CLAIMS SUBMISSION AND PROCESSING. 1. Practitioner agrees to submit all claims information on a typed, red HCFA 1500 form. HWHN reserves the right to return all claims, unprocessed, to the Practitioner if the information is not typed on a red HCFA 1500 form or if claims have incomplete information.
Appears in 4 contracts
Samples: Participating Practitioner Agreement, Participating Practitioner Agreement, Participating Practitioner Agreement
CLAIMS SUBMISSION AND PROCESSING. 1. Practitioner agrees to submit all claims information on a typed, red HCFA 1500 form. HWHN WHN reserves the right to return all claims, unprocessed, to the Practitioner if the information is not typed on a red HCFA 1500 form or if claims have incomplete information.
Appears in 3 contracts
Samples: Covered Benefit and Wholehealth Living, Covered Benefit and Wholehealth Living, Covered Benefit and Wholehealth Living