Coverage Verification. Physician hereby agrees to comply with any pre- authorization requirements called for in the applicable Product Description, except in cases of Emergency. Payor or CCPA will use reasonable efforts to provide or arrange for the provision to Physician of a telephone number to call to verify a Beneficiary’s group agreement or individual subscriber contract. Physician agrees to cooperate with Payor in verification of a Beneficiary’s eligibility and benefits coverage, but CCPA shall use reasonable efforts to make Payor agree to no retroactive denials of benefits coverage once Payor has verified and approved Beneficiary’s benefits coverage to Physician’s office at the time of service. Once benefits coverage has been verified and approved by Payor, such physician services are deemed to be Covered Services.
Coverage Verification. Contractor will be required to provide the following Certificate of Insurance within five (5) days after receipt of written notice of intent to award the Contract. Contractor shall furnish County with certificates of insurance (valid XXXXX form or equivalent approved by County) as required by the Contract. An authorized representative of the insurer shall sign the certificates.
Coverage Verification. All policies of insurance required by this Paragraph to be maintained by TENANT shall: (a) be in a form, and maintained with an insurer, reasonably satisfactory to OWNER; and
Coverage Verification. Coverage will be verified by the policy-processing vender of the Company. INS will properly apply the coverage to the particular claim.
Coverage Verification. Except in an Emergency, prior to providing services to any patient who presents himself or herself as a Covered Person, Group shall verify such patient's coverage with the patient's Payor(s) as required by AMERICAID or the applicable Payor(s)
Coverage Verification. All policies of insurance required by this Article to be maintained by Tenant shall: (a) be in a form, and maintained with an insurer, reasonably satisfactory to Landlord; and (b) provide that such policies shall not be subject to cancellation, termination, or change without written notice to Landlord at least thirty (30) days in advance. Tenant shall deposit with Landlord the policy or policies of insurance required to be maintained by Tenant pursuant to this Article, or proper certificates of such insurance, duly executed by the insurance company or the general agency writing such policies and effective not later than the Commencement Date. Tenant shall deposit appropriate renewal or replacement policies or certificates with Landlord not less than ten (10) days prior to the expiration of any such policy or policies. Tenant shall also furnish Landlord with certificates evidencing such coverages from time to time upon Landlord’s request. If Tenant shall fail to timely procure or renew any of the insurance required under this Article, Landlord may obtain replacement coverage and the cost of same shall be payable by Tenant with the next installment of Rent thereafter becoming due and payable.
Coverage Verification. Prior to treating any individual who presents himself or herself as a Covered Person, Provider will, in compliance with Payor’s policies and procedures, verify such individual’s eligibility as a Covered Person under the terms of the governing Health Benefit Program. Compliance with Payor’s enrollment verification policies and procedures, and verification of eligibility by Payor, does not ensure that an individual is, in fact, a Covered Person, and eligible to receive Covered Services. In the event Payor subsequently determines that an individual was not eligible to receive Covered Services on the date of service, Payor will notify Provider. Unless prohibited by applicable New York State law, Payor will be entitled to receive a full refund of all payments or allocations made by Payor to, or on behalf of, Provider for such individual following the date of ineligibility, and Payor will have no liability to Provider for services rendered to such individual on or after the date of ineligibility. Provider may, however, seek compensation from such individuals for services rendered on or after the date of ineligibility.
