Common use of Payment of Claim Clause in Contracts

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-payments, co-insurance and/or deductibles. Provider agrees to bill at their usual and customary rate and further agree not to bill for the difference between Provider’s usual and customary rates and the rates set forth on Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider shall have the right to deny the negotiated rates set forth on Exhibit B and seek full billed charges.

Appears in 5 contracts

Samples: Healthcare Agreements, Healthcare Agreements, Healthcare Agreements

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Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-paymentsinsurance, co-insurance payments and/or deductibles. Provider Facility agrees to bill xxxx at their its usual and customary rate and further agree agrees not to bill for pursue collection of the difference between ProviderFacility’s usual and customary rates and the rates set forth on in Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider Facility within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider Facility shall have the right to deny the negotiated rates set forth on in Exhibit B and seek full billed charges.

Appears in 4 contracts

Samples: Healthcare Agreements, Health Care Service Ancillary Agreement, Health Care Service Ancillary Agreement

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-payments, co-co- insurance and/or deductibles. Provider agrees Member Providers agree to bill at their usual and customary rate and further agree not to bill for the difference between Provider’s Member Providers' usual and customary rates and the rates set forth on in Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider Member Providers within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider Member Providers shall have the right to deny the negotiated rates set forth on in Exhibit B and seek full billed charges.

Appears in 3 contracts

Samples: Healthcare Agreements, Healthcare Agreements, Healthcare Agreements

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-payments, co-insurance and/or deductibles. Provider agrees to bill xxxx at their usual and customary rate and further agree not to bill xxxx for the difference between Provider’s usual and customary rates and the rates set forth on Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider shall have the right to deny the negotiated rates set forth on Exhibit B and seek full billed charges.

Appears in 3 contracts

Samples: Healthcare Agreements, Healthcare Agreements, Health Care Service Provider Agreement

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-paymentsinsurance, co-insurance payments and/or deductibles. Provider Facility agrees to bill at their its usual and customary rate and further agree agrees not to bill for pursue collection of the difference between ProviderFacility’s usual and customary rates and the rates set forth on in Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider Facility within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider Facility shall have the right to deny the negotiated rates set forth on in Exhibit B and seek full billed charges.

Appears in 2 contracts

Samples: Healthcare Agreements, Healthcare Agreements

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-payments, co-insurance and/or deductibles. Provider agrees to bill xxxx at their usual and customary rate and further agree not to bill xxxx for the difference between ProviderProviders’s usual and customary rates and the rates set forth on Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider shall have the right to deny the negotiated rates set forth on Exhibit B and seek full billed charges.

Appears in 1 contract

Samples: Healthcare Agreements

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-payments, co-co- insurance and/or deductibles. Provider agrees Member Providers agree to bill xxxx at their usual and customary rate and further agree not to bill xxxx for the difference between Provider’s Member Providers' usual and customary rates and the rates set forth on in Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written Written notice of dispute or discrepancy is mailed to Provider Member Providers within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider Member Providers shall have the right to deny the negotiated rates set forth on in Exhibit B and seek full billed charges.

Appears in 1 contract

Samples: Healthcare Agreements

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall will be reduced by co-payments, co-insurance and/or deductibles. Provider agrees Member Providers agree to bill at their usual and customary rate and further agree not to bill for the difference between Provider’s Member Providers' usual and customary rates and the rates set forth on in Exhibit B. INSURER shall will make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider Member Providers within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider Member Providers shall have the right to deny the negotiated rates set forth on in Exhibit B and seek full billed charges.

Appears in 1 contract

Samples: Healthcare Agreements

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Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-paymentsinsurance, co-insurance payments and/or deductibles. Provider Facility agrees to bill at their its usual and customary rate and further agree agrees not to bill for pursue collection of the difference between ProviderXxxxxxxx’s usual and customary rates and the rates set forth on in Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider Facility within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider Facility shall have the right to deny the negotiated rates set forth on in Exhibit B and seek full billed charges.

Appears in 1 contract

Samples: Healthcare Agreements

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall will be reduced by co-paymentsinsurance, co-insurance payments and/or deductibles. Provider Facility agrees to bill xxxx at their its usual and customary rate and further agree agrees not to bill for pursue collection of the difference between ProviderFacility’s usual and customary rates and the rates set forth on in Exhibit B. INSURER shall will make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider Facility within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider Facility shall have the right to deny the negotiated rates set forth on in Exhibit B and seek full billed charges.

Appears in 1 contract

Samples: Healthcare Agreements

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-payments, co-insurance and/or deductibles. Provider agrees to bill at their usual and customary rate and further agree not to bill for the difference between ProviderProviders’s usual and customary rates and the rates set forth on Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider shall have the right to deny the negotiated rates set forth on Exhibit B and seek full billed charges.

Appears in 1 contract

Samples: Healthcare Agreements

Payment of Claim. Payment of claims is subject to the terms and conditions of INSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-payments, co-insurance and/or deductibles. Provider agrees to bill xxxx at their usual and customary rate and further agree not to bill xxxx for the difference between Provider’s Providers's usual and customary rates and the rates set forth on Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider shall have the right to deny the negotiated rates set forth fo11h on Exhibit B and seek full billed charges.

Appears in 1 contract

Samples: Healthcare Agreements

Payment of Claim. Payment of claims is subject to the terms and conditions of INSUREDofINSURED'S insurance plan. Payment by INSURER shall be limited to services provided to INSURED for which INSURED is eligible. Payment by INSURER shall be reduced by co-paymentsinsurance, co-insurance payments and/or deductibles. Provider Facility agrees to bill at their its usual and customary rate and further agree agrees not to bill for pursue collection of the difference between Provider’s Facility's usual and customary rates and the rates set forth on in Exhibit B. INSURER shall make payments within thirty (30) days of receipt of claims, unless written notice of dispute or discrepancy is mailed to Provider Facility within thirty (30) days. If claim is not paid within thirty (30) days on undisputed claims and ninety (90) days on disputed claims, Provider Facility shall have the right to deny the negotiated rates set forth on fotih in Exhibit B and seek full billed charges.

Appears in 1 contract

Samples: Healthcare Agreements

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