Billing Audits. Except as may be otherwise specifically provided in this Agreement, either Party (“Auditing Party”) may audit the other Party’s (“Audited Party”) books, records, documents, facilities and systems for the purpose of evaluating the accuracy of the Audited Party’s bills and invoicing. Such audits may be performed once in each Contract Year; provided, however, that audits may be conducted more frequently (but no more frequently than once in each contract quarter) if the immediately preceding audit found previously uncorrected net inaccuracies in billing in favor of the Auditing Party having an aggregate value of at least $50,000. For purposes of this Section 7.1, “Contract Year” means a twelve (12) month period during the term of the Agreement commencing on the Effective Date and each anniversary thereof.
Billing Audits. County and its designee shall have the right to examine and audit all of Engineer’s xxxxxxxx/invoices and all of Engineer’s backup and support data for xxxxxxxx/invoices for this Agreement. Upon HCED’s request, Engineer agrees to make such data and supporting documentation available to the County Auditor or designee in Harris County, Texas. Engineer shall maintain complete and accurate records necessary to fulfill any obligations in this Agreement, including a copy of this Agreement, including detailed time records identifying each person performing services that were billed on an hourly basis, the corresponding dates of the services, the applicable firm fixed price and the percentage completed for specific tasks as specified in this Agreement, any applicable hourly or cost-plus rates, the total amount billed for each person as applicable, and the total amount billed for all persons as applicable. Engineer shall maintain and make available for inspection (electronically or in Harris County during regular business hours) the Records for a minimum of four (4) years days following either the end of the federal fiscal year in which any obligations were performed under this Agreement or the termination date of this Agreement (or longer if necessary to resolve any litigation, claims, financial management review, or audit findings). All payments made by County are subject to re-evaluation and refund or withholding of future payments conditioned on the results of the audit.
Billing Audits. 11.4.1 Subject to the terms and conditions of this Section 11.4, Section 19 of the General Terms and Conditions, and the reasonable security requirements of each Party, except as may be otherwise specifically provided in this Agreement, each Party ("Auditing Party") may audit the other Party's ("Audited Party") books, records and documents which relate to the Audited Party's billing to the Auditing Party under this Agreement once each year at the conclusion of each calendar year in order to evaluate the accuracy of the Audited Party's billing.
11.4.2 The audit shall be performed by independent certified public accountants selected and paid for by the Auditing Party. The accountants shall be reasonably acceptable to the Audited Party. Prior to commencing the audit, the accountants shall execute an agreement with the Audited Party that is reasonably acceptable to the Audited Party that protects the confidentiality of the information disclosed by the Audited Party to the accountants. The audit shall take place at a time and place agreed upon by the Parties; provided, that the Auditing Party may require that the audit commence no later than sixty (60) days after the Auditing Party has given notice of the audit to the Audited Party.
11.4.3 The Audited Party shall promptly correct any billing error that is revealed in an audit, including back-billing of any underpayments and making a refund, in the form of a billing credit, of any over-payments. Such back- billing and refund shall appear on an Audited Party xxxx to the Auditing Party no later than two months after the Parties have agreed upon the accuracy of the audit results. The Audited Party shall pay interest on any refund of an over-payment from the date the over-payment was received by the Audited Party until the date of the xxxx on which the refund is credited, at a rate of the lesser of one-and-one-half percent (1.5%) per month or the highest rate allowed by Applicable Law. Any dispute concerning audit results shall be resolved pursuant to Section 17 of the General Terms and Conditions.
11.4.4 Each Party shall cooperate fully in any such audit, providing reasonable access to any and all employees, books, records and documents, reasonably necessary to assess the accuracy of the Audited Party's bills.
11.4.5 The Auditing Party may perform a single additional audit of the Audited Party's relevant books, records and documents during any calendar year if the previous audit uncovered uncorrected net inaccuraci...
Billing Audits. Except as may be otherwise specifically provided in this Agreement, either Party (“Auditing Party”) may audit the other Party’s (“Audited Party”) books, records, documents, facilities and systems for the purpose of evaluating the accuracy of the Audited Party’s bills and invoicing. Such audits may be performed once in each Contract Year; provided, however, that audits may be conducted more frequently (but no more frequently than once in each contract quarter) if the immediately preceding audit found previously uncorrected net inaccuracies in billing in favor of the Auditing Party having an aggregate value of at least one and one half percent (1 ½%) of the amounts payable by or to the Auditing Party during the audit period.
Billing Audits. County and its designee shall have the right to examine and audit all of Architect’s xxxxxxxx/invoices and all of Architect’s backup and support data for xxxxxxxx/invoices for this Agreement. Upon HCED’s request, Architect agrees to make such data and supporting documentation available to the County Auditor or designee in Harris County, Texas. Architect shall maintain complete and accurate records necessary to fulfill any obligations in this Agreement, including a copy of this Agreement, including detailed time records identifying each person performing services that were billed on an hourly basis, the corresponding dates of the services, the applicable firm fixed price and the percentage completed for specific tasks as specified in this Agreement, any applicable hourly or cost-plus rates, the total amount billed for each person as applicable, and the total amount billed for all persons as applicable. Architect shall maintain and make available for inspection (electronically or in Harris County during regular business hours) the Records for a minimum of four (4) years following either the end of the federal fiscal year in which any obligations were performed under this Agreement or the termination date of this Agreement (or longer if necessary to resolve any litigation, claims, financial management review, or audit findings). All payments made by County are subject to re-evaluation and refund or withholding of future payments conditioned on the results of the audit.
Billing Audits. 17.1.1. The Supplier shall keep or cause to be kept full and accurate billing records (in accordance with Good Industry Practice) relating to the performance of its obligations under this Agreement. Supplier shall preserve all pertinent records supporting payment for Services hereunder according to its own record retention policies. Version: June 5, 2018 Final DocuSign Envelope ID: 083E596C-A8BB-4538-ACC3-D33FD387A39B
17.1.2. Subject to Supplier's reasonable security requirements and not more than once every twelve (12) months from the Effective Date of the Agreement, Company may, at its own expense, review Supplier's relevant billing records for a period not to exceed the preceding 12 months, for the purpose of assessing the accuracy of Supplier's invoices to Company. Customer may employ such assistance, as it deems desirable to conduct such reviews, but may not employ the assistance of any entity that derives a substantial portion of its revenues from the provision of services that are substantially similar to the Services provided hereunder or any person who has previously made prohibited use of Confidential Information. Customer shall cause any person retained for this purpose to execute a non-disclosure agreement imposing substantially the same obligations of confidentiality as are set forth in Clause 20. Such reviews shall take place at a time and place agreed upon by the Parties. Supplier may redact from the billing records provided to Company any information that reveals the identity or confidential information of other Supplier customers or other Supplier information that is not relevant to the purposes of the review. Supplier shall promptly correct any billing error that is revealed in a billing review, including refunding any overpayment by Company in the form of a credit as soon as reasonably practicable under the circumstances.
17.1.3. This provision shall remain in effect for two (2) years following final payment under this Agreement.
Billing Audits. ACMS reserves the right to audit the records of CONTRACTORS’ service to Members without violating confidentiality of individual member utilization. Should it exercise this right, ACMS would retain an independent attorney or CPA firm located far enough away from the Treasure Valley and/or Idaho area to allow for a high assurance of member anonymity.
a. Billing Audits may only include requests for records of member signed consent- to-treat forms, demographics collection forms, and number of appointments utilized, along with associated billing records.
b. Billing Audits shall not include or allow for mental health progress notes, diagnoses, or evaluations or other treatment specific records.
c. ACMS asserts and maintains that an independent auditor contracted under this provision will by no means and for no reason disclose the names of individual Members utilizing this service.
Billing Audits. At a minimum of once every two (2) years the CONTRACTOR will participate in an audit conducted by CARDINAL INNOVATIONS. This audit will include a review of documentation to support authorizations submitted for approval as well as to support services billed to CARDINAL INNOVATIONS. Any areas determined to be out of compliance with Federal, State or Agency standards will require a payback to CARDINAL INNOVATIONS. Audits may be unannounced or arranged with the CONTRACTOR in advance. The CONTRACTOR will receive written documentation of findings within thirty (30) calendar days following the audit. Based upon results of the audit the CONTRACTOR may be subject to additional auditing and/or may be required to submit a plan of correction and /or payback to CARDINAL INNOVATIONS.
Billing Audits. At a minimum of once every two (2) years the Contractor will participate in an audit conducted by the LME. This audit will include a review of documentation to support authorizations submitted for approval as well as to support services billed to the LME. Any areas determined to be out of compliance with Federal, State or Agency standards will require a payback to the LME. Audits may be unannounced or arranged with the Contractor in advance. The Contractor will receive written documentation of findings within thirty (30) calendar days following the audit. Based upon results of the audit the Contractor may be subject to additional auditing and/or may be required to submit a plan of correction and /or payback to the LME.
Billing Audits. Castlight shall maintain complete, accurate and detailed records regarding all amounts charged to Anthem under this Agreement. Castlight shall retain such records for no less than three (3) years from date of the invoice for such amount charged. Castlight shall allow Anthem and/or its authorized representatives to inspect and conduct audits on such records during normal business hours upon ten business days’ day’s written notice. If discrepancies or questions arise with respect to such records, Castlight shall preserve such records until an agreement is reached with Anthem regarding their disposition. Each Party shall bear its own expenses in conducting the audit and responding to information requests and Castlight shall not pass on such costs (including employee time, overhead, research, copying charges, professional fees, etc.) to Anthem. If an audit reveals that Castlight overcharged Anthem for any Fees, expenses or any other charges under this Agreement for any logically or readily identifiable component of a Service or chargeable material (as examples for illustrative purposes only: such as a greater than an agreed upon hourly rate for one or more personnel providing services, billing in excess of actual hours worked, miscalculation of actual amount of chargeable of supplies consumed, etc.), Castlight shall promptly reimburse Anthem in full for such overcharge(s). If such overcharges exceed five percent (5%) of the Fees, expenses or any other charges under this CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED BY [***], HAS BEEN OMITTED BECAUSE IT IS NOT MATERIAL AND WOULD LIKELY CAUSE COMPETITIVE HARM TO THE COMPANY IF PUBLICLY DISCLOSED. Agreement, Castlight shall also promptly reimburse Anthem for all reasonable internal and external audit expenses incurred by Anthem, including the reimbursement for any contingency fees paid by Anthem.
