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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) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions

















































Clauses









































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









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, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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