Current Report Filing (8-k)
April 23 2019 - 11:57AM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington
D.C. 20549
Form
8-K
CURRENT
REPORT
Pursuant
to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date
of Report (Date of earliest event reported): April 16, 2019
eWELLNESS
HEALTHCARE CORPORATION
(Exact
name of registrant as specified in its charter)
Nevada
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90-1073143
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(State or other jurisdiction of
Incorporation or Organization)
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(I.R.S. Employer
Identification No.)
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11825
Major Street, Culver City, California
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90230
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(Address
of Principal Executive Offices)
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(Zip
Code)
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(855)
470-1700
(Registrant’s
telephone number, including area code)
Check
the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant
under any of the following provisions:
[ ]
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Written
communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
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[ ]
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Soliciting
material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
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[ ]
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Pre-commencement
communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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[ ]
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Pre-commencement
communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
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Item
1.01 Entry into a Material Definitive Agreement
eWellness
Healthcare Corporation, OTCQB: EWLL (the “Company” or “Provider”), effective April 16, 2019, entered into
an Annual Provider Agreement (the “Agreement”) with Unify Health Services, LLC (“UHS”), based in Jacksonville,
FL (“UHS”), a copy of which is attached as Exhibit 99.1 to this Form 8-K. Pursuant to the terms of the Agreement,
the Company will perform medically necessary tele-physical or tele-occupational therapy, and/or related virtual Industry Services
(collectively “Covered Services”) for persons who are eligible to receive Covered Services paid for by a UHS client
(individually, a “Covered Person” and collectively, the “Covered Persons”). The Industry Services include,
but are not limited to: (i) worker’s compensation; (ii) auto; and/or (iii) group health claims, among others. In addition,
the Company, as Provider, will provide Covered Services to all Covered Persons referred to Provider by UHS in accordance with
(a) prevailing professional standards, (b) UHS client’s requirements, and (c) all applicable federal, state and local laws,
regulations and requirements.
The
Agreement further provides that: (i) the Company shall submit a HCFA or invoice, as applicable, either of which must itemize Covered
Services per Covered Person and include applicable supporting documentation within 90 days after the date of service or any service
provided outside the scope of the Authorization Form; (ii) the Company will be paid as provided in the Schedule attached to the
Agreement within sixty (60) days of UHS’s receipt of HCFA or invoice from the Company; and (iii) any dispute between the
Company and UHS regarding payment must be in writing, submitted within sixty (60) days of receipt of the same from UHS or as by
state law requires.
Item
9.01 Financial Statements and Exhibits
(d)
Exhibits
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf
by the undersigned hereunto duly authorized.
Dated:
April 23, 2019
eWellness Healthcare Corporation
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By:
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/s/
Darwin Fogt
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Name:
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Darwin
Fogt
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Title:
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Chief
Executive Officer
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eWellness Healthcare (CE) (USOTC:EWLL)
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