to provide the treatment to bonafide
PSPCL beneficiaries in emergency cases without valid ground would attract
disqualification for continuation of empanelment.
EXTENT OF COVERAGE
5.1
The Provider hospital shall extend coverage only in-patient
hospitalization for General and /or Specialized purpose or as notified by
the Ministry of Health and Family Welfare Department of Health and
Family Welfare under Central Government Health Scheme for that hospital
to member under the agreement and claims will be settled directly by the
Punjab State Power Corporation Limited under ' Cashless Medical
Treatment under Direct Payment System'.
5.2
(a) The Provider hospital in respect of the packages/ procedures/
treatments covered under CGHS will charge CGHS rates minus
negotiated discount/rebate if any.
(b) However in cases where
(1) an hospital is not agreeing to cover any specific disease/
procedure/ treatment although that exist in the CGHS rate list;
(2) in respect of rent for different types of rooms available in the
hospitals not covered under CGHS(applicable where the cost of
procedure remains the same with the change in class of room) ;
(3) in respect of procedures/diseases with reference to the
entitled class not provided in the CGHS e.g. Deluxe room, super
deluxe room, presidential suit etc(applicable where the cost of
procedure changes with the change in class of room) ;
the provider hospital will be entitled to charge the amount from
PSPCL to the extent of CGHS rates and difference between the Hospital
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rates or negotiated rates (if any) & CGHS rates will be recovered from
the beneficiary on cash basis. However the amount recovered from
the beneficiary will be specifically mentioned in the bills raised to the
PSPCL.
(c) The Provider hospital in respect of the packages/ procedures/
treatments not covered under CGHS and for out-patient treatments
(OPD) including diagnostics will recover the cost of treatment at the
Hospital rates or negotiated rates (if any) directly from the beneficiary
on cash basis and PSPCL shall not be responsible for any such medical
expenditure on this account under ' Cashless Medical Treatment
under Direct Payment System 'until the same is covered under the
scheme i.e. Cashless Medical Treatment under Direct Payment System.
5.3 The Provider hospital shall extend only in-patient hospitalization for General
and /or Specialized purpose or as notified by the Ministry of Health and
family welfare Deptt. of Health and family welfare under CGHS for the
hospital to member under this agreement and claims will be settled directly
by the Punjab State Power Corporation Limited under ' Cashless Medical
Treatment under Direct Payment System'. For the 'outpatient treatment' the
Corporation employee shall take such treatment on the agreed rates on cash
basis and PSPCL shall not be responsible for any such medical expenditure
on this account under ' Cashless Medical Treatment under Direct Payment
System '.
5.4 No advance payment will be made to the hospital under Cashless Medical
Treatment under Direct Payment System.
5.5 The member shall be entitled of room accommodation for IPD treatment in
the empanelled hospitals as per his Group as defined by PSPCL and
mentioned in the family health identity card and authorization letter :
Sr.n Group
Grade pay
Entitlement
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Group 'D'
Grade pay less than Rs.2200/- General Ward
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Group 'C &B'
Grade pay ranging from Semi- Private Ward
Rs.2200/- to Rs.5499/3
Group ‘A’
Grade pay 5500/- and above
Private Ward/Room
The entitlement shall be calculated on the basis of the grade pay of the post
occupied by the employee in regular scale by appointment/promotion and not
on the Grade pay granted on account of time bound promotional scales or
otherwise.
The entitlement of the pensioner will be calculated on the corresponding grade
pay of the post occupied in the regular scale on which he was retired.
The room rent will include diet charges, specialist, consultation /visiting fee up
to two visit, Nursing Charges, heater/cooler /AC charges etc. as applicable.
a.
Private ward is defined as a hospital room where single patient is
accommodated and which has an attached toilet (lavatory and bath). The
room will have furnishings like wardrobe, dressing table, bed-side table,
sofa set, carpet, etc. as well as a bed for attendant. The room has to be airconditioned.
b.
Semi Private Ward is defined as a hospital room where two to three
patients are accommodated and which has attached toilet facilities and
necessary furnishings.
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c.
General ward is defined as a hall that accommodates four to ten patients.
5.6
The First Admission Report/Pre authorization (Appendix-1) duly signed by
the Competent Authority of the empanelled hospital is acceptable subject to
the fulfillment of other terms and conditions by the PSPCL Authority
competent to issue Authorization letter in various offices of PSPCL. All the
Dy. CEs/Addl SEs/ Sr. XENs /AOs/ Officers maintaining the service book (i.e.
DDO) or officers of equivalent and higher rank and the Nodal Officers
declared by the Committee are authorized to issue Authorization Letter
( Appendix-2)
5.7
The hard copy of the claim bill along with copies of investigation reports,
first admission report/pre authorization letter, copy of authorization letter,
original cash memos and discharge summary report will be submitted by
the Hospital to the Accounts Officer/Centralized Payment cell (Medical
reimbursement) PSPCL Patiala within the stipulated period as per agreed
terms and conditions. The bills submitted should contain the CGHS Rate list
serial number applicable against each procedure charged to facilitate
processing of the bill at the earliest.
5.8
The Provider Hospital shall ensure that each time a member/dependent
avails service envisaged in this agreement, the expenses are regulated
strictly with reference to the eligibility and monetary limits fixed with
reference to the entitled status.
5.9
The Hospital shall ensure that the benefits are made available to the
member strictly as per terms of this agreement and no benefit outside the
terms of this agreement shall be allowed without prior approval unless the
same is essential for the recovery of members.
5.10 PSPCL shall not be liable to make any payment on account of claims which
are in the opinion of PSPCL fraudulent or are as a result of fabricated
claims. Corporation would have the right to blacklist the hospital if the
hospital is found to have facilitated the lodging of false claims, without
prejudice to any other right that the Corporation may have under the law.
DUTIES AND RESPONSIBILITIES OF HOSPITALS
It shall be the duty and responsibility of the Hospital , at all times, to obtain,
maintain and sustain the valid NABH Accreditation , recognition and high quality
and standard of its services and healthcare and to have all statutory / mandatory
licenses, permits or approvals of the concerned authorities under or as per the
existing laws”.
NON ASSIGNMENT
The Hospital shall not assign, in whole or in part, its obligations to perform under
this Agreement, except with the PSPCL’s prior written consent at its sole discretion
and on such terms and conditions as deemed fit by the PSPCL. Any such
assignment shall not relieve the Hospital from any liability or obligation under this
agreement
HOSPITAL’S INTEGRITY AND OBLIGAITONS DURING AGREEMENT PERIOD
8.1 The Hospital is responsible for and obliged to conduct all contracted
activities in accordance with this agreement using state-of-the-art methods
and economic principles and exercising all means available to achieve the
performance specified in this agreement. The Hospital is obliged to act within
its own authority. The Hospital is responsible for managing the activities of
its personnel and shall hold itself responsible for their mis-demeanors,
negligence, misconduct or deficiency in services, if any.
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8.2
The Provider Hospital shall ensure that all members are admitted and
treated in the Institution/Hospital on priority basis. Priority basis in this
context means making available to the member services like on the spot
admission/treatment, beds on an urgent basis and the like. In case there is no
accommodation either in the ward or in the operation theatre or the patient
requires specialized treatment which is not available in the Hospital, the
provider Hospital shall make all attempts through its good offices to
accommodate and admit the member to other PSPCL empanelled/super
specialty Hospital subject to concurrence from the concerned member and
an intimation as to the cross reference shall be made to the PSPCL within 24
hours of such referral.
8.3 The Provider Hospital shall ensure that best and timely medical
treatment/medical facility is extended to the member(s) and provides best of
services to them at all times.
8.4 It is mandatory for the Provider Hospital to maintain and adhere to the
standards and quality of medical services as prescribed by Medical Council of
India. The provider must represent that it has all the prescribed standards
and shall maintain the same throughout.
8.5 The hospital shall comply with the provisions of Law as applicable from time
to time. In case, any mishap occurs to the member(s) due to the deficiency in
service or medical negligence of the hospital in any manner whatsoever, the
hospital shall be responsible and liable for making compensation to the
affected persons/legal heirs, if so, directed by any Court/Consumer Court.
8.6 PSPCL's Standing Committee/ Medical officers/designated officers will have
the right to visit the Provider Hospital to check the quality, standards, review
and discuss treatment provided to the members. During such visits and
inquiries, the provider Hospital shall extend full co-operation to the PSPCL
officials including access to the patients' medical and billing records and
make available the information they request about the patient for the
purposes of their investigation/inspection.
8.7 The Provider Hospital shall also arrange to obtain medicines, injections,
disposables as prescribed by the Doctors from authorized
chemists/druggists.
8.8 The Hospital shall make available to the member(s) only in emergency cases,
ambulance services on a priority basis for patients, the cost of which will be
part of the package.
8.9 The Provider shall keep the member(s) only for the required number of days
of treatment and carry out only the required investigations. PSPCL has the
discretion to reject bills containing any item that as per PSPCL was
unwarranted on the part of the provider hospital.
8.10 The Provider Hospital shall not to take any cash deposit or any deposit of any
kind or advance from members who is/ are to be given treatment by the
Hospital and shall strictly adhere to the understanding.
8.11 The Hospital shall strictly adhere to the agreed 'Standard Operation
Procedure' as defined under CGHS Guidelines modified from time to
time/Agreed Terms and be bound by the same.
8.12 The Provider Hospital shall equip itself with qualified and experienced
Doctors, Medical and Para-medical Staff, Nurses, etc. and also all other
infrastructure essential to maintain the desired quality and standard of
treatment.
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8.13 The Provider Hospital shall not charge separate charges on account of
Nursing, interest free security deposit, diet charges, Cooler/Heater charges
(including electricity charges) which in the opinion of PSPCL are included in
the package.
8.14 The Provider Hospital shall admit the patient possessing the authorization
letter and Family Health Identity Card.
8.15 In case of emergencies, patient can be admitted to the hospital on production
of valid PSPCL ID Card/ Family Health Identity Card and the hospital will give
First Admission Report in such cases in the prescribed Performa to the
attendant of the patient for issue of authorization letter from respective
PSPCL Office if at head quarter or from any local authorized office if out of
station, within 2 working days. The empanelled hospital shall not demand
any advance from the beneficiary and shall provide credit facilities to the
concerned patient till authorization letter is received from the Corporation.
8.16 Without PSPCL ID Card /Family Health Identity Card, patients should not be
admitted except in case of extreme emergency/road accident. In such cases,
patient will submit the copy of the Family Health Identity Card before
discharge. In case of non-production of valid Family Health Identity Card the
responsibility of payment will be of the patient/ beneficiary or their
dependents as the case may be.
8.17 The provider shall not charge more than two consultations in a day to a
patient from the attending specialist. However in case of Multi Super
Specialty Hospitals, additional visit(s) of a different specialty may be allowed
under intimation to PSPCL with full justification thereof.
8.18 The provider should not admit any patient as a matter of routine unless the
Hospital is convinced that the patient actually requires admission and
whatever initial tests are required before admission, the same should first be
got done in OPD and patient should be admitted only wherever required.
8.19 Before the final discharge of the patient, the discharge summary certificate,
documents and necessary bill will be authenticated by the patient/escort’s
signature.
8.20 The drugs/medicine supplied to the patient to be consumed after discharge
will not be part of the package.
8.21 The package rates prescribed in the CGHS rates are for semi private ward,
therefore in case the entitled accommodation is not available at the time of
admission the patient will be admitted to lower category of accommodation
and the hospital will be entitled to claim the bill accordingly i.e. of lower
category. But if patient is provided for higher category accommodation at his
own request, the differential amount will be borne by the beneficiary and if
accommodation is provided by the hospital in the event of non-availability of
entitled accommodation, the differential amount will be borne by the
hospital concerned.
8.22 In case the Registration of the Hospital with the Health Department or NABH
Accreditation Certificate or NABH Accreditation Certificate for diagnostic
services or Income Tax Exemption Certificate or any other documentation
that may be applicable as furnished is revoked/withdrawn at any point of
time, the information should be furnished to PSPCL immediately as the
empanelment of hospital/terms of payment have been agreed to based on
the assumption that the said certificates are still in force. Any financial
liability Income Tax Liability that may arise on account of
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revocation/invalidity of above said certificates shall accrue on the hospital
and shall under no circumstances be borne by PSPCL.
8.23 The hospital at the time of renewal of empanelment would be required to
submit the request along with copy of all requisite documents at least two
months before the expiry of the empanelment period.
OBLIGATIONS OF PSPCL
PSPCL shall ensure settlement of all bills raised by the provider within 30 days
after the submission of the bills to PSPCL, in case of no query on the bills or claim.
In case the claims are not submitted within 60 days from the date of discharge,
such claims will be settled on the following pattern:Sr.
No.
i
ii
Duration of submission of claims
Deduction
Claims received within 60 days
Full payment
Claims submitted beyond 60 days but on before 120 10%
days
iii
Claims submitted beyond 120 days but on or before 20%
180 days
iv
Claims submitted beyond 180 days onwards
25%
PSPCL shall have the right to get the bill examined from outside medical expert on
sample basis.
10 MAXIMUM ROOM RENT
Payment of room rent will be made on CGHS rates minus discount if any or
negotiated rates whichever is lower.
The present CGHS rates are as under
(i)
General Ward
Rs. 1000/- per day
(ii)
Semi Private Ward
Rs. 2000/- per day
(iii) Private Ward/Single Room
Rs. 3000/-per day
The room rent will include diet charges, specialist’s consultation/visiting fee up to
two visits, nursing charges, heater/cooler/AC charges as applicable.
During the treatment in ICU/ICCU no separate room rent will be admissible.
The Payment of the procedures/diseases will also be made on the Hospital rates or
negotiated rates(if) where the rate of the procedure/disease/ treatment changes
with reference to the entitled class not provided in the CGHS e.g. Deluxe room,
super deluxe room, presidential suit etc.
11 GENERAL
11.1 PSPCL shall not be responsible / liable in any manner whatsoever on
account of negligence on the part of provider Hospital or their
doctors/consultants while giving treatment to patient.
11.2 Any deviation/modification of the Agreement by the parties shall be
affected with the written consent of both the parties.
12 TERMINATION
The agreement entered into can be terminated by either party by giving 30 days
notice without assigning any reason for which the hospital/PSPCL will have no
claim for any compensation/damage whatsoever on this account from the
Hospital/Corporation. PSPCL will have the right to terminate the Agreement, if the
provider Hospital violates any of the terms and conditions of the Agreement
without any prejudice to any other rights that the Corporation may have under the
'Law'. In case of termination either by PSPCL the Hospital shall ensure that all
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admitted patients undergoing treatment at the time of termination are treated
completely and discharged.
13 DEDUCTION OF TAXES AND OTHER LIABILITIES
Income tax and any other statutory tax will be deducted as applicable from the
every bill at source.
14 TERMINATION FOR DEFAULT
PSPCL may, without prejudice to any other remedy for breach of Agreement, by
written notice of default sent to the Hospital terminate the Agreement in whole
or part:
a)
If the Hospital fails to provide any or all of the services for which has been
recognized within the period(s) specified in the Agreement, or within any
extension thereof if granted by the PSPCL pursuant to Condition of
Agreement or
b)
If the Hospital fails to perform any other obligation(s) under the
Agreement. or
c)
If the Hospital in the judgment of PSPCL has engaged in corrupt or
fraudulent practices in competing for or in executing the Agreement.
d)
If the hospital found charging more than their normal charges when
hospital’s normal charges such as room rent, laboratory charges,
operation charges, X-ray/City scan/MRI etc are less than CGHS rates.
15. INDEMNITY
The Hospital shall at all times, indemnify and keep indemnified PSPCL against all
actions, suits, claims and demands brought or made against it in respect of
anything done or purported to be done by the Hospital in execution of or in
connection with the services under the Agreement and against any loss or
damage to PSPCL in consequence to any action or suit being brought against the
PSPCL, along with (or otherwise), Hospital as a Party for anything done or
purported to be done in the course of the execution of the Agreement. The
Hospital shall at all times abide by the job safety measures and other statutory
requirements and shall keep free and indemnify the PSPCL from all demands or
responsibilities arising from accidents or loss of life, the cause or result of which
is the Hospital negligence or misconduct. The Hospital shall pay all indemnities
arising from such incidents without any extra cost to PSPCL and shall not hold
the PSPCL responsible or obligated. PSPCL may at its discretion and shall always
be entirely at the cost of the Hospital defend such suit, either jointly with the
Hospital or singly in case the latter chooses not to defend the case.
16. ARBITRATION
If any dispute or difference of any kind whatsoever (the decision whereof is not
herein otherwise provided for) shall arise between the PSPCL and the Hospital
upon or in relation to or in connection with or arising out of the Agreement,
either party may forthwith give to the other, notice in writing of the existence of
such dispute and the same shall be referred for sole arbitration of a nominee of
PSPCL, who shall give written award of his decision to the Parties. The decision of
the Arbitrator shall be final and binding. The provisions of the Arbitration and
Conciliation Act, 1996 shall apply to the arbitration proceedings. The venue of
the arbitration proceedings shall be at Patiala.
17. MISCELLANEOUS
17.1 Nothing under the Agreement shall be construed as establishing or creating
between the Parties any relationship of Master and Servant or Principal and
Agent between the PSPCL and the Hospital.
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17.2 The Hospital shall not represent or hold itself out as agent of the PSPCL.
17.3 The PSPCL shall not be responsible in any way for any negligence or misconduct
of the Hospital and its employees for any accident, injury or damage sustained
or suffered by any PSPCL beneficiary or any third party resulting from or by any
operation conducted by and on behalf of the Hospital or in the course of doing
its work or perform their duties under the Agreement or otherwise.
17.4 The Hospital shall notify the PSPCL of any material change in their status and
their shareholdings or that of any Guarantor of the Hospital in particular where
such change would have an impact on the performance of obligation under the
Agreement.
17.5 This Agreement can be modified or altered only on written agreement signed
by both the parties.
17.6 Should the hospital get wound up or partnership is dissolved, the PSPCL shall
have the right to terminate the Agreement. The termination of Agreement shall
not relieve the hospital or their heirs and legal representatives from the liability
in respect of the services provided by the Hospital during the period when the
Agreement was in force.
17.7 The Hospital shall bear all expenses incidental to the preparation and stamping
of this agreement.
17.8 The hospital shall be delisted in case of any violation of the provisions of this
Agreement by the hospital such as:
(a) refusal of service,
(b) Undertaking unnecessary procedures,
(c) Prescribing unnecessary drugs/tests
(d) Over billing,
(e) Reduction in staff/ infrastructure/equipment etc. after the
hospital/has been empanelled.
(f) Non submission of the report, habitual late submission or
submission incorrect data in the report
(g) Refusal of credit to eligible beneficiaries and direct charging from
them.
(i) Discrimination against PSPCL beneficiaries vis-à-vis general
patients
PSPCL shall have the right to derecognize the hospitals. Such action could be
initiated on the basis of a complaint, medical audit or inspections carried out by
PSPCL teams at random and the decision of the PSPCL in this regard shall be
final.
17.9 The terms and conditions not specifically provided in agreement in that case
the terms and conditions of the CGHS will prevail.
18. LAW GOVERNING THE AGREEMENT AND DISPUTE RESOLUTION
The agreement will be governed by the Laws in force. Any dispute arising out of
the agreement will be settled in the Court of Law by competent jurisdiction. The
courts in Patiala will have exclusive jurisdiction to adjudicate the disputes arising
under the agreement.
19. NOTICES
Any notice given by one party to the other pursuant to this Agreement shall be
sent to other party in writing by registered post or by facsimile and confirmed by
original copy by post to the other Party’s address as below.
PSPCL: ………………………………………………………………………………………………………
Hospital with address: ………………………………………………………………………
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A notice shall be effective when served or on the notice’s effective date, whichever
is later. Registered communication shall be deemed to have been served even if it
returned with remarks like refused, left, premises locked, etc.
IN WITNESSES WHEREOF, the parties have caused this Agreement to be signed and
executed on the day, month and the year first above mentioned.
Signed by
Signed by
………………………………………….
………………………………………….
For and on behalf of PSPCL
……………………………………………..
……………………………………………..
For and on behalf of (Hospital)
Duly authorized vide Resolution No. ………
dated …….of (name of Hospital )
In the Presence of (Witnesses)
In the presence of (Witnesses)
1.
1.
2.
2.