BILLING AND CONDENSATION Sample Clauses

BILLING AND CONDENSATION. The Billing and Compensation procedures shall be as follows: A. As compensation for its services hereunder, METCARE shall pay Provider for authorized Covered Services rendered to METCARE Members at mutually agreed upon rates as set forth in Attachment "B" (Covered Services and Compensation Schedule), attached and made a part herein. Provider expressly agrees to accept such compensation as payment in full for the provision of Covered Services. B. If applicable, Provider shall bilx xxr authorized Covered Services rendered to METCARE Members according to the rates in Attachment "B". In connection with each billing for Covered Services, Provider shall submit a properly completed HCFA 1500 form, or other billing form as required by METCARE, along with a written record of the Covered Services provided in accordance with the most recent Medicare E&M guidelines or as otherwise required by METCARE, and a copy of the referral form or the 74 PHYSICIAN PRACTICE MANAGEMENT PARTICIPATION AGREEMENT authorization number, within thirty (30) days of the date of service. In the event that the Provider is unable to submit a bilx xxthin the time specified because of circumstances beyond Provider control, the time for submission of such bilx xxall be extended as reasonably necessary for a period not to exceed six (6) months from the date of service.