For Semi-private and Private Wards Sample Clauses

For Semi-private and Private Wards. The Network Hospitals shall, “bill” the claims clearly and correctly as approved in the preauthorization. The bills will be claimed for the amount payable by Trust (SAST share) which is 50% of the General Xxxx rate. The rest 50% + difference amount for the higher xxxx charges (beneficiary share as mentioned in the Preauth), will be collected from the patient. Bills for both the SAST share and the beneficiary share collected by hospital, will be submitted with the claims. The Network Hospital, shall not levy any other charges other than those declared by them under the “Total Package Rate”; any violation of this clause shall attract the penal provisions of the MOU. For investigation, beneficiary will pay to the hospitals only charges fixed by SAST. Maximum cover for an APL card is Rs. 150,000/-(Rupees One lakh fifty thousand only) per family per financial year on a family floater basis. A buffer amount of Rs. 50,000/- (Rupees Fifty thousand only) can be sanctioned by the Trust in exceptional situations over and above the maximum annual cap of Rupees 150,000/-, by hospital sending request mail to Executive Director, SAST at email :xxxxxxxxxxxx@xxxxx.xxx.
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