Compensation and Billing 6.1 The Provider shall seek payment only from DRS for the provision of Medical services except as provided in paragraphs 6.3. The payment from DRS shall be limited to the amounts referred to in paragraph 6.2. 6.2 DRS agrees to pay the Provider's billed charge for each procedure or the fee set by DRS for that procedure, whichever is less. DRS shall have the right to categorize what shall constitute a procedure. DRS and the beneficiary’s financial liability shall be limited to the procedures allowable as determined by DRS, paid by applying appropriate coding methodology, whether the Provider has billed appropriately or not. 6.3 The Provider agrees to accept the payment from DRS as full and complete payment for services for recipients of public assistance. If the patient is a recipient of Medical Assistance, Rehabilitation Services only, payment from the Department shall represent payment in full except the Provider may collect an amount not to exceed that shown on DRS Form DRS-C-100, Medical services Authorization. 6.4 MS-MA-r, Notification of Eligibility Status for Medical Services or DHS Form MS-S-4, Notification of Eligibility Status for Medical Services for Persons Under 21 Years of Age, or Medical Services Authorization, VR-A-302-A. 6.5 The Provider shall bill DRS on forms acceptable to DRS within 1 year of providing the Medical services. The Provider shall use current CPT codes with appropriate modifiers and ICD or DSM diagnostic codes, when applicable. The Provider shall furnish, upon request at no cost, all information, including Medical records, reasonably required by DRS to verify and substantiate the provision of Medical services and the charges for such services if the beneficiary and the Provider are seeking reimbursement through DRS. 6.6 DRS shall reimburse the Provider within thirty (30) days of receipt of xxxxxxxx that are accurate, complete and otherwise in accordance with Article VI of this Contract. DRS will not be responsible for delay of reimbursement due to circumstances beyond DRS’ control. 6.7 The Provider agrees to release all Provider liens for which payment has been made for Title XIX by DRS and notify DRS. However, this provision does not affect the Provider’s entitlement to file a lien or liens for non-pre-authorized services. 6.8 DRS shall have the right at all reasonable times and, to the extent permitted by law, to inspect and duplicate all Medical and billing records relating to Medical services rendered to beneficiaries at no cost to DRS or the beneficiary. 6.9 The Provider shall refund within 30 days of discovery to the beneficiary any overpayments made by the beneficiary.
Processing Fees The Borrower acknowledges that processing fee as mentioned in the Schedule hereto has been paid by the Borrower.
Intercarrier Compensation Except as specifically described in this Section, the Agreement does not change or amend applicable intercarrier compensation arrangements (including but not limited to Switched Access, Signaling, or Transit charges) between any parties, including between Qwest and Carriers or IXCs.
Interconnection Customer Compensation If the CAISO requests or directs the Interconnection Customer to provide a service pursuant to Articles 9.6.3 (Payment for Reactive Power) or 13.5.1 of this LGIA, the CAISO shall compensate the Interconnection Customer in accordance with the CAISO Tariff.