Now, therefore, the Parties hereby agree as follows:
1. Definitions
In this Agreement:
“Cashless Health Care Services” shall mean all necessary and appropriate medical care services, consultations, medical evacuations and repatriations,facilities and related services for Participating Patients covered by April’s agreements with various employees and others as designated by April.
“Clients” shall mean various health insurance companies, agencies, brokers and reinsures for which April provides claims processing services.
“Dispute” shall mean any dispute, controversy or claim among the Parties arising out of, relating to or in connection with this Agreement, or the breach, termination or validity hereof.
“Final claim invoice”shall mean the invoice received by April after all corrections and remarks have been agreed upon by both parties
“GOP” shall mean a document to be issued by April to the Hospital in order to confirm the payment under Clause 7.
“Health Care Services” shall mean the aggregate of Cashless Health Care Services and Paid Health Care Services.
“Paid Health Care Services” shall mean all necessary and appropriate medical care services, consultations, medical evacuations and repatriations, facilities and related services for Participating Patients not covered by April’s agreements with various Clients.
“Participating Patients” shall mean those individuals who are eligible to receive (i) Cashless Health Care Services under the scope of an insurance program administered by April; and/or (ii) Paid Health Care Services in case the services provided by the Hospitalare not covered under the scope of the insurance program administered by April.
“Parties” shall mean the parties to this Agreement, and Party means any one of them,