Manually Submitted Claims Sample Clauses

Manually Submitted Claims. In the case of manually submitted Prescription Claims, Administrator shall use reasonable efforts to advise the Network Pharmacy of the basis upon which a Prescription Claim is not eligible for payment and specify any additional information required for Administrator to pay the amount due with respect to such Prescription Claim.
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Related to Manually Submitted Claims

  • Submitting False Claims The full text of San Francisco Administrative Code Chapter 21, Section 21.35, including the enforcement and penalty provisions, is incorporated into this Agreement. Pursuant to San Francisco Administrative Code §21.35, any contractor or subcontractor who submits a false claim shall be liable to the City for the statutory penalties set forth in that section. A contractor or subcontractor will be deemed to have submitted a false claim to the City if the contractor or subcontractor: (a) knowingly presents or causes to be presented to an officer or employee of the City a false claim or request for payment or approval;

  • Claims Pari Passu Each Obligor shall ensure that at all times the claims of the Finance Parties against it under the Finance Documents rank at least pari passu with the claims of all its other unsecured and unsubordinated creditors save those whose claims are preferred by any bankruptcy, insolvency, liquidation or other similar laws of general application in its jurisdiction of incorporation.

  • Disputed Claims 4.1 Notwithstanding paragraph 4.5 of this Schedule, payment by the Authority of all or any part of any invoice rendered or other claim for payment by the Contractor shall not signify approval of such invoice/claim. The Authority reserves the right to verify invoices/claims after the date of payment and subsequently to recover any sums which have been overpaid. 4.2 If any part of a claim rendered by the Contractor is disputed or subject to question by the Authority either before or after payment then the Authority may call for the Contractor to provide such further documentary and oral evidence as it may reasonably require to verify its liability to pay the amount which is disputed or subject to question and the Contractor shall promptly provide such evidence in a form satisfactory to the Authority. 4.3 If any part of a claim rendered by the Contractor is disputed or subject to question by the Authority, the Authority shall not withhold payment of the remainder. 4.4 If any invoice rendered by the Contractor is paid but any part of it is disputed or subject to question by the Authority and such part is subsequently agreed or determined not to have been properly payable then the Contractor shall forthwith repay such part to the Authority. 4.5 The Authority shall be entitled to deduct from sums due to the Contractor by way of set-off any amounts owed to it or which are in dispute or subject to question either in respect of the invoice for which payment is being made or any previous invoice.

  • Claims Submission Unless otherwise prohibited by federal or state law, Provider will submit Clean Claims for all Covered Services to BCBSM within one hundred eighty (180) days of the date of service.

  • Submitting False Claims; Monetary Penalties The AOC shall be entitled to remedy any false claims, as defined in California Government Code section 12650 et seq., made to the AOC by the Contractor or any Subcontractor under the standards set forth in Government Code section 12650 et seq. Any Contractor or Subcontractor who submits a false claim shall be liable to the AOC for three times the amount of damages that the AOC sustains because of the false claim. A Contractor or Subcontractor who submits a false claim shall also be liable to the AOC for (a) the costs, including attorney fees, of a civil action brought to recover any of those penalties or damages, and (b) a civil penalty of up to $10,000 for each false claim.

  • Late Application for Parental Leave When an application for parental leave under sub-article (A) above is not made in accordance with sub-article (c), the employee is nonetheless entitled to, and upon application to the Co-operative shall be granted, parental leave under this Article for the portion of the leave period that remains at the time the application is made.

  • Contested Claims In the event that the Indemnifying Party disputes the Claimed Amount, as soon as practicable but in no event later than ten (10) days after the receipt of the notice referenced in Section 10.2(b)(ii) hereof, the Parties will begin the process to resolve the matter in accordance with the dispute resolution provisions of Section 1.4 hereof. Upon ultimate resolution thereof, the Parties will take such actions as are reasonably necessary to comply with such agreement or instructions.

  • Derivative Claims No Shareholder shall have the right to bring or maintain any court action, proceeding or claim on behalf of the Trust or any series or class of Shares without first making demand on the Trustees requesting the Trustees to bring or maintain such action, proceeding or claim. Such demand shall not be excused under any circumstances, including claims of alleged interest on the part of the Trustees, unless the plaintiff makes a specific showing that irreparable nonmonetary injury to the Trust or series or class of Shares would otherwise result. Such demand shall be mailed to the Secretary of the Trust at the Trust's principal office and shall set forth with particularity the nature of the proposed court action, proceeding or claim and the essential facts relied upon by the Shareholder to support the allegations made in the demand. The Trustees shall consider such demand within 45 days of its receipt by the Trust. In their sole discretion, the Trustees may submit the matter to a vote of Shareholders of the Trust or a series or class of Shares, as appropriate. Any decision by the Trustees to bring, maintain or settle (or not to bring, maintain or settle) such court action, proceeding or claim, or to submit the matter to a vote of Shareholders, shall be binding upon the Shareholders. Any decision by the Trustees to bring or maintain a court action, proceeding or suit on behalf of the Trust or a series or class of Shares shall be subject to the right of the Shareholders under Article V hereof to vote on whether or not such court action, proceeding or suit should or should not be brought or maintained.

  • Tax Claims Notwithstanding any other provision of this Agreement, the control of any claim, assertion, event or proceeding in respect of Taxes of the Company (including, but not limited to, any such claim in respect of a breach of the representations and warranties in Section 3.22 hereof or any breach or violation of or failure to fully perform any covenant, agreement, undertaking or obligation in Article VI) shall be governed exclusively by Article VI hereof.

  • Issue Date Comment Author FINAL 13/10/2020 Agreed OLA with the Component Provider Xxxxx Xxxxx Xxxx Xxxxxxxxx, Xxxxxxxx Xx Xxxxx v0.2 03/01/2022 Updated the host of the Component Provider and Section 7. Xxxxxxxx Xx Xxxxx v0.3 03/02/2022 Increased resources to run Spark on top of the cluster: 36 vCPU cores and 32GB of RAM Xxxxxxxx Xx Xxxxx v0.4 16/05/2022 Increased amount of allocated vCPU by 30% (from 104 to 136 vCPUs) Xxxxxxxxx Xxxx-Xxxxxx The EGI glossary of terms is available at: xxxxx://xxxx.xxx.xx/wiki/Glossary For the purpose of this Agreement, the following terms and definitions apply. The key words "MUST", "MUST NOT", "REQUIRED", "SHALL", "SHALL NOT", "SHOULD", "SHOULD NOT", "RECOMMENDED", “MAY", and "OPTIONAL" in this document are to be interpreted as described in RFC 2119. The Services 4 Service hours and exceptions 6 Support 7 Incident handling 7 Service requests 7 Service level targets 8 Limitations and constraints 8 Communication, reporting and escalation 9 General communication 9 Regular reporting 9 Violations 10 Escalation and complaints 10 Information security and data protection 10 Responsibilities 11 Of the Component Provider 11 Of the EGI Foundation 12 Of the Customer 12 Finance and Administration 12 Service Offers 12 Invoicing and Payment Schedule 12 Review, extensions and termination 13 The present Operational Level Agreement (“the Agreement”) is made between EGI Foundation (the Service Provider) and Department of Physics of Bari University X. Xxxx (owner with INFN of the ReCaS-Bari data centre) (the Component Provider) to define the provision and support of the provided services as described hereafter. Representatives and contact information are defined in Section 6. PolicyCLOUD1 aims to harness the potential of digitisation, big data and cloud technologies to improve the modelling, creation and implementation of policy. In three years (2020-2023) the project will address challenges faced by many businesses and public administrations of improving how they make policy decisions by accessing and using data. The Customer is a consortium represented by ATOS. This Agreement is valid from 01/08/2020 to 31/12/2022. The Agreement was discussed and approved by the EGI Foundation and the Component Provider on The Agreement extends the Resource Center OLA2 with the following information: Possible allocation types: ● Pledged - Resources are exclusively reserved to the Community and the job will be executed immediately after submission. ● Opportunistic - Resources are not exclusively allocated, but subject to local availability. ● Time allocation - Resources are available in fair share-like mode for a fixed time period. Possible payment mode offer: ● Sponsored - Model where the customer uses services that are funded, or co-funded by the European Commission or government grants. ● Pay-for-use - Model where a customer directly pays for the service used. The Services are defined by the properties summarised in the following table described in the below links: ● Cloud Compute: xxxxx://xxx.xxx.xx/services/cloud-compute/ 1 xxxxx://xxxxxxxxxxx.xx/ 2 xxxxx://xxxxxxxxx.xxx.xx/document/31 ● Online Storage: xxxxx://xxx.xxx.xx/services/online-storage/ Resource Centre: INFN-CLOUD-BARI Category: Cloud Compute Number of virtual CPU cores: 136 Memory per core (GB): 336 Local disk (GB): 40 Public IP addresses: Yes. Access to the VPN is also provided. Allocation type: Pledged Other technical requirements: The INDIGO-DataCloud PaaS orchestrator3 will be available on the same resources, without an additional cost. Payment mode offer: Pay-for-use4 Duration: 01/08/2020 - 31/12/2022 Resource Centre INFN-CLOUD-BARI Category Online Storage Guaranteed storage capacity [TB]: 2TB Opportunistic storage capacity [TB]: N/A Standard interfaces supported: POSIX/Object Storage Storage technology: N/A Other technical requirements: Additional 50-100GB of OpenStack Swift Storage will be made available, without an additional cost. 3 xxxxx://xxxxxx-xxxx.xxxxx.xx.xxxx.xx/ 4 See service offer for specifications (e.g. pricing, administration) Duration: 01/08/2020 - 31/12/2022 Payment ode offer: Pay-for-use Allocation type: Pledged Supported VOs: xx.xxxxxxxxxxx.xx VO ID card: xxxxx://xxxxxxxxxx-xxxxxx.xxx.xx/vo/view/voname/xx.xxxxxxxxxxx.xx VO-wide list: xxxxx://xxxxx.xxx.xx/store/vo/xx.xxxxxxxxxxx.xx Provider AUP link xxxxx://xxxxxxxxx.xxx.xx/document/2623 Service Offer/Cost [€] Compute 34,000€ Storage Free (included in the compute costs) Technical support 5,000€ Total 39,000€5 The Services are supported by additional services: ● Accounting6 ● Service Monitoring7 (EGI operational Virtual Organization only). Note: Please note that the following services are not provided by EGI Foundation: ● Monitoring of xx.xxxxxxxxxxx.xx. ● Monitoring of services provided by the Customer on agreed resources. IT services according to the service catalogue are in general delivered during 24 hours per day, 7 days per week (i.e. 365 days or 8,760 hours), to seamlessly support business operations. Planned and announced interruptions may reduce the effective operating time of a service.

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