Common use of Fee Change Updates Clause in Contracts

Fee Change Updates. Updates to the fee schedule shall become effective on the effective date of such fee schedule updates, as determined by the Payor (“Fee Change Effective Date”). The date of implementation of any fee schedule updates, i.e. the date on which such fee change is first used for reimbursement (“Fee Change Implementation Date”), shall be the later of: (i) the first date on which Payor is reasonably able to implement the update in the claims payment system; or (ii) the Fee Change Effective Date. Claims processed prior to the Fee Change Implementation Date shall not be reprocessed to reflect any updates to such fee schedule, even if service was provided after the Fee Change Effective Date.

Appears in 7 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement

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Fee Change Updates. Updates to the Updated fee schedule schedules shall become effective on the effective date of such fee schedule updates, as determined by the Payor Payer (“Fee Change Effective Date”). The date of implementation of any fee schedule updates, (i.e. the date on which such fee change is first used for reimbursement (“Fee Change Implementation Date”), shall be the later of: (i) the first date on which Payor Payer is reasonably able to implement the update in the claims payment system; or (ii) the Fee Change Effective Date. Claims processed prior to the Fee Change Implementation Date shall not be reprocessed to reflect any updates to such fee schedule, even if service was provided after the Fee Change Effective Date.

Appears in 1 contract

Samples: Procurement Contract

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