Академический Документы
Профессиональный Документы
Культура Документы
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Revised: 3/25/2014
2014 SterlingCare
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Patient Patients are those individuals who receive services or have agreed to accept financial responsibility for others who receive services from Client in the normal course of Clients business. Client shall be responsible for all services, clinical or otherwise, provided to Patients. SterlingCare shall have no relationship or communication with any Patient with regard to services provided by Client except as explicitly described in this Agreement. Patient Confidentiality SterlingCare shall comply with any and all local, state or federal laws and regulations regarding confidentiality and will not disclose any information relating to a Patient without prior written permission from Client or the Patient or the parent or guardian of a minor Patient. Prohibition Against Discrimination Neither Client nor SterlingCare shall discriminate against any person because of race, color, religion, sex, marital status, national origin or age, physical or mental disability, medical condition, or veteran's status as provided by law. Destruction of Facilities In the event SterlingCares facilities shall be partially damaged or destroyed by fire, earthquake, or other catastrophe, and such damage is sufficient to render the facilities untenantable even though not entirely or substantially destroyed, this Agreement shall be suspended until such time as SterlingCare determines that the premises or the facilities shall again be tenantable. Term and Termination This Agreement shall become effective upon execution of this Agreement and shall continue in full force and effect unless and until terminated under any one of the following provisions: a. Cancellation: It is understood and agreed that either party shall have the right to cancel this Agreement, without penalty or cause, by giving no less than ninety (90) days written notice to the other party. b. Material Breach Either party shall have the right to terminate this Agreement in the event of the other party's material breach hereof; provided, however, the termination of this Agreement will not become effective unless and until the party allegedly in default has received from the other party written notice of breach, which notice shall state the general nature of said breach, and the party allegedly in default shall thereafter have a period of ten (10) days following the receipt of said notice in which to remedy said breach to the reasonable satisfaction of the other party. Notices All notices or demands hereunder shall be in writing and shall be deemed delivered if personally delivered or sent by registered mail, postage prepaid as follows: If to SterlingCare LLC: 2865 East Pacific Coast Highway, Suite 320 Corona Del Mar, CA 92625 Phone: 800.778.4640 Fax: 888.778.8604 If to Client: ___________________________________________
(Client Name)
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Revised: 3/25/2014
2014 SterlingCare
10. Entire Agreement This Agreement constitutes the entire Agreement between the parties pertaining to the subject contained in it and supersedes all prior and contemporaneous Agreements, and no other representations or understandings of the parties shall be binding unless executed in writing by all parties. No waiver of any of the provisions of this Agreement shall be deemed, or shall constitute, a waiver of any other provision, whether or not similar, nor shall any waiver constitute a continuing waiver. 11. Non-Assignment This is an Agreement for personal service, and no rights or obligations hereunder may be assigned, transferred or set over unto any other person, firm or corporation without the express written approval of Client and SterlingCare. 12. Amendment This Agreement may not be amended except in writing signed by the authorized representatives of both parties. 13. Severability Each provision of this Agreement shall be severable from every other provision of this Agreement for the purpose of determining the legal enforceability of any specific provision. In the event any provision of this Agreement is deemed invalid or unenforceable under applicable laws, all other provisions of this Agreement shall remain in full force and effect. 14. Governing Laws This Agreement shall be governed by the laws of the State of California. The parties further agree that the court of jurisdiction shall be in Orange County, California. 15. Acceptance of Terms Executed this _________ day of _________________, _______ at Orange County, California
SterlingCare LLC
Client
Authorized Signature
Authorized Signature
Name
Name
Title
Title
16. Email Address Please provide an email address and contact name you wish to use as you primary login to the client portal. Your credentials will be sent to this email address to gain access to the SterlingCare secured portal.
Email Address
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Revised: 3/25/2014
2014 SterlingCare Attendee
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Banking Fees: Pass Through Bank and credit card companies charge various fees for their products and services. These fees can change often and vary between companies. SterlingCare will use reasonable efforts to establish relationships with its various processing providers to minimize these fees for the benefit of the Client. SterlingCare Service Fee: Up to $25,000 in monthly Net Collected Funds: 1.95% From $25,001 to $50,000 in monthly Net Collected Funds: 1.45% Above $50,000 in monthly Net Collected Funds 0.95% Net Collected Funds are the total of all monies collected from the Patient on behalf of the Client less any applicable Banking Fees. Change Fee: $5.00 per change request Once a CIPP has been established requests for changes to the CIPP such as, but not limited to, payment account changes, balance adjustments and cancelations, that require administrative changes by SterlingCare personnel will be charged a Change Fee.
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Revised: 3/25/2014
2014 SterlingCare