Common use of Manner/Method of Claim Submission Clause in Contracts

Manner/Method of Claim Submission. PROVIDER shall be responsible for submitting claims for payment consideration in accordance with standard claims processing requirements. The PAYOR shall not be responsible for processing claim(s) for payment consideration for any claim submitted by the PROVIDER that is inconsistent with national and/or state claim submission and processing guidelines. PAYOR, at its discretion, may require all clams to be submitted with all proper documentation for purposes of auditing the claim prior to reimbursement.

Manner/Method of Claim Submission. PROVIDER shall be responsible for submitting claims for payment consideration in accordance with standard claims processing requirementsrequirements of the PAYOR. The PAYOR shall not be responsible for processing claim(s) for payment consideration for any claim submitted by the PROVIDER that is inconsistent with national and/or state claim submission and processing guidelines. PAYOR, at its discretion, may require all clams claims to be submitted with all proper documentation for purposes of auditing the claim prior to reimbursement.