Patient Billing Clause Samples

The Patient Billing clause outlines the procedures and responsibilities related to charging patients for medical services rendered. It typically specifies how and when patients will be billed, what payment methods are accepted, and may address issues such as insurance claims, co-payments, and payment deadlines. By clearly defining the billing process, this clause helps prevent misunderstandings about financial obligations and ensures that both the provider and patient are aware of their respective duties regarding payment.
Patient Billing. Subject to the following provisions, PPA recognizes the right of Provider to ▇▇▇▇ Patient for any and all charges that may arise from services rendered that are not covered under a contracting group dental benefit plan including, but not limited to co-payments and deductibles. The Provider shall ▇▇▇▇ in the following manner: a) The Provider must first directly ▇▇▇▇ ▇▇▇▇▇ for all amounts due except the co-payment or deductible; and b) The Provider may not ▇▇▇▇ the Patient any amount except co-payment or deductible, until the Provider has received an Explanation of Benefits (EOB) from the Payor.
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Patient Billing. The Contractor shall construct a mechanism in which to ▇▇▇▇ patients if VCU ▇▇▇▇ ▇▇▇▇▇ Programs deems them ineligible; and, in effect, unable to receive transport services under the program. In this instance, VCU ▇▇▇▇ ▇▇▇▇▇ Programs would notify the Contractor of this patient’s ineligibility, and it would be the responsibility of the Contractor to confer with the patient to receive payment.
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Patient Billing. CDS shall look only to HNYMG for compensation for Covered Services and shall at no time seek compensation from Enrollees for Covered Services. No surcharge to any Enrollee shall be permitted. A surcharge shall, for purposes of this Agreement, be deemed to be any additional fee not provided for in the Enrollee Plan contract and Evidence of Coverage.
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Patient Billing. No affiliated institution nor any affiliated institution’s fellows shall ▇▇▇▇ for patient care services rendered by the affiliated institution’s fellows during the clinical rotations at other affiliated institutions.
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Patient Billing. LCSR reserves the right to bill individual patients and insurance companies for any and all ambulance services provided. The fees for services provided to individual patients by LCSR are defined in Exhibit A of this agreement.
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Patient Billing. All uninsured patients will be billed directly and timely, and will receive a statement as part of the organization’s normal billing process. However, Reproductive Health and Wellness patients that have entered into a no contact agreement will be handed a bill, rather than mailed.
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Patient Billing. Medical Group and its Specialist Physicians shall look only to IPA for compensation for Covered Services and shall at no time seek compensation from Enrollees for Covered Services (including in the event of any insolvency, dissolution or bankruptcy on the part of IPA) subject to Section 4.6 hereof. No Surcharge to any Enrollee shall be permitted. Unauthorized Enrollee billing may, at IPA's sole discretion, be deducted from future payments to Medical Group and refunded to the Enrollee. Unauthorized Enrollee billing is a material breach of this Agreement and, at IPA's sole discretion, IPA may seek any or all remedies for breach contained herein.
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Patient Billing. The CITY shall be solely responsible for invoicing and collecting all fees for ambulance service pursuant to its schedule of costs, including mileage. Residents residing within the VILLAGE limits will be billed at the “resident” rate.
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Patient Billing. All decisions with respect to billing patients and third party payors for services provided in the Premises shall be made by Tenant.
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Related to Patient Billing

  • Patient A patient is defined as those persons for whom the Physician shall provide Services, and who are signatories to, or listed on the documents attached as Appendix 1, and incorporated by reference, to this agreement.

  • Billing Unless otherwise provided in the Grant Agreement, Grantee shall bill the System Agency in accordance with the Grant Agreement. Unless otherwise specified in the Grant Agreement, Grantee shall submit requests for reimbursement or payment monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiates invoices and make the documentation available to the System Agency upon request.

  • Medical Verification The Town may require medical verification of an employee’s absence if the Town perceives the employee is abusing sick leave or has used an excessive amount of sick leave. The Town may require medical verification of an employee’s absence to verify that the employee is able to return to work with or without restrictions.

  • Contractor Sales Reporting Vendor Management Fee Contractor Reports Contract Sales Reporting. Contractor shall report total Contract sales quarterly for this Cooperative Purchasing Agreement to Enterprise Services, as set forth below. Contract Sales Reporting System. Contractor shall report quarterly Contract sales in Enterprise Services’ Contract Sales Reporting System. Enterprise Services shall provide Contractor with a login password and a vendor number. The password and vendor number shall be provided to the Sales Reporting Representative(s) listed on Contractor’s Bidder Profile. Data. Each sales report must identify every authorized Purchaser by name as it is known to Enterprise Services and its total combined sales amount invoiced during the reporting period (i.e., sales of an entire agency or political subdivision, not its individual subsections). The “Miscellaneous” option may be used only with prior approval by Enterprise Services. Upon request, Contractor shall provide contact information for all authorized Purchasers specified herein during the term of the Contract. If there are no Contract sales during the reporting period, Contractor must report zero sales. Due dates for Contract Sales Reporting. Quarterly Contract Sales Reports must be submitted electronically by the following deadlines for all Contract sales invoiced during the applicable calendar quarter: Vendor Management Fee. Contractor shall pay to Enterprise Services a vendor management fee (“VMF”) of 1.25 percent on the purchase price for all Cooperative Purchasing Agreement sales (the purchase price is the total invoice price less applicable sales tax) under this Cooperative Purchasing Agreement. The sum owed by Contractor to Enterprise Services as a result of the VMF is calculated as follows: Amount owed to Enterprise Services = Total Contract sales invoiced (not including sales tax) x .0125. The VMF must be rolled into Contractor’s current pricing. The VMF must not be shown as a separate line item on any invoice unless specifically requested and approved by Enterprise Services. Enterprise Services shall invoice Contractor quarterly based on Contract sales reported by Contractor. Contractor is not to remit payment until Contractor receives an invoice from Enterprise Services. Payments must be received within thirty (30) calendar days of the invoice issue date from Enterprise Services. Contractor’s VMF payment to Enterprise Services must reference the invoice number. Contractor’s VMF payment to Enterprise Services must reference this Contract number, the year and quarter for which the VMF is being remitted, and Contractor’s name as set forth in this Contract, if not already included on the face of the check. Contractor’s failure to report accurate total net Contract sales, to submit a timely Contract sales report, or to remit timely payment of the VMF to Enterprise Services, shall be cause for Enterprise Services, at its discretion, to suspend Contractor or terminate this Contract or exercise remedies provided by law. Without limiting any other available remedies, the parties agree that Contractor’s failure to remit to Enterprise Services timely payment of the VMF shall obligate Contractor to pay to Enterprise Services, to offset the administrative and transaction costs incurred by the State to identify, process, and collect such sums, the sum of $200.00 or twenty-five percent (25%) of the outstanding amount, whichever is greater, or the maximum allowed by law, if less. Enterprise Services reserves the right, upon thirty (30) calendar days advance written notice, to increase, reduce, or eliminate the VMF for subsequent purchases, and reserves the right to renegotiate Contract pricing with Contractor when any subsequent adjustment of the VMF might justify a change in pricing. Annual Contract Sales Report. Contractor shall provide to Enterprise Services a detailed annual Contract sales report. Such report shall include, at a minimum, the following: The Goods and/or Services sold and provided (including, as applicable, category or another identifier); Services purchased by Purchaser; and Contract price. This report must be provided in an electronic format that can be read by Microsoft (MS) Excel. Such report is due within thirty (30) calendar days of the annual anniversary of the effective date of this Contract.

  • Patient Referrals The parties agree that the benefits to Group ----------------- hereunder do not require, are not payment for, and are not in any way contingent upon the admission, referral or any other arrangements for the provision of any item or service offered by Manager or any affiliate of Manager to any of Group's Patients in any facility owned or controlled, managed or operated by Manager or any affiliate of Manager.