Accounts Payable System Clause Samples

Accounts Payable System. 13 3.25 Catastrophic Case Management . . . . . . . . . . . . . . . 13 3.26

Accounts Payable System. IPA agrees to operate its accounts payable system in a manner which assures that providers of authorized Medical Services who are Member Physicians and non-Member Physicians receive payment for Medical Services rendered to Subscribers within twenty-seven (27) calendar days of IPA's receipt of an uncontested claim from such Member Physicians and non-Member Physicians. In the event IPA fails to meet the payment timelines discussed in this Section 3.24, in addition to exercising any other remedies it may have under this Agreement, PacifiCare may take actions to assist IPA in operating its accounts payable system including, but not limited to, assuming the obligation of paying IPA's Member Physicians and Non-Member Physicians and charging IPA an administrative fee for performing such services.

Accounts Payable System. IPA agrees to operate its accounts payable system in a manner which assures that providers of authorized Medical Services who are Member Physicians and non-Member Physicians receive payment for Medical Services rendered to Subscribers within the timeframe specified by Federal regulation. For a claim which is contested or is not "clean", either payment must be made to the Member Physician or non-Member Physician, or an initial determination notice must be sent to the Subscriber within sixty (60) calendar days of IPA's receipt of such claim from Member Physicians and non-Member Physicians. Any denied claim which is afterwards determined by HCFA as payable and which falls under IPA financial responsibility, must be paid by IPA upon notice and/or receipt of claim. In the event IPA fails to meet the payment timelines discussed in this Section 3.24, in addition to exercising any other remedies it may have under this Agreement, PacifiCare may take actions to assist IPA in operating its accounts payable system including, but not limited to, paying IPA's Member Physicians and Non-Member Physicians and charging the claim amount paid against IPA capitation in addition to an administrative fee for performing such services.

Accounts Payable System. IPA agrees to operate its accounts payable system in a manner which assures that providers of authorized Medical Services who are Member Physicians and non-Member Physicians receive payment for Medical Services rendered to Subscribers within forty-five (45) working days of IPA's receipt of an uncontested claim from such Member Physicians and non-Member Physicians. IPA's accounts payable system shall be subject to the ongoing approval of PacifiCare.

Accounts Payable System