Examples of TPA in a sentence
Provider understands and agrees that services for which bills are submitted more than one hundred eighty (180) days after the date of service may be ineligible for payment, depending upon the Payor or TPA, and that the Provider may not bill a Member for payment for services which are not payable due to the Provider’s failure to submit a timely claim.
Unless otherwise directed by Xxxxx or TPA, Provider may verify the current status of the Member’s eligibility for Covered Services by requesting the Member to present his or her identification card or by contacting Payor or Xxxxx’s designee during normal business hours.
A copy of the notice terminating the provider-patient relationship should be sent to Crescent and to Payor or TPA.
If Xxxxxxxx performs repricing, Xxxxxxxx will remit repriced bills to the Payor or TPA within forty-eight (48) hours of Crescent’s receipt.
For all Members, Provider shall cooperate with Crescent, TPA, and/or Payor in the transition of administrative duties.