BILLING TIMELINE Sample Clauses

BILLING TIMELINE. If you are utilizing your health insurance benefits for services, there is likely to be some lag between when services are delivered and when charges are due. Unfortunately, over the years, health insurance plans have become more and more complicated, leading to difficulty in our ability to accurately predict patient cost for certain types of behavioral health services under certain plans. As a result, the timeliness of claim returns, and therefore our ability to provide you with a is unfortunately often out of our hands. The timeline for charges may vary, depending the type of service your child is receiving, how often your appointments occur, the type of insurance you may be using, and whether insurance encounters any issues when processing the claims (e.g., regular therapy charges may be predictable, whereas totals due for psychological testing are often difficult to predetermine; due to the intensive nature of ABA and the complicated manner in which this service must be billed, charging copays daily becomes prohibitive; services provided outside of the clinic are unable to be charged at the time of service due to the location; some insurance plans have clearly stated patient responsibilities outlined for behavioral health while others do not; obstacles with insurance processing can delay claim returns by weeks to months, etc.). For all of these reasons, charges typically do NOT occur on the same date of service; however, we do our best to submit claims in a timely manner and generally insurance may return claims back to our agency within 2 - 6 weeks of session date (with some charges occurring sooner and some later). It is your responsibility to understand your insurance policy and the potential patient responsibility that may be due for services; although we may not be able to provide you with an invoice immediately after the provision of services, it is expected that clients should be able to anticipate potential cost due through their own understanding of their plan details in conjunction with their monitoring of session frequency so that they may be prepared for the amount due. Patient responsibility (copay/deductible/cost-share/self-pay totals) will be charged to your credit card on file for the amount that your returned insurance claim has determined to be due; you will receive a receipt via email once the card has been charged. Please note, in the memo line of your receipt, the date of service will be listed for which the charge is applied. In t...

BILLING TIMELINE. Metavante begins the monthly billing cycle on the third (3rd) business day of the month. By the sixth (6th) business day, advices are sent by regular mail to arrive in advance of the actual ACH debit or credit which takes place on the fifteenth (15th) business day. EXHIBIT H3 PERFORMANCE MEASUREMENTS AND STANDARDS