Claims and Compensation Sample Clauses

Claims and Compensation. The claims and compensation procedures shall be as follows: (a) As compensation for its services hereunder, Health Plan shall pay MSO Provider for Authorized Covered Services rendered to Members at mutually agreed upon rates as set forth in Attachment A and in accordance with the Provider Manual and the QI/UM Program. MSO Provider expressly agrees to accept such compensation as payment for the provision of Covered Services. (b) MSO Provider shall only ▇▇▇▇ for Covered Services rendered to Members according to the compensation detailed in Attachment A. In connection with each billing for Covered Services, MSO Provider shall submit a ▇▇▇▇ to Health Plan for all services rendered In a manner consistent with the terms of this Agreement in a billing form acceptable to Health Plan within six months of the tatter of providing such services or Health Plan notifying the MSO Provider of it's responsibility for the Member. Health Plan shall pay MSO Provider for such services within the time periods required by applicable law. If MSO Provider has not billed Health Plan for Covered Services rendered to Members within six (6) months of a Member's receipt of such Covered services, MSO Provider's claim for compensation with respect to such services shall be deemed waived. However, if Health Plan is the secondary payor or MSO Provider is not aware of the patient's status as a Member at the time of service, MSO Provider must ▇▇▇▇ Health Plan within ninety (90) days of the date of the explanation of payment from the primary payor or within ninety (90) days of being made aware of that the patient is a Member, but in no event more than one year from the date of service or MSO Provider's claim for compensation with respect to such services shall be deemed waived, Health Plan Health Plan shall consider all complete ▇▇▇▇▇▇▇▇ by MSO Provider final unless MSO Provider requests an adjustment in writing within thirty five (35) days after payment of such original ▇▇▇▇▇▇▇▇. (c) MSO Provider shall submit claims for Covered Services on standard CMS 1500 forms which identify the health services provided to Members and which shall contain such statistical and descriptive medical and patient data as specified by Health Plan. (d) Health Plan reserves the right to make adjustments to payments made in the previous one (1) year to reflect corrections based on internal or external audits or other review by Health Plan. MSO Provider shall have the right to review Health Plan's audit results, if a...

Claims and Compensation. 2.1 Subject to Clause 13 of Schedule 2, the Supplier shall indemnify the Authority for Data Protection Losses (howsoever arising, whether in contract, tort (including negligence) or otherwise) under or in connection with this Contract: only to the extent caused by the processing of Personal Data related to this Contract and directly resulting from the Supplier’s breach of this Contract; and in no circumstances to the extent that any Data Protection Losses (or the circumstances giving rise to them) are caused or contributed to by any default, whether by act or omission of the Authority, or on the part of any of its employees, agents, sub-consultants, suppliers, patients clients or any other third party engaged by the Authority. 2.2 If a Party receives a compensation claim from a person relating to processing of Personal Data related to this Contract, it shall promptly provide the other Party with notice and full details of such claim. The Party with conduct of the action shall: make no admission of liability nor agree to any settlement or compromise of the relevant claim without the prior written consent of the other Party (which shall not be unreasonably withheld or delayed); and consult fully with the other Party in relation to any such action but the terms of any settlement or compromise of the claim will be exclusively the decision of the party that is responsible under this Contract for paying the compensation. 2.3 The Parties agree that the Authority shall not be entitled to claim back from the Supplier any part of any compensation paid by the Authority in respect of such damage to the extent that the Authority is liable to indemnify or otherwise compensate the Supplier in accordance with this Contract. 2.4 This Clause 2 of this Protocol is intended to apply to the allocation of liability for Data Protection Losses as between the Parties, including with respect to compensation to Data Subjects, notwithstanding any provisions under Data Protection Legislation to the contrary, except: to the extent not permitted by Law (including Data Protection Legislation); and that it does not affect the liability of either party to any Data Subject.

Claims and Compensation. The author agrees to indemnify and hold the University, as well as its respective agents, trustees, employees, students, and contractors against any claims, losses, and expenses, including reasonable attorney’s fees, arising out of a violation or alleged violation of any of the guarantees and representations indicated above. The author grants Universidad Católica de Colombia the right to take legal action and recover damages from any person or entity that is considered to infringe the rights granted to the University under this Agreement, and the Author agrees to cooperate reasonably in all the procedures. The entirety of this Agreement will be interpreted in accordance with the Colombian legal system and the international treaties signed by Colombia.

Claims and Compensation. 1.1 In the event of a Breach, the U-Protein Shareholders shall be severally but not jointly be liable to pay to the Purchaser, or to any other person designated by the Purchaser, at the Purchaser’s election an amount equal to the U-Protein Shareholder’s proportion to the Shares as reflected in Recital A of the SEA (i.e. 40/20/20/20) of (i) the amount necessary to place the Company in the position in which it would have been if the relevant Breach had not occurred or (ii) the actual amount of Losses suffered or incurred by the Purchaser in respect of such Breach. 1.2 In the event of a Breach, the Purchaser shall within [20] Business Days after discovery of the circumstances relating to such Breach, submit to the U-Protein Shareholders a Claim for compensation of Losses which shall set out: (a) reasonable particulars of the facts relating to such Claim; (b) an estimate of the likely amount of the Claim; and (b) the election of the Purchaser as referred to in clause 1.1 provided, however, that any failure or delay on the part of the Purchaser to notify the U-Protein Shareholders in accordance with this Clause shall not prejudice the Purchaser’s right to make a Claim, provided however that any additional damages that are caused by the Purchaser informing the U-Protein Shareholders after said 20 Business Days, will remain for the expense of Purchaser.

Claims and Compensation. 1. Participating States shall cooperate in order to facilitate the determination of legal proceedings and the settlement of claims under this Article. 2. In the absence of an agreement to the contrary the requesting State shall, in respect of death or injury to persons or damage to or loss of property or damage to the environment caused within its territory or under its control or jurisdiction by personnel of the requested State in the course of providing assistance - (a) not bring any legal proceedings against the sending State or persons or other legal entities acting on its behalf; (b) assume responsibility for dealing with all legal proceedings and claims brought by third parties against the sending State or against persons or other legal entities acting on its behalf except in cases of wilful misconduct or gross negligence; (c) hold the sending State or persons or other legal entities acting on its behalf harmless in respect of legal proceedings referred to in sub-paragraph (b); (d) compensate the sending State or persons or other legal entities acting on its behalf for death or injury to personnel of the sending State or persons or other legal entities acting on its behalf; and (e) for loss of or damage to non-consumable equipment or materials brought to the requesting State for the purpose of rendering assistance except in the case of the wilful misconduct or gross negligence by the personnel of the sending State. 3. Nothing in this Article shall be construed to prevent compensation or indemnity available under any applicable international agreement or national law of a Participating State nor to require the requesting State to apply paragraph 2 of this Article, in whole or in part, to its nationals or permanent residents.

Claims and Compensation