Fee for Service Invoice Requirements. The Contractor agrees to submit regular invoices complying with the statutory requirements of a Tax Invoice. For Medical Services, the invoice must specify the following minimum information: (a) Contractor's invoice number and issue date of invoice; (b) Contractor's Australian Business Number; (c) Site at which the services were provided; (d) MSA Contract Number and the Name of the Contractor under which the services were provided; (e) Site CMP Number and Name for the Contractor and subcontractor performing the service prescribed for the purpose of the MSA; (f) HSP patient identifier; (g) Item number for the relevant service; (h) Date the relevant service was provided; (i) Number of occasions the relevant service was provided and any other service qualifiers including but not limited to applicable modifiers and times of service; (j) Agreed fee, exclusive of GST, for the relevant service; and (k) GST payable. (l) Payment details
Appears in 3 contracts
Samples: Fee for Service Medical Services Agreement, Fee for Service Medical Services Agreement, Fee for Service Medical Services Agreement
Fee for Service Invoice Requirements. The Contractor agrees to submit regular invoices complying with the statutory requirements of a Tax Invoice. For Medical Services, the invoice must specify the following minimum information:
(a) Contractor's invoice number and issue date of invoice;
(b) Contractor's Australian Business Number;
(c) Site at which the services were provided;
(d) MSA Contract Number and the Name of the Contractor under which the services were provided;
(e) Site CMP Number and Name for the Contractor and subcontractor performing the service prescribed for the purpose of the MSAContractor;
(f) HSP patient identifier;
(g) Item number for the relevant service;
(h) Date the relevant service was provided;
(i) Number of occasions the relevant service was provided and any other service qualifiers including but not limited to applicable modifiers and times of service;
(j) Agreed fee, exclusive of GST, for the relevant service; and
(k) GST payable.
(l) Payment details
Appears in 3 contracts
Samples: Fee for Service Medical Services Agreement, Fee for Service Medical Services Agreement, Fee for Service Medical Services Agreement