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
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
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