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Health Care Service Provider Agreement

Health Care Service Provider Agreement Template for Indonesia

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Key Requirements PROMPT example:

Health Care Service Provider Agreement

"I need a Health Care Service Provider Agreement for my specialized dental clinic in Jakarta to join a national healthcare network, with specific provisions for both BPJS and private insurance patients, to be effective from March 1, 2025."

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Document background
The Health Care Service Provider Agreement is essential for formalizing relationships between healthcare providers and contracting entities in Indonesia. This document is typically used when establishing new healthcare service arrangements or updating existing ones, ensuring compliance with Indonesian healthcare regulations including Law No. 36 of 2009 on Health, Law No. 29 of 2004 on Medical Practice, and relevant Ministry of Health regulations. The agreement covers crucial aspects such as service scope, quality standards, patient rights, data protection, payment terms, and regulatory compliance. It's particularly relevant in the context of Indonesia's evolving healthcare landscape, including integration with the national health insurance system (BPJS) and emerging healthcare delivery models. The document serves as a crucial tool for protecting both provider and patient interests while ensuring adherence to Indonesian healthcare service standards.
Suggested Sections

1. Parties: Identifies the healthcare service provider and the contracting entity, including their legal status and registration details

2. Background: Outlines the context of the agreement, including the provider's qualifications and the purpose of the healthcare services arrangement

3. Definitions: Defines key terms used throughout the agreement for clarity and legal certainty

4. Scope of Services: Details the specific healthcare services to be provided, including any limitations or exclusions

5. Provider Obligations: Lists the healthcare provider's duties, responsibilities, and service standards

6. Quality Standards and Compliance: Specifies the required quality standards, accreditation requirements, and compliance with Indonesian healthcare regulations

7. Licensing and Credentials: Details requirements for maintaining necessary licenses, permits, and professional credentials

8. Patient Care Standards: Outlines standards for patient care, confidentiality, and medical ethics

9. Fees and Payment Terms: Specifies service fees, payment mechanisms, and billing procedures

10. Insurance and Liability: Details insurance requirements and allocation of liability between parties

11. Term and Termination: Specifies the duration of the agreement and conditions for termination

12. Confidentiality: Addresses the handling of confidential information and patient data protection

13. Dispute Resolution: Outlines procedures for resolving disputes under Indonesian law

14. General Provisions: Contains standard legal provisions including notices, amendments, and governing law

Optional Sections

1. Emergency Services: Include when the provider offers emergency medical services

2. Telemedicine Services: Include when remote healthcare services are part of the offering

3. Research and Clinical Trials: Include when the provider participates in medical research or clinical trials

4. Teaching and Training: Include when the facility serves as a teaching or training institution

5. Electronic Health Records: Include specific provisions for digital health record management

6. Equipment and Facilities: Include when specific equipment or facility requirements need to be detailed

7. Pharmacy Services: Include when pharmaceutical services are part of the agreement

8. International Patient Services: Include when providing services to international patients

9. BPJS Integration: Include when the provider participates in the national health insurance program

Suggested Schedules

1. Schedule A - Service Fee Schedule: Detailed breakdown of fees for different services and procedures

2. Schedule B - Quality Metrics and Performance Standards: Specific quality indicators and performance measurement criteria

3. Schedule C - Required Documentation and Reporting: List of required reports, forms, and documentation

4. Schedule D - Facility Standards: Technical specifications for facilities and equipment

5. Schedule E - Personnel Requirements: Staffing requirements and qualifications

6. Schedule F - Insurance Requirements: Detailed insurance coverage requirements and limits

7. Appendix 1 - Standard Operating Procedures: Detailed clinical and operational procedures

8. Appendix 2 - Compliance Checklist: Regulatory compliance requirements and checklist

9. Appendix 3 - Emergency Protocols: Emergency response procedures and protocols

10. Appendix 4 - Forms and Templates: Standard forms and documentation templates

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Linkedin in social icon imageX social icon image
alex.den.21@genieai.co
Relevant legal definitions
Accreditation
Applicable Healthcare Laws
Authorized Representative
BPJS
Business Day
Clinical Staff
Confidential Information
Effective Date
Emergency Medical Condition
Facility
Healthcare Services
Hospital By-laws
Initial Term
Insurance Provider
Medical Records
Medical Staff
Patient
Patient Data
Professional Standards
Provider
Quality Standards
Regulated Health Information
Required Licenses
Service Fees
Service Location
Standard Operating Procedures
Term
Treatment Protocol
Urgent Care Services
Healthcare Provider
Medical Emergency
Clinical Guidelines
Healthcare Facility
Material Breach
Patient Care
Professional Liability Insurance
Quality Metrics
Renewal Term
Service Level Requirements
Third Party Payer
Medical Equipment
Force Majeure Event
Intellectual Property Rights
Ministry of Health
Personnel
Protected Health Information
Regulatory Authority
Service Schedule
Termination Date
Clauses
Scope of Services
Licensing and Accreditation
Quality Standards
Medical Staff Rights and Responsibilities
Patient Care Standards
Data Protection and Privacy
Confidentiality
Insurance Requirements
Indemnification
Liability Limitation
Fee Structure
Payment Terms
Service Standards
Compliance with Laws
Record Keeping
Reporting Requirements
Emergency Services
Force Majeure
Term and Termination
Assignment and Subcontracting
Dispute Resolution
Governing Law
Amendments
Notices
Entire Agreement
Severability
Warranties
Performance Standards
Equipment and Facilities
Staff Qualifications
Patient Rights
Medical Records Management
Quality Assurance
Regulatory Compliance
Risk Management
Intellectual Property
Non-Competition
Non-Solicitation
Audit Rights
Business Continuity
Ethics and Compliance
Relevant Industries

Healthcare

Insurance

Medical Services

Pharmaceuticals

Corporate Healthcare

Healthcare Technology

Medical Devices

Healthcare Consulting

Employee Benefits

Social Security

Relevant Teams

Legal

Compliance

Healthcare Operations

Quality Assurance

Risk Management

Finance

Medical Affairs

Procurement

Contract Administration

Clinical Operations

Insurance Relations

Regulatory Affairs

Relevant Roles

Medical Director

Hospital Administrator

Chief Medical Officer

Healthcare Facility Manager

Legal Counsel

Compliance Officer

Contract Manager

Healthcare Operations Manager

Quality Assurance Manager

Risk Manager

Insurance Relations Manager

Clinical Services Director

Chief Financial Officer

Healthcare Partnership Manager

Procurement Manager

Industries
Law No. 36 of 2009 on Health: The primary health law in Indonesia that provides the fundamental framework for healthcare services, including requirements for healthcare providers, patient rights, and healthcare delivery standards
Law No. 29 of 2004 on Medical Practice: Regulates medical practice in Indonesia, including licensing requirements, standards of professional conduct, and obligations of healthcare providers
Law No. 44 of 2009 on Hospitals: Specifies requirements and standards for hospital operations, including service quality, facility requirements, and patient safety measures
Law No. 40 of 2004 on National Social Security System: Establishes the framework for healthcare insurance and social security, including provisions for healthcare provider participation in national insurance programs
Minister of Health Regulation No. 4 of 2019: Technical standards for healthcare service quality and patient safety in healthcare facilities
Law No. 8 of 1999 on Consumer Protection: Provides protection for patients as consumers of healthcare services, including rights to information and quality service
Indonesian Civil Code (KUHPerdata): Governs general contract formation and enforcement, including requirements for valid agreements and contractual obligations
Law No. 11 of 2008 on Electronic Information and Transactions: Relevant for electronic medical records and digital health services provisions in the agreement
Minister of Health Regulation No. 269/MENKES/PER/III/2008: Regulations regarding medical records management and patient data protection
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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