Common use of Invoice Requirements Clause in Contracts

Invoice Requirements. Contractor shall submit to HHSC detailed and accurate invoice(s) which include the information below. Each invoice must be submitted by e-mail in the format prescribed by HHSC, not later than the 10th of each month for all services provided in the previous month. The e-mail address for submitting an invoice is: XXX_Xxxxxx@xxxx.xxxxx.xx.xx The invoice shall include, at a minimum: a. Contractor's complete name, mailing address, and e-mail (if applicable) address; b. Contractor's phone number; c. the name and phone number of a person designated by the Contractor to answer questions regarding the invoice; d. HHSC agency number 529, and CRS delivery address; e. CRS service authorization number; f. HHSC CRS contract number; g. Contractor’s valid Texas identification number (TIN) issued by the Comptroller of the State of Texas; h. a description of the goods or services provided, in sufficient detail to identify the service authorization which relates to the invoice. This may include but is not limited to the current procedural terminology codes; i. Maximum Affordable Payment Schedule rate, or general codes set by the program; j. dates of service; k. quantity and unit-cost being billed, as documented on the service authorization; l. if submitting an invoice after receiving an assignment of a contract, the TIN of the original contractor and the TIN of the successor vendor; m. other relevant information supporting and explaining the payment requested; n. participant’s Individualized Program Plan, signed by the interdisciplinary team (IDT) (for initial billing for services only), if applicable; o. summaries of monthly meetings, signed by the IDT (for monthly services that are not admission or discharge services), if applicable; and

Invoice Requirements. Contractor shall submit to HHSC detailed and accurate invoice(s) which include the information below. Each invoice must be submitted by e-mail in the format prescribed by HHSC, not later than the 10th of each month for all services provided in the previous month. The e-mail address for submitting an invoice is: XXX_Xxxxxx@xxxx.xxxxx.xx.xx The invoice shall include, at a minimum: a. Contractor's complete name, mailing address, and e-mail (if applicable) address; b. Contractor's phone number; c. the name and phone number of a person designated by the Contractor to answer questions regarding the invoice; d. HHSC agency number 529, and CRS delivery address; e. CRS service authorization number; f. HHSC CRS contract number; g. Contractor’s valid Texas identification number (TIN) issued by the Comptroller of the State of Texas; h. a description of the goods or services provided, in sufficient detail to identify the service authorization which relates to the invoice. This may include but is not limited to the current procedural terminology codes; i. Maximum Affordable Payment Schedule rate, or general codes set by the program; j. dates of service; k. quantity and unit-cost being billed, as documented on the service authorization; l. if submitting an invoice after receiving an assignment of a contract, the TIN of the original contractor and the TIN of the successor vendor; m. other relevant information supporting and explaining the payment requested; n. participant’s Individualized Program Plan, signed by the interdisciplinary team (IDT) (for initial billing for services only), if applicable; o. summaries of monthly meetings, signed by the IDT (for monthly services that are not admission or discharge services), if applicable; and

Invoice Requirements. Contractor shall submit to HHSC detailed and accurate invoice(s) which include the information below. Each invoice must be submitted by e-mail in the format prescribed by HHSC, not later than the 10th of each month for all services provided in the previous month. The e-mail address for submitting an invoice is: XXX_Xxxxxx@xxxx.xxxxx.xx.xx The invoice shall include, at a minimum: a. Contractor's complete name, mailing address, and e-mail (if applicable) address; b. Contractor's phone number; c. the name and phone number of a person designated by the Contractor to answer questions regarding the invoice; d. HHSC agency number 529, and CRS delivery address; e. CRS service authorization number; f. HHSC CRS contract number; g. Contractor’s valid Texas identification number (TIN) issued by the Comptroller of the State of Texas; h. a description of the goods or services provided, in sufficient detail to identify the service authorization which relates to the invoice. This may include but is not limited to the current procedural terminology codes; i. Maximum Affordable Payment Schedule rate, or general codes set by the program; j. dates of service; k. quantity and unit-cost being billed, as documented on the service authorization; l. if submitting an invoice after receiving an assignment of a contract, the TIN of the original contractor and the TIN of the successor vendor; m. other relevant information supporting and explaining the payment requested; n. participant’s Individualized Program Plan, signed by the interdisciplinary team (IDT) (for initial billing for services only), if applicable; o. summaries of monthly meetings, signed by the IDT (for monthly services that are not admission or discharge services), if applicable; and p. discharge summary signed by the IDT or other appropriate team member (with final billing). No payment will be made under this Contract without submission of detailed, accurate invoices and supporting documentation are submitted as outlined in Section 8.11. Failure to submit invoices on time may be considered a Contract compliance issue and be used in evaluating renewal or termination of the Contract.