Payment for Healthcare Services Sample Clauses

Payment for Healthcare Services on behalf of the Select Patient by the Authority (a) Annual Expenditure Budget for Non-Government Scheme Select Patients (i) On and from the COD of Phase-I, the Authority may, at its discretion, determine an annual expenditure budget applicable in any Financial Year for payment of Fees for provision of Inpatient Services to Non- Government Scheme Select Patients in such Financial Year (“Annual Expenditure Budget for Non-Government Scheme Select Patients”). If the Authority decides to notify an Annual Expenditure Budget for Non-Government Scheme Select Patients, it shall notify the Annual Expenditure Budget for Non-Government Scheme Select Patients by no later than (a) 30 (thirty) days prior to the COD of Phase-I; and (b) subsequently, on 28th (twenty eighth) February of each calendar year for the immediately succeeding Financial Year. If the Annual Expenditure Budget for Non- Government Scheme Select Patients is notified and the Escrow Account is funded by the Authority in accordance with this Clause 27.5.3, Concessionaire shall provide Healthcare Services to the Non- Government Scheme Select Patients for such Financial Year in accordance with the provisions of this Agreement. (ii) In the event that the Authority fails to notify the Annual Expenditure Budget for Non-Government Scheme Select Patients for a Financial Year in accordance with the provisions of Clause 27.5.3(a) (i) above, the Annual Expenditure Budget for Non- Government Scheme Select Patients for such Financial Year shall be deemed to be zero and the Concessionaire shall not be liable to provide Healthcare Services to the Non- Government Scheme Select Patients for such Financial Year. However, the Authority may, voluntarily fund the Escrow Account any time, irrespective of whether the Annual
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Payment for Healthcare Services. You may contact the Health Advocacy Unit of Maryland’s Consumer Protection Division at:
Sample 1
Payment for Healthcare Services. You agree to pay all applicable charges at the prices then in effect for the Cue Care Services provided to you or your minor dependents. You will be charged for the Medical Group’s telehealth services you receive through the Cue Care Services and any applicable delivery, technology or other fees associated with your use of the Cue Care Services. You authorize Cue to charge your chosen payment method (your "Payment Method") for the Cue Care Services provided to you or your minor dependent. If your Payment Method is invalid at the time payment is due, you agree to pay all amounts due upon demand. Cue reserves the right to correct any billing errors or mistakes even if payment has already been requested or received. Charges for Cue Care Services are independent of any additional services and charges, such as the cost of prescriptions.
Sample 1
Payment for Healthcare Services. Charges for Cue Care Services include the costs for an independent physician or nurse practitioner to review your information, communicate with You via a telehealth consultation through the Cue Health App, telephone, or web application, and determine your treatment options. Your payment may also include additional fees for other services such as delivery services and other administrative and operational support. You agree to pay all applicable charges at the prices then in effect for the Cue Care Services provided to you or your minor dependents. You will be charged for the Medical Group’s telehealth services you receive through the Cue Care Services and any applicable delivery, technology or other fees associated with your use of the Cue Care Services. You authorize Cue to charge your chosen payment method (your "Payment Method") for the Cue Care Services provided to you or your minor dependent. If your Payment Method is invalid at the time payment is due, you agree to pay all amounts due upon demand. Cue reserves the right to correct any billing errors or mistakes even if payment has already been requested or received. Charges for Cue Care Services are independent of any additional services and charges, such as the cost of prescriptions.
Sample 1
Payment for Healthcare Services on behalf of Select Patient by Insurers or the Government Instrumentality
Sample 1
Payment for Healthcare Services. During the term of this Agreement, HMO shall pay CCPN, CCPN Physicians and CCPN Participating Providers monthly capitation and fee-for-service payments in accordance with the provisions set forth in Attachment A for all Covered Health Services arranged for or provided to Members.
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Related to Payment for Healthcare Services

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.

  • Core Services The Company agrees to provide to the Municipality the Core Services set forth in Schedule “A”. The Company and the Municipality may amend Schedule “A” from time to time upon mutual agreement.

  • PAYMENT FOR GOODS AND SERVICES a. DIR Customer shall comply with Chapter 2251, Texas Government Code, or applicable local law, in making payments to the Vendor. Payment under a DIR Contract shall not foreclose the right to recover wrongful payments. b. Payments must be made in accordance with laws and procedures applicable to DIR Customer. c. DIR Customer agrees to pay the rates and/or prices set by DIR with its vendors. DIR Customer understands these rates and/or prices include a DIR administrative fee. d. All purchases executed under a DIR Contract will require a DIR Customer purchase order.

  • Educational Services Any service or supply for education, training or retraining services or testing including: special education, remedial education; cognitive remediation; wilderness/outdoor treatment, therapy or adventure programs (whether or not the program is part of a Residential Treatment facility or otherwise licensed institution); job training or job hardening programs; educational services and schooling or any such related or similar program including therapeutic programs within a school setting.

  • Vision Care Services For purposes of coordination of benefits, vision care services covered under other plans are not considered an allowable expense, as defined in the Coordination of Benefits and Subrogation in Section 7.

  • Payment for Project Services As full consideration for the Services to be performed by Contractor, City agrees to pay Contractor as set forth in accordance with the bid and not to exceed fee of $215,500.00 for the project. A monthly progress payment in the amount of ninety-five percent (95%) of the value of the work completed may be made every thirty (30) days upon application by the Contractor and certification by the Project Manager that such work has been completed. Partial payments will be made once each month as the work satisfactorily progresses and after acceptance by the authorized City representative. The progress estimates shall be based upon materials in place, or on the job site and invoiced, and labor expended thereon. From the total of the amount ascertained will be deducted an amount equivalent to five percent (5%) of the whole, which five percent (5%) will be retained by the City until after completion of the entire Contract in an acceptable manner. Any time after fifty percent (50%) of the value of the work has been completed, the City will make any of the remaining partial payments in full. No such estimates or payments shall be required to be made, when, in the judgment of the City Project Manager, the work is not proceeding in accordance with the provision of the Contract, or when in his judgment the total value of the work done since last estimate amounts to less than Five Hundred Dollars ($500.00). The cost of materials conforming to the plans and specifications (materials being those which are required to be contained and incorporated in a finished contract bid item) delivered to the project and not at the time incorporated in the work, may also be included in the estimate for payment. No such estimate or payment shall be construed to be an acceptance of any defective work or improper material. The Contractor shall be responsible for, and shall not remove from the project any material that has been included in the estimate for payment. Final payment shall be made upon the Project Manager certifying that the Contractor has satisfactorily completed the work in conformity with the Contract Documents.

  • Software Services If elected by Customer, the following Software Services will be made available for Customer’s use. 2.1. Core HR Software Service is a system of interactive web pages to assist Customer in its human resource related recordkeeping and reporting. Customer shall ensure the accuracy of its Customer Data. The HR Software Services shall function in accordance with the Documentation, as may be amended from time to time, and provide features to aid Customer with its compliance with federal and state laws and regulations applicable to Human Resources (except as stated otherwise in the Documentation). 2.2. Recruiting Software Service is a system of interactive web pages to assist Customer in posting job requisitions, storing candidates, recording job applications, and the related recordkeeping and reporting. Customer shall ensure the accuracy of its Customer Data. The Recruiting Software Service shall function in accordance with the Documentation which may be amended from time to time.

  • Marketing Services The Manager shall provide advice and assistance in the marketing of the Vessels, including the identification of potential customers, identification of Vessels available for charter opportunities and preparation of bids.

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