ASP Service Sample Clauses

ASP Service a) AXIOM hosts the ASP Service to enable Customer to conduct electronic business with other companies (the “Trading Partners”) including healthcare insurance payers and clearinghouses. AXIOM communicates with Customer’s Trading Partners using Electronic Data Interchange (EDI) formats and communications protocols. b) Customer grants to AXIOM permission to use data, transmissions, source documents, and security access codes related to their PHI in the course of providing the ASP Service to Customer. c) The electronic services provided by the ASP Service may include but are not limited to: (i) delivery, processing, and management of electronic health insurance claims and other HIPAA-­‐related electronic transactions related to the Health Insurance Portability and Accountability Act (“HIPAA”) with Customer’s Trading Partners, (ii) automatic translation and manual entry of data to form the electronic transactions, and (iii) delivery, processing, and management of non-­‐standard files and reports related to the electronic transactions.
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ASP Service. (a) Ivertex hosts the ASP Services to enable Customer to conduct electronic business with other companies (the “Trading Partners”) including healthcare insurance payers and clearinghouses. Ivertex communicates with Customer’s Trading Partners using Electronic Data Interchange (EDI) formats and communications protocols. The electronic services provided by the ASP Service are commonly referred to in the industry as “Service bureau”, “billing agent”, or “clearinghouse” services, and include but are not limited to: (i) delivery, processing, and management of electronic health insurance claims and other HIPAA-related electronic transactions to Customer’s Trading Partners, (ii) automatic translation and manual entry of data to form the electronic transactions, and (iii) delivery, processing, and management of non-standard files and reports related to the electronic transactions. (b) Ivertex agrees to forward all claims in a timely manner (within 5 minutes normally, but allowing for up to two (2) business days of receipt of claims). Edits will be applied to each claim based upon the published edit documentation of the appropriate clearinghouse and payer. If the claim passes the edits, it will be submitted electronically to the appropriate Trading Partner. Ivertex may make format changes in the information received from Customer. Ivertex reserves the right to modify the claim submissions, as required or requested by the Trading Partner, into the required HIPAA transaction and code sets format as mandated by 45 CFR 162, subpart K through R. Submitted claim data that does not comply with the Trading Partners published documentation may not be forwarded. Ivertex will make no other changes to claim information received from Customer without disclosing it in this Agreement in Article 1.3 Data Limitation Disclosures, or upon receiving prior written consent of Customer. (c) Customer acknowledges with respect to the ASP Service, that (i) the Trading Partner submitted to will reject any claim which fails to satisfy that the Trading Partner’s then current standard edits, either undocumented or published in the Trading Partner’s relevant technical specifications, and (ii) each Trading Partner has the right to reject any claim that fails to meet claims administration criteria then ordinarily employed by that entity. Customer acknowledges that it is the Customer's responsibility to review responses and reports from Ivertex and/or a Trading Partner to determine the status of a ...
ASP Service 

Related to ASP Service

  • CLOUD SERVICE The Cloud Service offering, is described below and is specified in an Order Document for the selected entitled offerings. The Order Document will consist of the Quotation that is provided and the Proof of Entitlement (XxX) you will receive confirming the start date and term of the Cloud Services and when invoicing will commence.

  • Our Service The services that you have selected and the charges for those services are confirmed in Section 9 - Your Consent at the end of this agreement. We agree to provide the services selected and you agree to pay us for those services. Any advice or recommendation that we offer to you, will only be given after we have assessed your needs and considered your financial objectives and attitude to any risks that may be involved. We will also take into account any restrictions that you wish to place on the type of products you would be willing to consider.

  • Service a. Any notice, request or demand required to be served on any party hereto shall be in writing and shall be deemed to be sufficiently served:- (i) If it is delivered personally to the address of the party provided pursuant to these Conditions of Sale or at the designated branch of the Assignee as stipulated herein; or (ii) If it is sent by prepaid registered post to the address of the party provided pursuant to these Conditions of Sale or by AR Registered Post to the designated branch of the Assignee as stipulated herein; and such notice, request or demand shall be deemed to have been received (iii) If delivered personally at the time given by hand or courier; or (iv) If sent by prepaid registered post after 3 days of posting; or (v) If sent by AR Registered Post upon actual receipt. b. Any legal process issued may be served on any party in the same manner stipulated for the service of notice, request or demand and such legal process shall be deemed served in the same manner as for the notice, request or demand.

  • Food Service If the Charter School offers food services on its own or through a third-party contract, the Charter School may apply directly to, and if approved, operate school nutrition programs with reimbursement from the United States Department of Agriculture, under supervision of the Tennessee Department of Education.

  • IN-SERVICE When a nurse attends any in-service programme during her/his regularly scheduled working hours, she/he shall suffer no loss of pay. When a nurse is unable to do so, and attends the in-service programme outside her/his regularly scheduled hours, she/he shall be paid for all time attendance at her/his straight time rate of pay. If attendance is mandatory all applicable premiums will apply.

  • DNS Service TLD Zone Contents 1.1. Apex SOA record 1.2. Apex NS records and in-­‐bailiwick glue for the TLD’s DNS servers 1.3. NS records and in-­‐bailiwick glue for DNS servers of registered names in the TLD

  • EXTENDED SERVICE 156 Upon application, a military leave of absence (without pay) will be granted to employees who are employed in other than temporary positions. This applies to employees who are inducted through a selective service system or voluntary enlistment, or if the employee is called through membership in the National Guard or reserve component into the Armed Forces of the United States.

  • Internet Service In the event that internet is required during your stay, please verify that the Property selected provides the service. Rules of the House: In the event there are rules specific to your Property either required by the Owner or if applicable from an HOA, they will be posted at the home and your compliance is necessary. Rental Unit for Sale: Occasionally a Property may go on the market for sale. In such cases Agent reserves the right to show the Property to potential buyers. Agent will make every effort to schedule the showing at a time that is convenient for Tenant, so as not to interrupt your vacation. Tenant’s cooperation is appreciated. Consumable Products: Paper products, laundry/dish detergent, personal toiletry items and food staples are not included in the Properties. Linens: Linens are included with all Properties for reservations up to 2 days or more. If linens and towels are damaged or missing there will be an added fee to replace and/or clean those items. Linens and towels should only be used for sleeping in and drying off. Damaged or missing bath towels are $25, hand towels are $15, wash cloths are $10, sheets are $30, pillow cases are $15, and bath mats are $20. Damaged items might include makeup, blood stains, excessive dirt, tanning lotion, and human waste.

  • Level of Service Complex case management with a provider focus is appropriate for members who either choose not to be actively involved or are unable to actively participate in their health care. Complex case management targets members with two (2) or more disease states who need assistance with care coordination, making preventive care appointments, or accessing care to address the members’ chronic health conditions or members who have had an inpatient hospital stay in the last ninety (90) days or members with high dollar claims of over fifty thousand dollars (>$50,000) in six (6) months. The focus is on working with the providers to meet the needs of the individual through communication with the PMP (if applicable), other providers, and the member’s natural support system. The goal is to help members gain optimum health or improved functional capability, in the right setting and in a cost-effective manner. Complex case management with provider focus is the active coordination by the Contractor of care and services between providers while navigating the extensive systems and resources required for the member. It involves comprehensive assessment, determination of available benefits, development and implementation of a complex case management plan directed at the chronic health conditions. At a minimum, the Contractor must provide complex case management services for members discharged from an inpatient psychiatric, drug overdose, or substance abuse hospitalization, for no fewer than ninety (90) calendar days following that inpatient hospitalization discharge. The Contractor must also provide complex case management services for any member at risk for inpatient psychiatric or substance abuse re -hospitalization. Care managers must contact members during an inpatient hospitalization or as soon as practicable upon receiving notification of a member’s inpatient behavioral health hospitalization. The care manager must work with the hospital discharge planner, provider case manager and/or natural supports (i.e. family) to ensure that an outpatient follow-up appointment is scheduled to occur no later than seven (7) calendar days following the inpatient behavioral health hospitalization discharge and transportation is not a barrier to attending the appointment. Complex case management with provider focus includes all of the services and benefits from disease management and care management. In addition,

  • Universal service 1. Each Party has the right to define the kind of universal service obligations that it wishes to maintain. 2. Each Party shall administer any universal service obligation that it maintains in a transparent, non-discriminatory, and competitively neutral manner and shall ensure that its universal service obligation is not more burdensome than necessary for the kind of universal service that it has defined.

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