BILLING UNDER CAPITATED AGREEMENTS. Billing in Group's name and on its behalf, (a) payors for coordination of benefits and other third party liability payments according to the terms of the Capitated Agreements, (b) Patients in accordance with the terms and provisions of applicable Capitated Agreements and (c) for amounts deemed ineligible under the terms of Capitated Agreements where permitted by such Capitated Agreements. Manager shall also review claim and capitation expense data to monitor any other revenue receipt programs which any of the Capitated Agreements may have or may institute, and to seek reimbursement pursuant to Capitated Agreements.
Appears in 4 contracts
Samples: Management Services Agreement (Talbert Medical Management Holdings Corp), Management Services Agreement (Talbert Medical Management Holdings Corp), Management Services Agreement (Talbert Medical Management Holdings Corp)
