Online Submission and Response Sample Clauses

Online Submission and Response. Pharmacy agrees and shall submit all Claims for Services provided under this Agreement online through the System to ProCare for full adjudication of Claims, including, but not limited to, Claims where Covered Person’s payment to Pharmacy is greater than the amount of the Claim
AutoNDA by SimpleDocs
Online Submission and Response. Pharmacy agrees and shall submit all Claims for Services provided under this Agreement online through the System to MC-Rx for full adjudication of Claims, including, but not limited to, Claims where Covered Person’s payment to Pharmacy is greater than the amount of the Claim for the purpose of Drug Utilization Review. Pharmacy has one hundred eighty (180) days from the original fill date to submit a Claim online. Non-Pharmacy dispensing facilities (i.e. Dispensing Physician Providers/Licensed Prescribers), where allowed, are subject to all online submission and Network requirements, as outlined by MC-Rx, and must submit any Claim for a Service using industry standard requirements through industry certified e.Prescribing software. Coordination of Benefits (“COB”) is Plan Sponsor specific and may or may not be allowed. Please refer to the System or applicable payer sheets for proper direction and facilitation of COB Claim submissions, where applicable. If a Plan Sponsor’s payer sheet requires verification prior to Claim submission, in accordance with a local Maryland or federal Program, Pharmacy shall comply with any applicable verification requirement(s). The Claim response sent to the Pharmacy by the System (including eligibility, pricing, and formulary requirements) shall govern. Claims subject to applicable Maryland and/or local tax must have the appropriate tax fields populated at time of Claim submission. In addition to any required fields identified in the current National Council for NCPDP telecommunication standard format, Pharmacy shall submit U&C charge on every Claim.

Related to Online Submission and Response

  • Supplemental Vendor Information Only) No response Optional. If Vendor desires that their logo be displayed on their public TIPS profile for TIPS and TIPS Member viewing, Vendor may upload that logo at this location. These supplemental documents shall not be considered part of the TIPS Contract. Rather, they are Vendor Supplemental Information for marketing and informational purposes only. Signature Form.pdf

  • Vendor Logo (Supplemental Vendor Information Only) No response Optional. If Vendor desires that their logo be displayed on their public TIPS profile for TIPS and TIPS Member viewing, Vendor may upload that logo at this location. These supplemental documents shall not be considered part of the TIPS Contract. Rather, they are Vendor Supplemental Information for marketing and informational purposes only. Bid Attributes Disadvantaged/Minority/Women Business & Federal HUBZone Some participating public entities are required to seek Disadvantaged/Minority/Women Business & Federal HUBZone ("D/M/WBE/Federal HUBZone") vendors. Does Vendor certify that their entity is a D/M/WBE/Federal HUBZone vendor? If you respond "Yes," you must upload current certification proof in the appropriate "Response Attachments" location. NO Historically Underutilized Business (HUB) Some participating public entities are required to seek Historically Underutilized Business (HUB) vendors as defined by the Texas Comptroller of Public Accounts Statewide HUB Program. Does Vendor certify that their entity is a HUB vendor? If you respond "Yes," you must upload current certification proof in the appropriate "Response Attachments" location. No National Coverage Can the Vendor provide its proposed goods and services to all 50 US States? Yes

  • Proposing Integration Activities in the Planning Submission No integration activity described in section 6.3 may be proposed in a CAPS unless the LHIN has consented, in writing, to its inclusion pursuant to the process set out in section 6.3(b).

  • Timely and Sustained Response Interconnection Customer shall ensure that the Small Generating Facility’s real power response to sustained frequency deviations outside of the deadband setting is automatically provided and shall begin immediately after frequency deviates outside of the deadband, and to the extent the Small Generating Facility has operating capability in the direction needed to correct the frequency deviation. Interconnection Customer shall not block or otherwise inhibit the ability of the governor or equivalent controls to respond and shall ensure that the response is not inhibited, except under certain operational constraints including, but not limited to, ambient temperature limitations, physical energy limitations, outages of mechanical equipment, or regulatory requirements. The Small Generating Facility shall sustain the real power response at least until system frequency returns to a value within the deadband setting of the governor or equivalent controls. An Applicable Reliability Standard with equivalent or more stringent requirements shall supersede the above requirements.

  • Government’s Response Please refer to the Q&A from the first question.

  • Procedures for Providing NP Through Full NXX Code Migration Where a Party has activated an entire NXX for a single Customer, or activated at least eighty percent (80%) of an NXX for a single Customer, with the remaining numbers in that NXX either reserved for future use by that Customer or otherwise unused, if such Customer chooses to receive Telephone Exchange Service from the other Party, the first Party shall cooperate with the second Party to have the entire NXX reassigned in the LERG (and associated industry databases, routing tables, etc.) to an End Office operated by the second Party. Such transfer will be accomplished with appropriate coordination between the Parties and subject to appropriate industry lead times for movements of NXXs from one switch to another. Neither Party shall charge the other in connection with this coordinated transfer.

  • Academic Freedom and Responsibility 6.1 The University and United Academics agree that academic freedom is essential to the mission of the University and that providing an environment of free and honest inquiry is essential to its functioning. Nothing contained in this Agreement shall be construed to limit or abridge any individual's right to free speech or to infringe upon the academic freedom of any member of the University community.

  • Optional Xactimate Response Attachment (Part 2)

  • Limited Responsibility Each Party shall be responsible only for service(s) and facility(ies) which are provided by that Party, its affiliates, authorized agents, subcontractors, or others retained by such parties, and neither Party shall bear any responsibility for the services and facilities provided by the other Party, the other Party’s affiliates, agents, subcontractors, or other persons retained by such parties. No Party shall be liable for any act or omission of another Telecommunications Carrier (other than an affiliate) providing a portion of a service, unless such Telecommunications Carrier is an authorized agent, subcontractor, or other retained by the party providing the service.

  • Accreditation of Public Schools and Adoption and Implementation of School Plans The District will implement a system of accrediting all of its schools, as described in section 22-11- 307, C.R.S., which may include measures specifically for those schools that have been designated as Alternative Education Campuses, in accordance with the provisions of 1 CCR 301-57. The District will ensure that plans are implemented for each school in compliance with the requirements of the State Board pursuant to 1 CCR 301-1.

Time is Money Join Law Insider Premium to draft better contracts faster.