Post Payment and Retroactive Recovery Sample Clauses

Post Payment and Retroactive Recovery. Pharmacy The Federal or State, and or their designee, will be vested with the sole responsibility to collect any reimbursement for Benefit Package services obtained from TPHI.
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Post Payment and Retroactive Recovery. Non Pharmacy The State, and/or its designee, will also be vested with the responsibility to collect any reimbursement for Benefit Package services obtained from TPHI. In no instances may an Enrollee be held responsible for disputes over these recoveries. A recovery shall not exceed the encounter data paid claim amount. The State will continue to identify available TPHI and post this information to the eMedNY System. The TPHI information will appear on the Contractor’s next roster and TPHI file. The Contractor will have six months from the later of the date the TPHI has been posted (eMedNY transaction date) or the Contractor’s claim payment date to pursue any recoveries for medical services. All recoveries outside this period will be pursued by the State. For Federal or State-initiated and Federal or State-identified recoveries, the Federal or State Government will direct providers to refund the State directly. In those instances where the provider adjusted the recovery to the Contractor in error, the Contractor will refund the adjusted recovery to the State.
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Post Payment and Retroactive Recovery. The State, and/or its vendor, will also be vested with the responsibility to collect any reimbursement for FIDA Flan Benefit Package services obtained from TPHI. In no instances may a Participant be held responsible for disputes over these recoveries. A recovery shall not exceed the Encounter Data paid claim amount. The State will continue to identify available TPHI and post this information to the eMedNY System. The TPHI information will appear on the FIDA Plan’s next roster and TPHI file. The FIDA Plan will have six months from the later of the date the TPHI has been posted (eMedNY transaction date) or the FIDA Plan’s claim payment date to pursue any recoveries for medical services. All recoveries outside this period will be pursued by the State. For State- initiated and State-identified recoveries, the State will direct Providers to refund the State directly. In those instances where the Provider adjusted the recovery to the FIDA Plan in error, the FIDA Plan will refund the adjusted recovery to the State.
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Related to Post Payment and Retroactive Recovery

  • DEDUCTION OF UNION FEES The employer shall deduct union fees from the wages and salaries of members of the union when authorised in writing by members. The employer will forward the monies with the names and the individual amounts deducted to the union.

  • Payment of Paid Personal/Carer’s Leave (a) If an employee takes a period of paid personal/xxxxx’s leave and meets the notice requirements set out at Clause 44.3 the employer must pay the employee at the employee’s base rate of pay for the employee’s ordinary hours of work in the period.

  • Submitting False Claims; Monetary Penalties Pursuant to San Francisco Administrative Code §21.35, any contractor, subcontractor or consultant who submits a false claim shall be liable to the City for the statutory penalties set forth in that section. A contractor, subcontractor or consultant will be deemed to have submitted a false claim to the City if the contractor, subcontractor or consultant: (a) knowingly presents or causes to be presented to an officer or employee of the City a false claim or request for payment or approval; (b) knowingly makes, uses, or causes to be made or used a false record or statement to get a false claim paid or approved by the City; (c) conspires to defraud the City by getting a false claim allowed or paid by the City; (d) knowingly makes, uses, or causes to be made or used a false record or statement to conceal, avoid, or decrease an obligation to pay or transmit money or property to the City; or

  • PROFESSIONAL DUES OR FEES AND PAYROLL DEDUCTIONS 5.1 Any unit member who is a member of the Association, or who has applied for membership, may sign and deliver to the District an assignment authorizing deduction of unified membership dues, initiation fees, and general assessments of the Association. Pursuant to such authorization, the District shall deduct one-tenth of such dues from the regular salary check of the bargaining unit member each month for ten (10) months. Deductions for bargaining unit members who sign such authorization after the commencement of the school year shall be appropriately pro-rated to complete payments by the end of the school year.

  • Overpayment of Wages (a) Where the employee has been overpaid all or part of their pay on any occasion they, or the employer, should raise the error immediately.

  • DEDUCTIONS FROM WAGES 3.01 Deductions from wages, approved by the Company, except those required by law, order-in-council, or Government regulations including union dues, shall be made only on written authorization signed by the employee.

  • ’ Compensation and Employer’s Liability Workers’ Compensation limits as required by the Labor Code of the State of California. Employer’s Liability limits of $1,000,000 per accident for bodily injury or disease.

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