Payers Sample Clauses

Payers. 2.1 You agree and understand that you must provide clear and written instructions to your Payers to use their own bank or similar financial institution to send funds to us. You must provide Payers with enough information to understand that their payments are being processed by us on your behalf, and you will provide Payers with a confirmation receipt of payment when we receive this.
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Payers. From December 31, 2017 to the date of this Agreement, none of the ten (10) largest payers of Parent and its Subsidiaries (determined on the basis of aggregate revenues recognized by Parent and its Subsidiaries over the fiscal year ended December 31, 2018) have (a) canceled or otherwise terminated, or to the Knowledge of Parent, threatened to cancel or otherwise terminate, or not renew, its relationship with Parent or any of its Subsidiaries or (b) demanded, requested or received from Parent or any of its Subsidiaries any material concessions with respect to any existing or proposed Contracts or programs, or (c) been engaged in a material dispute with Parent or any of its Subsidiaries, in the case of each of clauses (a) (with respect to threatened matters), (b) and (c), other than to the extent in the ordinary course of business.
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Payers. Practice shall have the sole and exclusive right and authority to enter into contractual relationships with patients, HMOs, IPAs, PPOs, ACOs, integrated delivery networks, employers, employer groups, governmental entities (including Federal Health Care Programs), public or private healthcare exchanges, or other managed care or reimbursement arrangements (collectively, “Payers”) on Physician’s behalf. Physician shall at all times remain credentialed as a participating provider by the Payers designated by Practice. Physician shall not contract with any Payers without Practice’s prior written consent. Physician agrees to solely accept the compensation paid to her by Practice for the Services under this Agreement and shall not seek or accept compensation from any Payer or any other person or entity for the Services. Upon request from Practice, Physician shall promptly provide any information and execute any relevant documents required by a Payer for credentialing or any other purpose.
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Payers. Schedule 4.27 contains a list of the fifteen (15) largest payers of the Company for the twelve (12) month period immediately preceding the Closing Date (determined on the basis of the total dollar amount of gross sales) showing the total dollar amount of gross sales from each such payer during such twelve (12) month period. To the Knowledge of the Company, there are no facts indicating that any of the payers of the Company will not continue to be payers of the business of the Company after the Closing at substantially the same level of purchases as heretofore.
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Payers. Verbal agreement with Medicaid, Medicare, Commercial, and one self- insured plan. The ACO and plans are seeking to maximize alignment between Medicare, Medicaid, and commercial payers in: ❑ Total cost of care ❑ Attribution and payment mechanisms ❑ Patient protections ❑ Provider reimbursement strategies Additional Information Requested • Information on truncation of high-cost outlier individuals for Medicaid and Commercial • History of shared savings program performance • Clarification on reinsurance/risk mitigation (see Part 2) • Finalized payer contracts Part 4: Budget and Risk Observations • $18.5 million deductions from hospital fixed payments will be used to fund population health management programs and operations • $7.1 million will fund the Complex Care Coordination Program, a 629% increase from 2017 • $1.6 million is included for Community Program Investments • No capital costs were reported Additional Information Requested • Days cash on hand increased significantly from 2016 to 2017 • ‘Due to Other’ liability account on the balance sheet needs further explanation • Hospitals will confirm risk amounts and projected fixed payments Observations
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Payers. (Medicare, Medicaid, BCBSVT, etc.) Providers (Hospitals, Primary Care, Designated Agencies, etc.) Green Mountain Care Board Has regulatory oversight over OneCare Department of Vermont Health Access Oversees the Medicaid contract with OneCare 32 Vermont’s All-Payer Accountable Care Organization (ACO) Model - An Overview of the All-Payer ACO Model and the State’s Oversight of Vermont’s Only ACO, OneCare Vermont, LLC., Rpt No. 20-02, dated June 26, 2020. Table 7 shows the what GMCB reported that they billed regulated entities for fiscal year 2020 in order of highest to lowest. OneCare was the third highest entity billed. Table 7: Amount and Percent of Total Amount GMCB Billed to Regulated Entities in Fiscal Year 2020 Entity Type of Entity Amount Billed Percent of Total Amount Billed Blue Cross and Blue Shield of Vermont Insurance Company $1,249,916 31.2% University of Vermont Medical Center Hospital $966,372 24.1% OneCare ACO $366,111 9.1% MVP Health Plan Inc Insurance Company $205,807 5.1% Rutland Regional Medical Center Hospital $191,957 4.8% Central Vermont Medical Center Hospital $156,299 3.9% Southwestern Vermont Medical Center Hospital $123,498 3.1% Northwestern Medical Center Hospital $83,816 2.1% MVP Health Insurance Company Insurance Company $82,595 2.1% Cigna Health and Life Insurance Company/Connecticut General Life Ins Insurance Company $77,564 1.9% Brattleboro Memorial Hospital Hospital $63,185 1.6% Xxxxxx Medical Center Hospital $62,713 1.6% Northeastern Vermont Regional Hospital Hospital $62,546 1.6% North Country Hospital Hospital $59,943 1.5% Xxxxxx Hospital Hospital $52,083 1.3% Mt Ascutney Hospital Hospital $38,533 > 1% Xxxxxxx Medical Center Hospital $37,550 > 1% Springfield Hospital Hospital $35,045 > 1% Aetna Life Insurance Company Insurance Company $29,851 > 1% The Vermont Health Plan, LLC Insurance Company $28,792 > 1% UnitedHealthcare Insurance Company Insurance Company $15,005 > 1% Grace Cottage Hospital (Xxxxxx Xxxx) Hospital $14,313 > 1% Atlanta International Insurance Company Insurance Company $2,151 > 1% QCC Insurance Company Insurance Company $1,753 > 1% State Farm Mutual Automobile Insurance Company Insurance Company $1,339 > 1% AXA Equitable Life Insurance Company Insurance Company $184 > 1% United States Life Insurance Company in the City of New York Insurance Company $163 > 1% Entity Type of Entity Amount Billed Percent of Total Amount Billed Sierra Health and Life Insurance Company, Inc. Insurance Company $156 > 1% Trustmar...
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Payers. You will need to provide instructions to each Payer on how to transmit his or her funds to us. Information regarding such instructions will be provided to you in connection with onboarding for the USD Top Up Service, as applicable, and such instructions may be updated by us from time to time. The Payer will need to fund the payment by transferring funds from his or her bank account by any method we specify. SCHEDULE 4
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Payers. 4.1 In the event that VGSI accepts payments on your behalf, you hereby appoint VGSI as your limited payments agent to receive, hold and settle such payments to you. You further agree and understand that you must provide express instructions to your Payers to use the Payers’ own bank or similar financial institution to send funds to VGSI. You shall provide your Payers with information sufficient for them to understand that their payments are being processed by VGSI on your behalf, and you shall provide your Payers with a receipt confirming receipt of payment when such payment is received by VGSI. You agree and understand that such funds received on your behalf shall be deemed received by VGSI with the automatic instruction to settle such funds you. You further agree and understand that the receipt of funds by VGSI from such third party Payers, pursuant to instructions you have provided, satisfies the Payer’s obligation to you. In accepting this appointment as your limited payments agent, you agree that VGSI assumes no liability for any of your acts or omissions, and you understand that the obligation of VGSI to settle funds in accordance with this provision is subject to and conditional upon the Payer’s actual payment and the terms of this Schedule.
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Payers 
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Related to Payers

  • Medi Cal/daily service logs and notes and other documents used to record provision of services provided by instructional assistants, behavior intervention aides, bus aides, and supervisors

  • REGULATORY ADMINISTRATION SERVICES BNY Mellon shall provide the following regulatory administration services for each Fund and Series:  Assist the Fund in responding to SEC examination requests by providing requested documents in the possession of BNY Mellon that are on the SEC examination request list and by making employees responsible for providing services available to regulatory authorities having jurisdiction over the performance of such services as may be required or reasonably requested by such regulatory authorities;  Assist with and/or coordinate such other filings, notices and regulatory matters and other due diligence requests or requests for proposal on such terms and conditions as BNY Mellon and the applicable Fund on behalf of itself and its Series may mutually agree upon in writing from time to time; and

  • Referrals It is expected that through employee awareness and educational programs, employees will seek information and/or assistance on their own initiative. Such requests will be processed as voluntary and informal rather than formal referrals.

  • THIRD PARTY PAYORS Except as provided in this Contract, Grantee shall screen all clients and may not bill the System Agency for services eligible for reimbursement from third party payors, who are any person or entity who has the legal responsibility for paying for all or part of the services provided, including commercial health or liability insurance carriers, Medicaid, or other federal, state, local and private funding sources. As applicable, the Grantee shall:

  • Providers Services performed by a provider who has been excluded or debarred from participation in federal programs, such as Medicare and Medicaid. To determine whether a provider has been excluded from a federal program, visit the U.S. Department of Human Services Office of Inspector General website (xxxxx://xxxxxxxxxx.xxx.xxx.xxx/) or the Excluded Parties List System website maintained by the U.S. General Services Administration (xxxxx://xxx.xxx.gov/). • Services provided by facilities, dentists, physicians, surgeons, or other providers who are not legally qualified or licensed, according to relevant sections of Rhode Island Law or other governing bodies, or who have not met our credentialing requirements. • Services provided by a non-network provider, unless listed as covered in the Summary of Medical Benefits. • Services provided by naturopaths, homeopaths, or Christian Science practitioners.

  • Regulatory Assistance Provider will permit regulators with jurisdiction over BFA or any BFA Recipient to examine Provider’s activities relating to its performance under this Agreement and the Services. Subject to Section 17.6, Provider will cooperate and provide all information reasonably requested by the regulator in connection with any such examination and provide reasonable assistance and access to all equipment, records, and systems requested by the regulator relating to the Services.

  • Customers The names of your customers will remain your sole property and will not be used by us except for servicing or informational mailings and other correspondence in the normal course of business.

  • Third Party Payments Neither the Advisor nor any of its officers, directors, employees or stockholders shall receive any commissions, compensation, remuneration or payments whatsoever from any broker with which the Company carries an account for transactions executed in the Company’s account. The parties acknowledge that a familial relationship of any of the foregoing persons may receive floor brokerage commissions in respect of trades effected pursuant to the Advisor’s Trading Approach on behalf of the Company, which payment shall not violate the preceding sentence.

  • Clients in this context, clients are people who are dependent upon the caring skills and services of the local authority, for example, the elderly, mentally infirm, those with mental or physical impairments. Clients in this context also include those whose needs are identified and catered for in settings such as schools and nurseries, that is, young children and school pupils dependent on the organisation for their educational and developmental welfare. Clients exclude internal authority customers (as in client departments) or external customers (for example, members of the public with planning applications), because neither are dependent on the local authority for their care and welfare. The exceptional needs of clients refer to those which are exceptionally demanding, not to those which are out of the ordinary.

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