Calculation of Payment for Covered Services Sample Clauses

Calculation of Payment for Covered Services. Payor shall calculate Physician’s payments for Covered Services as the lesser of Physician’s billed charge for the service or the Payor’s proposed fee schedule, reduced by any copayments, deductibles or coinsurance applicable to the service rendered (whether or not the Physician has attempted to collect or has received payment of any such copayments, deductibles or coinsurance). Physician agrees that the payment provided by this Section 3.6 shall be the Physician’s sole source of compensation with respect to this Product’s Covered Services except for copayments, deductibles or coinsurance; collection of payment for any Covered Services delivered to a Beneficiary after the expiration of that Beneficiary’s Plan benefits; non-covered services; and collection of amounts owing by other payors after application of a coordination of benefits provision.
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Related to Calculation of Payment for Covered Services

  • Time Off in Lieu of Payment for Overtime An employee may elect, with the consent of the Company, to take time off in lieu of payment of overtime at a time or times agreed with the Company. Overtime taken as time off during ordinary time hours will be taken at the ordinary time rate, that is an hour for each hour worked.

  • Calculation of Payments The State shall use the fee schedule set forth in Attachment E to the contract (Fee Schedule) in determining the value of the work performed up to the time of termination. In the case of partially completed engineering services, eligible costs will be calculated as set forth in Attachment E, Fee Schedule. The sum of the provisional overhead percentage rate for payroll additives and for general and administrative overhead costs during the years in which work was performed shall be used to calculate partial payments. Any portion of the fixed fee not previously paid in the partial payments shall not be included in the final payment.

  • Period of Payment 12.10.1 Accident pay does not apply in respect of any injury during the first 5 normal workings days of incapacity.

  • TERMS OF PAYMENT 16.1 The Supplier shall request for payment by submitting invoice(s), delivery note(s) and any other relevant documents as specified in the SCC to the Procuring Entity.

  • Calculation of Pay Each institution will review its division of annual pay into pay periods to ensure that employees receive the full or pro-rated (as applicable) gross annual salary in the Provincial Salary Scale in Appendix A.

  • Compensation and Method of Payment Subject to any limitations set forth below or elsewhere in this Agreement, District agrees to pay Consultant the amounts specified in Exhibit B “Compensation”. The total compensation, including reimbursement for actual expenses, shall not exceed Four Thousand Five Hundred Dollars ($4,500.00), unless additional compensation is approved in writing by the District.

  • Payment for Overtime 1. Except as provided in 2.C.3., below, overtime shall be compensated at one and one-half (1 1/2) times the regular rate.

  • Termination of Payments Notwithstanding section 2.2, no payments shall be due to Purchaser afler Purchaser has received an aggregate amount under this Note, including payments made by the Company pursuant to section 2.3, equal to (i) the Principal Amount (as defined in the Investor Information Sheet above), multiplied by (ii) the Maximum Payment Multiple. We refer to the result of this multiplication as the “Maximum Payment Amount.”

  • ALLOCATION OF PAYMENTS The Assignor and the Assignee agree that (i) the Assignor shall be entitled to any payments of principal with respect to the Assigned Interest made prior to the Assignment Date, together with any interest and fees with respect to the Assigned Interest accrued prior to the Assignment Date, (ii) the Assignee shall be entitled to any payments of principal with respect to the Assigned Interest made from and after the Assignment Date, together with any and all interest and fees with respect to the Assigned Interest accruing from and after the Assignment Date, and (iii) the Agent is authorized and instructed to allocate payments received by it for account of the Assignor and the Assignee as provided in the foregoing clauses. Each party hereto agrees that it will hold any interest, fees or other amounts that it may receive to which the other party hereto shall be entitled pursuant to the preceding sentence for account of such other party and pay, in like money and funds, any such amounts that it may receive to such other party promptly upon receipt.

  • CONTRACT AMOUNT AND PAYMENT FOR SERVICES 5.1 Fiscal Year 2020 Contract Amount. The total amount of HHSC's share of this Contract for fiscal year 2020 shall not exceed $3,615,665.86. LIDDA's share of this Contract for fiscal year 2020, the local match, is $289,027.35. The total value of this Contract for fiscal year 2020 shall not exceed $3,904,693.21.

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