Paper Invoices Sample Clauses

Paper Invoices. If the Social Security Benefits Advocacy Provider Payment System becomes unavailable, GRANTEE may submit a paper invoice for payment to the STATE. GRANTEE must include all required client information and documents as required by the Social Security Benefits Advocacy Provider Payment System along with a DHS prescribed paper invoice for payment.

Paper Invoices. Paper invoices may be submitted using the ‘Invoice for Treatment Services’ form (267) available from ▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇.▇▇▇/forms/ -. 19150 Initial Visit with Massage Treatment Report • Limit one (1) per payee per claim. • Flat fee inclusive of service and timely report. • Deduction of $27 will be applied if report received more than five (5) business days from the initial visit. For invoicing purposes the date of the initial visit is considered day zero “0.” • Any massage visits beyond 8 weeks following the workers’ date of injury must be approved by the Board Officer. $70.00 (inclusive of $27.00 report fee) $75.00 (inclusive of $27.00 report fee) 19151 Subsequent Treatment • Up to 12 subsequent visits can be offered within the first 8 weeks following the workers’ date of injury. • Any massage visits beyond 8 weeks following the workers’ date of injury must be approved by the Board Officer. • Limit one (1) per payee per day per accepted claim. $43.00 $45.00