Compensation Method. THE CARRIER utilizes cash, immediately negotiable checks, and/or travel vouchers as compensation in accordance with applicable laws and governmental regulations, or as determined by THE CARRIER if there are no applicable laws or governmental regulations. For Involuntary Passengers traveling on nonstop flight segments originating at a point within the United States, denied boarding compensation shall be made in cash or an immediately negotiable check on the day and place the denied boarding occurs, except where THE CARRIER arranges, for the Passenger’s convenience, alternate means of transportation that departs before the payment can be prepared and given to the Passenger, in which case it shall be made by mail or other means within 24 hours after the time the denied boarding occurs. For Voluntary Passengers, THE CARRIER utilizes travel vouchers as compensation. These vouchers are issued on the date and at the point of the overbooking. If the Passenger agrees to serve as Voluntary, such Passenger shall receive a travel voucher for which the Passenger shall sign a receipt releasing THE CARRIER from any liability. Travel vouchers may be used to purchase airline tickets, pay for excess baggage, pay penalties, and pay for difference in fares. Travel vouchers are not valid to purchase services provided by other airlines. These vouchers are valid for 1 year from issuance date, are not refundable and cannot be used to pay for any type of taxes. Face value of issued vouchers shall be determined by THE CARRIER pursuant to the compensation policy in force at the time of the irregularity.
Compensation Method. As compensation for rendering Contracted Services under this Addendum D, PPG shall be paid in accordance with the rates set forth in Addendum E. Such compensation shall be paid within the time and subject to the billing requirements set forth in this Agreement. The above notwithstanding, for self-insured and other such Payors, FHS shall not be obligated to pay all or any portion of any PPG claim on a Payor’s behalf unless and until FHS has received sufficient funds from the applicable Payor to cover such claim. In the event such Payor fails to provide funds to FHS, PPG may seek payment from Member up to the rates specified in Addendum E, unless prohibited by applicable law. In the event that a PPG Participating Physician enters into an independent contract arrangement with FHS for PPO services, the rates established in such independent Physician Service Agreement shall prevail, and claims will be adjudicated according to the fee schedule established in said independent Agreement.
Compensation Method. PPG shall render Contracted Services on a fee-for-service basis to Members of FHS’ Point of Service Benefit Programs covered under the PPO option of such Benefit Programs. As compensation for rendering such Contracted Services, PPG shall be paid the fee-for-service compensation rates set forth in Addendum E. Such compensation shall be paid within the time and subject to the billing requirements set forth in this Agreement. PPG or Member Physician shall be compensated for non-capitated Contracted Services, less applicable Copayments, in an amount equal to the lesser of: (a) ninety percent (90%) of the Medicare allowable charges based on the Medicare Resource Based Relative Value Scale (RBRVS) unit values and HCFA Geographical Practice Cost Indices as published in the most current published edition of the Federal Register; (b) *** of PPG’s allowable billed charges; or (c) such other fee schedules as may be established or adopted from time to time by FHS. For “by report” procedures, procedures not listed, or procedures with relativities not established in RBRVS, PPG shall be compensated at *** of PPG or the Participating Provider’s billed charges, less any applicable Copayment.
Compensation Method o Section 14.1 City Contact o Schedule A Scope of Work o Schedule B Consultant Fee Determination This Agreement, dated as of , is entered into by and between the City of Lynnwood (“Lynnwood”) and (“Consultant”).
Compensation Method. THE CARRIER does not use cash for voluntary or involuntary compensation. THE CARRIER utilizes travel vouchers known as Denied Boarding Compensation (DBC). These vouchers are issued on the date and at the point of the overbooking. If the Passenger agrees to serve as Voluntary, such Passenger shall receive a travel voucher for which the Passenger shall sign a receipt releasing THE CARRIER from any liability. Travel vouchers (DBC’s) may be used to purchase airline tickets, pay for excess baggage, pay penalties, and pay for difference in fares. Travel vouchers are not valid to purchase services provided by other airlines. These vouchers (DBC’s) are not refundable and have no residual value and cannot be used to pay for any type of taxes. Face value of issued vouchers (DBC’s) shall be determined by THE CARRIER pursuant to the compensation policy in force at the time of the irregularity.
Compensation Method. 25% of the agreed upon fixed price for delivery to HHSC of a Audit Work Plan (AWP). The AWP should include a schedule showing when the Auditor will begin work on each MCO, a table of proposed sample sizes for each MCO, and proposed materiality limits for each MCO. The AWP will be due on or before 90 business days after the date the contract between the Audit firm and HHSC is executed. 25% of the agreed upon fixed price for delivery to HHSC of a Mid-Project Status Update. This Status Update should provide HHSC with a clear indication of the Auditor’s progress and percentage completion of each FSR AUP engagement for each MCO. The Mid-Project Status Update is due on or before halfway between the date the contract between the Audit firm and HHSC is executed and the completion date agreed to by the Audit firm and HHSC. 25% of the agreed upon fixed price for delivery to HHSC of a Draft Report for each MCO. The Draft Report for each MCO is due on or before the first working day of the month 90 days before the completion date agreed to by the Audit firm and HHSC. • • • For SFY 2021 • •
Compensation Method. 2.1 Fee-for-Service. Provider shall render ---------------- Contracted Services to Beneficiary of Foundation's Benefit Programs covered under this Addendum on a fee-for-service or per diem basis. As compensation for rendering such Contracted Services, Provider shall be paid the rates set forth in Exhibit 1 to this Addendum. Such compensation shall be paid within 30 working days of receipt by Foundation of a complete and accurate claim for Contracted Services rendered to a Beneficiary.
Compensation Method. Provider shall render Contracted -------------------- Services to Beneficiaries of the PPO Benefit Programs covered under this Addendum. As compensation for rendering Contracted Services to Beneficiaries of a PPO Benefit Program, Provider shall be paid in accordance with the rates set forth on Exhibit 1 of this Addendum. Such compensation shall be paid within the time and subject to the billing requirements set forth in Section 3.2 of the Agreement. The above notwithstanding, for self-insured an other such Payors, Foundation shall not be obligated to pay all or any portion of any Provider claim unless and until Foundation has received sufficient funds from the applicable Payor to cover such claim.
Compensation Method. Provider shall render Contracted Services -------------------- on a fee-for-service or per diem basis to Beneficiaries of Foundation's Point of Service Benefit Programs covered under the PPO option of this Addendum. As compensation for rendering such Contracted Services, Provider shall be paid the HMO fee-for-service or per diem rates set forth in Exhibit 1 to Addendum B. Such compensation shall be paid within the time and subject to the billing requirements set forth in Section 3.2 of the Agreement. Addendum G, Exhibit 1 EXHIBIT 1 TO ADDENDUM G PPO COMPENSATION SCHEDULE Compensation to Provider for the delivery of Medically Necessary Covered Contracted Services will be the lesser of 60% of billed charges, or the rate schedule in Attachment A. Addendum H ADDENDUM H TO FACILITY PROVIDER AGREEMENT OCCUPATIONALLY ILL/INJURED OR WORKERS' COMPENSATION BENEFIT PROGRAMS Provider understands and agrees that the obligations of Foundation set forth in this Addendum shall be the obligations of: [X] Foundation Health, a California Health Plan [X] Foundation Health National Life Insurance Company [X] California Compensation Insurance Company |_| Other: __________________________________ as applicable, all of which are Affiliates of Foundation Health Corporation ("FHC"), and not the obligations of FHC or any other Affiliate of FHC. Foundation shall contract with Payors, which may include Affiliates of FHC, to provide Occupationally Ill/Injured or Workers' Compensation Benefit Programs for Beneficiaries for work related injuries and diseases compensable under State Occupationally Ill/Injured or Workers' Compensation law. Provider shall render Contracted Services to Beneficiaries for occupational illnesses and injuries covered under Foundation's and Payors' Occupationally Ill/Injured or Workers' Compensation Benefit Programs. Foundation shall provide Provider with a listing of all such Payors, as updated from time to time by Foundation, including those Payors for whom Foundation serves only in an administrative capacity. The listing shall include the Payors' utilization management administrator and claims administrator when such is not Foundation.
A. OCCUPATIONALLY ILL/INJURED OR WORKERS' COMPENSATION BENEFIT PROGRAMS. ----------------------------------------------------------------------
Compensation Method. As compensation for the delivery of ------------------- Contracted Services, limited as described above, Provider shall be paid in accordance with the rates set forth on Exhibit 1 of this Addendum. Such compensation shall be paid within the time and subject to the billing requirements set forth in Section 3.2 of the Agreement. The above notwithstanding, for self-insured and other such Payors, Foundation shall not be obligated to pay any or all portion of any Provider claim, as allowed by applicable law, unless and until Foundation has received sufficient funds from the applicable Payor to cover such claim.
