Common use of For HCA Appointments Clause in Contracts

For HCA Appointments. Once the invoice is received from the Coordinating Entity, HCA will generally remit funds necessary to pay for an LAP’s services to the Coordinating Entity within thirty (30) calendar days. In some instances, it may be necessary for HCA to take more time than thirty (30) calendar days to process remittance to the Coordinating Entity. The State shall be in compliance with this Article if: a. Remittance to the LAP for ninety percent (90%) of all submitted payable invoices in the prior month is provided to the Coordinating Entity within thirty (30) calendar days of the State’s receipt of the invoice; b. Remittance to the LAP for ninety-nine percent (99%) of all submitted payable invoices in the prior month is provided to the Coordinating Entity within ninety (90) calendar days of the State’s receipt of the invoice; and c. Remittance to the LAP for all other submitted payable invoices is provided to the Coordinating Entity within one hundred and eighty (180) calendar days of the State’s receipt of the invoice. For purposes of this Article, a payable invoice means an invoice that can be processed without obtaining additional information from the provider of the service or from a third party. A payable invoice includes an invoice with errors originating in the State’s claim system. However, a payable invoice does not include an invoice based on a work order submitted by an LAP who is under investigation for fraud or abuse.

For HCA Appointments. Once the invoice is received from the Coordinating Entity, HCA will generally remit funds necessary to pay for an LAP’s services to the Coordinating Entity within thirty (30) calendar days. In some instances, it may be necessary for HCA to take more time than thirty (30) calendar days to process remittance to the Coordinating Entity. The State shall be in compliance with this Article if: a. Remittance to the LAP for ninety percent (90%) of all submitted payable invoices in the prior month is provided to the Coordinating Entity within thirty (30) calendar days of the State’s receipt of the invoice; b. Remittance to the LAP for ninety-nine percent (99%) percent of all submitted payable invoices in the prior month is provided to the Coordinating Entity within ninety (90) calendar days of the State’s receipt of the invoice; and c. Remittance to the LAP for all other submitted payable invoices is provided to the Coordinating Entity within one hundred and eighty (180) calendar days of the State’s receipt of the invoice. For purposes of this Article, a payable invoice means an invoice that can be processed without obtaining additional information from the provider of the service or from a third party. A payable invoice includes an invoice with errors originating in the State’s claim system. However, a payable invoice does not include an invoice based on a work order submitted by an LAP who is under investigation for fraud or abuse.