Common use of Claims Submission Clause in Contracts

Claims Submission. PROVIDER agrees, throughout the term of this Agreement, to submit claims to Payor, or to Xxxxx's third party administrator (hereinafter "TPA") for reimbursement of services. All claims shall be submitted no later than thirty (30) days from the date of service. In the event PROVIDER is unable to submit bills within the specified time, the time for submission shall be extended as reasonably necessary, as agreed by both parties. Time may not exceed one year or the time period allowed under an applicable Benefit Agreement or Workers Comp Statutes, whichever is greater. Payor PROVIDER agrees to accept the fee schedule attached hereto as Exhibit A and hereby made a part hereof, as the applicable fee schedule for all services rendered by PROVIDER to Patients. PROVIDER agrees and acknowledges that the fee schedule contains a lower reimbursement for EPO Patients. PROVIDER further agrees that, the reimbursement paid by each Payor under the terms of the applicable Benefit Agreement, after applying the fee schedule in Exhibit A hereto, together with any coinsurance, co-payments and/or deductibles for which the Patient is responsible under the applicable Benefit Agreement, shall be payment in full for Health Care Services rendered by PROVIDER to Patients. Adjustments to bills submitted in a timely manner must be requested within 180 days after payment has been made or the matter will be considered closed and no further adjustments for either overpayment or underpayment of the bills will be considered.

Claims Submission. PROVIDER agrees, throughout the term of this Agreement, to submit claims to Payor, or to XxxxxPayor's third party administrator (hereinafter "TPA") for reimbursement of services. All claims shall be submitted no later than thirty (30) days from the date of service. In the event PROVIDER is unable to submit bills within the specified time, the time for submission shall be extended as reasonably necessary, as agreed by both parties. Time may not exceed one year or the time period allowed under an applicable Benefit Agreement or Workers Comp Statutes, whichever is greater. Payor PROVIDER agrees to accept the fee schedule attached hereto as Exhibit A and hereby made a part hereof, as the applicable fee schedule for all services rendered by PROVIDER to Patients. PROVIDER agrees and acknowledges that the fee schedule contains a lower reimbursement for EPO Patients. PROVIDER further agrees that, the reimbursement paid by each Payor under the terms of the applicable Benefit Agreement, after applying the fee schedule in Exhibit A hereto, together with any coinsurance, co-payments and/or deductibles for which the Patient is responsible under the applicable Benefit Agreement, shall be payment in full for Health Care Services rendered by PROVIDER to Patients. Adjustments to bills submitted in a timely manner must be requested within 180 days after payment has been made or the matter will be considered closed and no further adjustments for either overpayment or underpayment of the bills will be considered.

Claims Submission. PROVIDER agrees, throughout the term of this Agreement, to submit claims to Payor, or to Xxxxx's third party administrator (hereinafter "TPA") for reimbursement of services. All claims shall be submitted no later than thirty (30) days from the date of service. In the event PROVIDER is unable to submit bills within the specified time, the time for submission shall be extended as reasonably necessary, as agreed by both parties. Time may not exceed one year or the time period allowed under an applicable Benefit Agreement or Workers Workers‟ Comp Statutes, whichever is greater. Payor PROVIDER agrees to accept the fee schedule attached hereto as Exhibit A and hereby made a part hereof, as the applicable fee schedule for all services rendered by PROVIDER to Patients. PROVIDER agrees and acknowledges that the fee schedule contains a lower reimbursement for EPO Patients. PROVIDER further agrees that, the reimbursement paid by each Payor under the terms of the applicable Benefit Agreement, after applying the fee schedule in Exhibit A hereto, together with any coinsurance, co-payments and/or deductibles for which the Patient is responsible under the applicable Benefit Agreement, shall be payment in full for Health Care Services rendered by PROVIDER to Patients. Adjustments to bills submitted in a timely manner must be requested within 180 days after payment has been made or the matter will be considered closed and no further adjustments for either overpayment or underpayment of the bills will be considered.