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Professional Services Agreement - SEMMA Health Inc - 2020 City Benefit Plan
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Professional Services Agreement - SEMMA Health Inc - 2020 City Benefit Plan
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4/2/2025 9:49:20 AM
Creation date
10/25/2018 9:33:06 AM
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Board of Public Works
Document Type
Contracts
Document Date
10/23/2018
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1.1.6 SEMMA will deploy its predictive analytic models on the City of South Bend, specifically <br />chronic disease, high dollar claims, new diagnoses <br />1.1.7 SEMMA will partner with the City of South Bend's health care broker & other vendors to act on <br />the insights <br />1.2 Independent Contractors. The parties intend to, and shall, act and perform as independent contractors, <br />Each party shall be solely responsible for, and shall comply with, ail state and federal laws, rules and <br />regulations pertaining to employment taxes, income tax withholding, unemployment compensation <br />contributions, and all other employment related laws, rules and regulations applicable to that party. <br />SEMMA retains all the rights and privileges as the employer of its employees including, without limitation, <br />the right to control, supervise, hire, discipline, compensate, and terminate such employees. Nothing in this <br />Agreement shall constitute or be construed to be or to create an employer -employee, partnership or joint " <br />venture relationship between SEMMA and Client. <br />2.1 Services Fees. In consideration of the Services rendered by SEMMA under this Agreement, Client shall <br />pay SEMMA the services fees set forth in this Section: <br />2.1.1 Services Fees. Client will pay SEMMA a Monthly Data Management and Analysis Fee of <br />$1.000 (the "Services. Fees"). <br />11.2 Success Fees. Client will pay SEMMA a 30% Success Fee when and only after SEMMA has <br />identified and recovered overpayments exceeding the Client's total Monthly Data <br />Management and Analysis Fee for the "initial term" and any renewal terms collectively, the <br />"term" of the Agreement, generated through its monthly claims overpayment audit. Success <br />savings will be calculated monthly and are to be paid annually at the end of the "initial term", <br />and any renewal terms collectively, the "term". <br />2.2 invoice5,payment and Reconciliation. <br />202.1 SEMMA shall submit monthly invoices to Client for the Services Fees and yearly invoices for the <br />Success Fees, beginning upon commencement of this Agreement and every 30 days following. <br />Client shall pay all invoiced amounts within thirty (30) days of receipt of an invoice. <br />3.1 HIPAA. The parries hereto agree that this relationship meets the requirements established in the Health <br />Insurance Portability and Accountability Act of 1996 and its implementing regulations, as amended <br />(collectively, "HIPAA"), which governs the use of Protected Health Information (as such terra is defined in <br />45 C.F.R. § 160.103). For purposes of the parties' compliance with HIPAA, the Business Associate <br />Agreement ("§AA") entered into by the parties shall apply to this Agreement. <br />Page 10 1 14 <br />
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