Payment for Select Patient and MbPT Beneficiaries by the Authority Sample Clauses

Payment for Select Patient and MbPT Beneficiaries by the Authority. The Authority shall be liable to reimburse the Concessionaire for the cost of Healthcare Services availed of by a Select Patient (as referred by MbPT in writing only) and MbPT Beneficiaries. However prior to any such reimbursement by the Authority to the Concessionaire, the cost of Healthcare Services availed by Select Patients and MbPT Beneficiaries shall be adjusted and deducted from the payments that are due and are payable by the Concessionaire to the Authority, subject to and in accordance with the terms of this Agreement. If post such adjustment, the costs mentioned in this clause remain outstanding, the Authority shall reimburse the Concessionaire such costs as soon as is reasonably practicable. The applicable rate for Select Patient and MbPT Beneficiaries shall be the applicable CGHS Rate for Mumbai. If there are no packages or rates for procedures in CGHS Mumbai, following order of priority may be used to define the reimbursement rate: a) Packages of National Health Protection Scheme or equivalent public health insurance in Maharashtra shall be used b) CGHS rates in Delhi c) CGHS rates in Chennai d) CGHS rates in Bangalore e) CGHS rates in Kolkata f) Package rates of Arogyasri or equivalent g) Average of the actual rates prevailing in the hospitals where MbPT has been sending patients prior to signing of this Concession Agreement For avoidance of doubt it is clarified that the CGHS rates prior to obtaining of the NABH shall be the rates applicable in non-NABH Accredited hospitals. From the date of obtaining the NABH accreditation the applicable rates shall be the rates applicable in NABH accredited hospital. For avoidance of doubt, the Concessionaire shall charge market patients at rates mutually agreed with the patients for availing Healthcare Services.
Sample 1
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Related to Payment for Select Patient and MbPT Beneficiaries by the Authority

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