Common use of BILLING PROCEDURE Clause in Contracts

BILLING PROCEDURE. Upon completion of services, Contractor shall submit an invoice for services performed under this Contract. The invoice must be accompanied by the required clinical forms and closing forms described on the Billing Forms Checklist located at xxxx://xxx.xx.xxx/services/HRPayroll/eap/contractedprovidersinformation/Pages/default.aspx. All invoices should be faxed or mailed to EAP, Fax number (000) 000-0000. All payments to Contractor are conditional upon Contractor’s submission of a properly executed and supported invoice, which shall include the following:  Contractor’s legal name  Address  Phone number  Statewide Vendor Number  Required EAP Forms, including: o Date(s) that services were provided o Referral number provided by EAP o Number of hours worked o Net invoice price for each service o Total invoice amount o The Client name must not appear on the invoice(s)  DES Contract number K___. Invoices and required forms must be submitted to EAP monthly, by the 10th, for all services provided the previous month. Failure by the Contractor to submit a properly executed and supported invoice by the date specified above may result in delayed payment. DES shall pay the Contractor for completed and approved work within thirty (30) days of receipt of a properly executed and supported invoice. Failure by the Contractor to submit a properly executed and supported invoice monthly, by the 10th, may result in DES applying a penalty to the Contractor’s invoice to compensate for DES’s overtime costs in processing the late invoice. DES shall not pay for services that are not preauthorized by EAP through the referral process. If Contractor has multiple referrals with EAP, Contractor must submit separate invoices for each referral. Contractor must not directly xxxx Client for EAP Services provided pursuant to this Contract. ORDER OF PRECEDENCE Each of the documents listed below is by this reference hereby incorporated into this Contract. In the event of an inconsistency in this Contract, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order:

BILLING PROCEDURE. Upon completion of services, Contractor shall submit an invoice for services performed under this Contract. The invoice must be accompanied by the required clinical forms and closing forms described on the Billing Forms Checklist located at xxxx://xxx.xx.xxx/services/HRPayroll/eap/contractedprovidersinformation/Pages/default.aspx. All invoices should be faxed or mailed to EAP, Fax number (000) 000-0000. All payments to Contractor are conditional upon Contractor’s submission of a properly executed and supported invoice, which shall include the following:  • Contractor’s legal name  • Address  • Phone number  • Statewide Vendor Number  • Required EAP Forms, including: o Date(s) that services were provided o Referral number provided by EAP o Number of hours worked o Net invoice price for each service o Total invoice amount o The Client name must not appear on the invoice(s)  • DES Contract number K___. Invoices and required forms must be submitted to EAP monthly, by the 10th, for all services provided the previous month. Failure by the Contractor to submit a properly executed and supported invoice by the date specified above may result in delayed payment. DES shall pay the Contractor for completed and approved work within thirty (30) days of receipt of a properly executed and supported invoice. Failure by the Contractor to submit a properly executed and supported invoice monthly, by the 10th, may result in DES applying a penalty to the Contractor’s invoice to compensate for DES’s overtime costs in processing the late invoice. DES shall not pay for services that are not preauthorized by EAP through the referral process. If Contractor has multiple referrals with EAP, Contractor must submit separate invoices for each referral. Contractor must not directly xxxx bill Client for EAP Services provided pursuant to this Contract. ORDER OF PRECEDENCE Each of the documents listed below is by this reference hereby incorporated into this Contract. In the event of an inconsistency in this Contract, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order:

BILLING PROCEDURE. Upon completion of services, Contractor shall submit an invoice for services performed under this Contract. The invoice must be accompanied by the the required clinical forms and closing forms described on the Billing Forms Checklist located at xxxx://xxx.xx.xxx/services/HRPayroll/eap/contractedprovidersinformation/Pages/default.aspx. All invoices should be faxed or mailed to EAP, Fax number (000) 000-0000. xxxx://xxx.xx.xxx/services/HRPayroll/eap/contractedprovidersinformation/Pages/default.aspx All payments to Contractor are conditional upon Contractor’s submission of a properly executed and supported invoice, which shall include the following:  Contractor’s legal name  Address  Phone number  Statewide Vendor Number  Required EAP Forms, including: o Date(s) that services were provided o Referral number provided by EAP o Number of hours worked o Net invoice price for each service o Total invoice amount o The Client name must not appear on the invoice(s)  DES Contract number K___. Invoices and required forms must be submitted to EAP monthly, by no later than sixty (60) days after the 10th, for all services provided the previous monthfinal EAP-referred session. Failure by the Contractor to submit a properly executed and supported invoice by the date specified above may result in delayed payment. DES shall pay the Contractor for completed and approved work within thirty (30) days of receipt of a properly executed and supported invoice. However, invoices for all work done within a fiscal year (July 1st through June 30th) must be submitted within twenty (20) days after the end of the fiscal year or July 20th. Failure by the Contractor to submit a properly executed and supported invoice monthly, by the 10th, July 20th may result in DES applying a penalty to the Contractor’s invoice to compensate for DES’s overtime costs in processing the late invoice. DES shall not pay for services that are not preauthorized by EAP through the referral process. If Contractor has multiple referrals with EAP, Contractor must submit separate invoices for each referral. Contractor must not directly xxxx Client for EAP Services provided pursuant to this Contract. ORDER OF PRECEDENCE Each of the documents listed below is by this reference hereby incorporated into this Contract. In the event of an inconsistency in this Contract, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order: