Determination of Financial Status and Benefits Status of the CONSUMER. For the CONSUMER served under this Agreement, the PAYOR’s staff shall complete an initial determination and periodic predeterminations of financial status and public and/or private benefits status. The PAYOR shall be responsible for establishing the CONSUMER’s eligibility for third party reimbursement status, Supplemental Security Income benefit status, and other benefits status, if any. The PROVIDER’s staff will assist the PAYOR’s staff, when possible, in securing and maintaining such benefits status of the CONSUMER hereunder. The PROVIDER’s staff shall make pertinent sections of recipient program records available to appropriate staff of the PAYOR as required to meet the obligations hereunder. Formatted: Indent: Left: 0.75", No bullets or numbering
Determination of Financial Status and Benefits Status of the CONSUMER. For the Consumer served under this Agreement, the Payor’s staff shall complete an initial determination and periodic predeterminations of financial status and public and/or private benefits status. The Payor shall be responsible for establishing the Consumer’s eligibility for third party reimbursement status, Supplemental Security Income benefit status, and other benefits status, if any. The Provider’s staff will assist the Payor’s staff, when possible, in securing and maintaining such benefits status of the Consumer hereunder. The Provider’s staff shall make pertinent sections of recipient program records available to appropriate staff of the Payor as required to meet the obligations hereunder.
