Common use of Billing Customers Clause in Contracts

Billing Customers. Network Provider shall submit claims to Customers on a properly completed UB-04, CMS 1500 or other acceptable standard billing form that provides the same information. Network Provider may not xxxx a Customer more than ninety (90) days after discharge or the date services are provided and expect to receive any payment.

Appears in 4 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement

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Billing Customers. Network Provider shall submit claims to Customers on a properly completed UB-04, CMS 1500 or other acceptable standard billing form that provides the same information. Network Provider may not xxxx bill a Customer more than ninety (90) days after discharge or the date services are provided and expect to receive any payment.

Appears in 1 contract

Samples: Participating Provider Agreement

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Billing Customers. Network Provider shall submit claims to Customers address listed on the Participant’s identification card or on a properly completed UB-04, CMS 1500 or other acceptable standard billing form that provides the same information. Network Provider may not xxxx a Customer more than ninety (90) days after discharge or the date services are provided and expect to receive any payment.

Appears in 1 contract

Samples: Participating Provider Agreement

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