Billing for Services Sample Clauses

Billing for Services. Specialty Care (if applicable): a. The Agency shall submit a completed Health Insurance Claim Form 1500 (hereinafter referred to as “HICF”) for all Services rendered during the prior month. b. The HICF form shall be completed in its entirety and shall provide a sufficient description of the Services rendered in order to verify payment (e.g. Client name, unique identifier, County of residency, Services provided, including applicable CPT code, and a charge reflecting the negotiated rate). Any HICF form that is incomplete or which fails to provide the necessary supporting documentation shall be deemed incomplete and rejected. c. The Agency agrees to actively pursue and bill any third-party coverage for available contribution toward the cost of Services incurred by the Client. d. The Agency agrees to reimburse the Recipient any monies that may have been received from any third-party coverage, after payment has been made by the Recipient. Reimbursements shall be any amounts received up to the amount paid by the Recipient. The Agency shall report to the Recipient any payment received from, or any pending claims with, any third-party when submitting requests for reimbursement to the Recipient. e. All completed HICF forms shall be submitted to the Recipient for review and approval no later than the tenth (10th) business day of each month and shall include all supporting documentation necessary for processing. HICF forms received after the fourth (4th) business day of each month shall be deemed as late and may result in delayed, reduced, or denial of payment, in the sole discretion of the Recipient. f. All HICF forms for tests, procedures, and Services that are not listed on the Medicare Part B Fee Schedule will be made at a rate not to exceed 150% of the Medicare Part B Fee Schedule unless otherwise pre- approved in writing through a Recipient waiver. g. For all invoices or requests for payment relating to specialty medical care, the Agency shall provide a copy of the associated authorization form for such Services.

Billing for Services. Target shall not be responsible for, and shall have no liability for, billing Federal health care programs or other public or commercial health plans for CVS Products or Pharmacy Services. CVS acknowledges that none of the obligations of Target under this Agreement constitute activities that would make Target a down-stream contractor or delegated entity for purposes of any “Federal health care program” as defined in 42 U.S.C. § 1320a-7b(f). The Parties also acknowledge that Target’s provision of products and/or services under this Agreement does not make the Agreement a covered federal contract for federal contractor affirmative action purposes or create affirmative action obligations pursuant to such regulations (including Executive Order 11246).

Billing for Services. Contractor shall be responsible for applying for any third-party revenues, including the collection of SSI/SSP revenue.

Billing for Services. Triad shall be solely responsible for all aspects of billing related to services it provides to District students and employees under this Agreement. The parties acknowledge and agree that the District is not responsible for such billing in any way. Triad will xxxx for all services provided to District students and employees under this Agreement pursuant to its own practices, policies and procedures, and in accordance with state and federal law. The parties further acknowledge and agree that the District will not review any claims submitted to governmental or private third-party payors by Triad nor does it certify the truth, accuracy, or legality of any information contained in such claims.

Billing for Services. Consultant shall submit itemized invoices to the Company each month in which services are performed for the fees earned pursuant to this Agreement during the previous month, and for any costs or expenses previously authorized by the Company. Such invoices shall include a breakdown of the Services provided to the Company, on a project by project and property by property basis, the number of days worked during such time period for such Services, an itemization of all such costs and expenses, and any other information that the Company may request. The Company shall make payment for all such charges incurred in accordance with the terms of this Agreement and properly reflected in such invoice to the Consultant within ten (10) business days after the receipt of each invoice.

Billing for Services. County shall not provide any billing or coding advice to Provider in the event Provider bills any third-party for services. The billing of services to any third- party shall be done in the sole discretion of Provider. Provider shall be responsible for compliance with all applicable state and federal laws. Provider shall be responsible for adhering to all applicable pass through billing laws, including, but not limited to, any applicable antimarkup and disclosure requirements in an applicable state, and applicable payor policies.

Billing for Services. Fees for services provided by the CRP to the client will be billed in accordance with Attachment D – Billing for Services.

Billing for Services. Everside shall have the exclusive responsibility for the billing and collection of all appropriate charges, if any, to Members for Everside Services. The Parties agree that at the commencement of this Agreement, there are no amounts that Everside will xxxx to or collect from Members. Prior to initiating billing, the Parties will set forth a written agreement as to the amounts that Everside is to xxxx and collect and the procedures to be followed.

Billing for Services. (a) Galaxy shall invoice Telnet once per month for the Services delivered, termination fees, 411 directory assistance and 911 emergency call service fees and any other fees or xxxxxxxx chargeable to Telnet; (b) Galaxy shall deliver each invoice to Telnet’s account in the Partner Portal; and (c) Telnet shall give notice to Galaxy of all errors and inaccuracies in an invoice within 15 days of receipt by Telnet of the invoice at issue. Thereafter, Telnet will be deemed to have agreed with the accuracy of the invoice.

Billing for Services. The Subrecipient shall: (1) bill the Department for reimbursement on a monthly basis; (2) reduce any costs for lobbying activities as a negative expenditure on their MER;