Claims and Payment. 3.1 Where following the occurrence of a Relevant Event the Admission Body has failed to pay all Scheme Liabilities (in whole or in part) to the Administering Authority within thirty (30) days of receiving a written demand from the Administering Authority the Guarantor shall pay to the Administering Authority such sum or sums (not exceeding in the aggregate the Bond Amount) as the Administering Authority claims in respect of the unpaid Scheme Liabilities.
3.2 Any claim by the Administering Authority pursuant to the terms of this Agreement shall be made by the service of a Payment Notice and shall be accepted by the Guarantor as conclusive evidence for all purposes that the amount claimed is due to the Administering Authority. The Guarantor shall pay the sum so demanded within seven (7) days of receipt of the Payment Notice.
3.3 All sums paid by the Guarantor pursuant to clause 3.1 shall be held and applied by the Administering Authority for the purpose of paying and discharging the Scheme Liabilities.
3.4 Following any payment by the Guarantor pursuant to clause 3.1, the Administering Authority shall provide to the Guarantor within six (6) months of receipt of payment a written account in respect of the application of the payment. If any payment made by the Guarantor exceeds the amount required to discharge the Scheme Liabilities the Administering Authority shall refund any overpayment to the Guarantor.
3.5 The obligations and liabilities of the Guarantor under this Agreement shall not be reduced discharged impaired or affected by the giving of time or any other indulgence, forgiveness or forbearance by the Administering Authority.
3.6 The service of a Payment Notice by the Administering Authority under the terms of this Agreement shall not (subject only to the provisions of clause 4) preclude the service of any further Payment Notice.
Claims and Payment. 9.1 The process of claiming service remuneration should be as simple as possible and electronic where practicable.
9.2 Local arrangements will specify dates for submission of claims, procedures for dealing with late claims, payment verification processes, details of any appeal procedures and identification of key contacts for financial issues to be raised with.
Claims and Payment. On each occasion that any Company Indemnified Party will be entitled to indemnification under this Article IX, the Insurer will, at each such time, promptly pay the amount of such indemnification within ten (10) Business Days following receipt of an invoice for out-of- pocket expense, fees or other amounts for which it is liable under this Article IX.
Claims and Payment. 8.1 Provision of all appropriate bins and disposal of all waste is undertaken and paid for by NHS Lothian.
8.2 A payment of £100 will be paid to contractors providing a signed contract agreement for the period December 2019 to March 2020.
8.3 This provision will be reviewed in February 2020.
Claims and Payment. 7.1 Neo360® is the current approved IT system for IEP services on which all needle exchange transactions need to be recorded at point of exchange. NHSG PCCT generate an invoice for each contractor from neo360® on the 7th of the following month. The service provider must ensure that data is accurate prior to this date. To do this: Login to neo360 on pharmacy manager account Select “reports” Select “monthly transactions” in needle exchange section Ensure date displayed is 1st of the month you are looking to review Tick “client reference code” Click on “generate”
7.2 Any errors should be reported to the local neo360® systems administrator (Xxxxx Xxxxxxx, Xxxxx.xxxxxxx@xxx.xxxx ) to amend. There is no requirement for contractors to submit a paper claim.
7.3 Participating pharmacies will receive a monthly retainer fee of £62.85 and will be paid £2.70 per client transaction
7.4 Pharmacies should monitor the reimbursement they have received for the service and raise any concerns within 3 months of when payment should have been received. Any claim queries raised after this time will be deemed as an historical claim and will only be considered by the Pharmacy Performance and Governance Group for payment if information detailing why the issue wasn’t raised earlier is supplied.
Claims and Payment. The fee structure for this service is detailed in Appendix 1 to this document and is subject to annual review. Fees will be paid to each contractor directly from Practitioner Services Department (PSD) in response to accurately endorsed prescription submission for each client for whom substance misuse service is provided, regardless of substance (methadone or buprenorphine) or provision type (i.e. to take home or consume on the premises). Active Patient Clinical Care Records will be used as a measure of quality of activity. These records will be inspected for monitoring and payment verification purposes.
Appendix 1 Fee structure 2019-2020
Claims and Payment. 12.1 Hospital shall promptly submit all information needed for Humana to make payment for authorized items, services, or procedures under Member’s Oklahoma health benefit plan.
12.2 Hospital shall submit timely, complete, and accurate encounter claims in accordance with the Contract and Regulatory Rules.
12.3 Hospital shall submit all claims that do not involved a third-party payer for services rendered to Humana’s Members within one hundred and eighty (180) days or less from the date of service. Resubmitted claims, when applicable, shall be submitted within an additional one hundred and eighty (180) days from the date of service.
12.4 Humana shall make timely payment to the Hospital for Covered Services upon approval of a clean claim properly submitted by the Hospital within the required timeframes. Humana shall only accept uniform claim forms submitted by Hospital that have been approved by the Administration and completed according to Administration guidelines.
12.5 Hospital shall accept payment from Humana as payment for services performed and cannot request payment from the Administration or the Member, unless the Member is required to pay a Copayment for the service rendered.
12.6 Humana will provide at least thirty (30) days written notice to Hospital prior to any change in payment structure or reimbursement amount, unless mandated otherwise by OHCA upon which Humana will notify Hospital of the effective date of change. The written notice will contain clear and detailed information about the change and will not be retroactive, unless mandated by Administration.
12.7 Hospital shall adhere to the responsibilities and prohibited activities regarding SoonerSelect program cost sharing. When the covered service provided requires a copayment, as allowed by Humana, the Hospital may charge the Member only the amount of the allowed copayment, which cannot exceed the copayment amount allowed by OHCA. Hospital shall accept payment made by Humana as payment in full for Covered Services, and the Hospital shall not solicit or accept any surety or guarantee of payment from the Member, OHCA or the State.
12.8 Hospital shall be obligated to identify Member third party liability coverage, including Medicare and long-term care insurance as applicable; and except as otherwise required, the Hospital shall seek such third party liability payment before submitting claims to Humana by making all reasonable attempts, but no less than three good faith, documented attempts to ...
Claims and Payment. 3.1 A payment to be made by the Seller under paragraph 2 of this Part shall be made in cleared and immediately available funds within ten Business Days from the date the Purchaser notifies the Seller that such payment is due.
3.2 If the Seller defaults in making any payment when due of any sum payable under this Schedule 7, it shall pay simple interest on that sum at a rate of LIBOR plus two per cent (2%) per annum computed based on a 365‑day year, from and including the date on which payment is due, to, but excluding, the date of actual payment (after as well as before judgment).
Claims and Payment. 8.1 Fees will be paid for the service as defined by NHS Grampian.
8.2 The cost of the eligible vaccines for the NHS Grampian Travel Health Service will be paid via local services UCF submission.
8.3 Payment for vaccination administration will be via VMT
8.4 Payment for consultations will be via PCCT monthly claims workbook
8.5 Fees will be paid as per the following schedule: Risk assessment and consultation fee: £25 / patient. A maximum of £75 will be paid for any family consultations. Vaccination administration fee: £8.75 / vaccination
Claims and Payment. (a) The Service Provider must give the Requesting Party’s Authorised Person a payment claim on account of any Services provided and any other amounts payable by the Receiving Party to the Service Provider under the Service Agreement:
(i) if:
(A) the Purchase Order sets out payment milestones or stages for payment, on or after the date of that the relevant milestone or stage is achieved; and
(B) otherwise, on or before the last Business Day of each month after the Commencement Date in which the relevant Services were provided, or other amounts became payable;
(ii) in the form of a valid tax invoice that complies with the GST Law in respect of that taxable supply;
(iii) that clearly identifies the Services completed and the Fees claimed and that is accompanied by any documentation the Requesting Party reasonably requests which evidences that the relevant Services and any Deliverables have been performed in accordance with this Service Agreement;
(iv) which are based on the any schedule of Fees, milestone or stage payment to the extent such prices are relevant; and
(v) that are accompanied by a signed subcontractor's statement, in the form set out xxxxx://xxx.xxxxxxx.xxx.xxx.xx/xxxx-xxxxxx/xxxxxxxxx-xxxxxxx/xxx000.xxx and that is not dated before the date of the relevant payment claim.
(b) The Requesting Party must:
(i) notify the Service Provider within 10 Business Days of receipt of the payment claim:
(A) of any disputed costs or amounts set out in the relevant payment claim;
(B) if the Requesting Party requires the Service Provider to provide additional information for the purposes of assessing the payment claim; and
(ii) must pay the Service Provider the undisputed amount of any payment claim within 30 days of receipt of the payment claim.
(c) If the Requesting Party requests additional information under this clause, then the Service Provider must provide that information to the Requesting Party promptly.
(d) In the event that the Requesting Party notifies any disputed costs or amounts under clause 8(ii), the matter will be referred to Dispute resolution in accordance with clause 9.
(e) If the Requesting Party pays any of the Fees under this clause, such payment does not constitute an admission on the part of the Requesting Party that the Services have conformed with this Service Agreement and no payment releases the Service Provider from its obligations under this Service Agreement.
