Real Time Eligibility Sample Clauses

Real Time Eligibility. Real-Time Eligibility (RTE) allows for the convenience of validating eligibility at the time the client’s insurance information is collected by the Customer. In real-time, Customer staff will submit an eligibility request through Vendor’s established relationship with Change Healthcare (CHC). RTE supports over 2,000 payers across the United States enabling quick eligibility results for the majority of payers. Agencies utilizing RTE experience faster intake and check in processes and increased revenue. RTE functionality will require Customer to maintain configuration based on (CHC) Payer Code list, located at xxxxx://xxx.xxxxxxx.xxx/resource-center/payer-list. Change Healthcare may require Customer to complete an additional Medicaid/Medicare enrollment form depending on the state and or payer requirements. RTE Transactions are defined as electronic eligibility (270) requests submitted to the payer and result in one of the following transaction types: • Successful Transactions: Eligibility request to the payer (270) where a response is returned from the payer (271). • Unsuccessful Transactions: Eligibility request to payer (270) is sent without a returned response (271), either due to system error or connection issues. These transactions are not included in the transaction count. Notwithstanding anything to the contrary in this order form, monthly invoicing for this product will begin upon the date that is the earlier of (i) the actual go live date provided by Customer for this product, (ii) 90 days following the Term Start Date in this order form for this product or (iii) 90 days after the initial Go-Live Date for the Software.
Sample 1
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Real Time Eligibility. Setup Fee - One-Time setup fee for Real Time Eligibility module. Setup for module includes Vendor enabling the functionality for the module and sending Customer any additional configuration requirements or training material for Customer to complete the setup with Change Healthcare. For avoidance of doubt, this setup fee is nonrefundable if Vendor has begun any setup related to the product. {{_es_signer5_signature}} {{_es_signer4_signature}} {{_es_signer5_fullname}} {{_es_signer4_fullname}} Xxxxx Xxxxxx Xxxxxx Xxxxx {{_es_signer5_title}} {{_es_signer4_title}} PROGRAM MANAGER CFO {{_es_signer5_date}} {{_es_signer4_date}} Dec 19, 2023 Dec 18, 2023 Customer Name: San Bernardino County Superintendent Of Schools Contact Name: Xxxxx Xxxxxx Address: 000 Xxxxx X Xxxxxx, Xxx Xxxxxxxxxx, XX 00000 Phone Number: 000-000-0000 Email Address: xxxxx.xxxxxx@xxxxx.xxx Effective Date: Dec 19, 2023 Platform: Credible {{_es_signer5_date}} This Software License and Master Services Agreement (this “Agreement”) is made as of the Effective Date set forth above between Qualifacts Systems, LLC (“Vendor”), a Delaware limited liability company having its principal place of business at 000 Xxxxxxxxx Xx., Suite 2300, Nashville, Tennessee 37238, and the Customer identified above.
Sample 1

Related to Real Time Eligibility

  • Overtime Eligibility An Employee must work at least fifteen (15) minutes beyond her normal shift before being eligible for overtime compensation.

  • Holiday Eligibility Except as otherwise provided in this Article, an employee must be in paid status on the working day immediately preceding or succeeding the holiday to be paid for the holiday.

  • Benefit Eligibility For purposes of the Benefit Plan entitlement, common-law and same sex relationships will apply as defined.

  • Compensatory Time Eligibility The Employer may grant compensatory time in lieu of cash payment for overtime to an overtime-eligible employee, upon agreement between the Employer and the employee. Compensatory time must be granted at the rate of one and one-half (1-1/2) hours of compensatory time for each hour of overtime worked.

  • Special Eligibility The following employees also receive an Employer Contribution:

  • Student Eligibility The LEA and POSTSECONDARY INSTITUTION shall qualify and advise candidates for dual credit from the pool of eligible high school students. A candidate for dual credit is eligible for consideration for fall, spring, and summer semesters if he or she: a. is enrolled during the fall and spring in a LEA in one-half or more of the minimum course requirements approved by PED for public school students under its jurisdiction or by being in physical attendance at a bureau of Indian education-funded high school at least three documented contact hours per day pursuant to 25 CFR 39.211(c); b. obtains permission from the LEA representative (in consultation with the student’s individualized education program team, as needed), the student’s parent or guardian if the student is under 18 years old, and POSTSECONDARY INSTITUTION representative prior to enrolling in a dual credit course; and c. meets POSTSECONDARY INSTITUTION requirements to enroll as a dual credit student.

  • Vacation Eligibility Subject to the provisions of Sections 3., 4., 8., and 9. hereof, vacations with pay shall be granted during the vacation year to each employee, except upon dismissal for misconduct, who shall have completed a period of six (6)-months’ employment since date of engagement or reengagement, whichever is later, and who has performed work for the Company within the vacation year, as follows: a. One (1) week’s vacation to any such employee who has completed six (6) months or more but less than twelve

  • Funding Eligibility Contractor understands, acknowledges, and agrees that, pursuant to Chapter 2272 (eff. Sept. 1, 2021, Ch. 2273) of the Texas Government Code, except as exempted under that Chapter, HHSC cannot contract with an abortion provider or an affiliate of an abortion provider. Contractor certifies that it is not ineligible to contract with HHSC under the terms of Chapter 2272 (eff. Sept. 1, 2021, Ch. 2273) of the Texas Government Code.

  • Dependent Eligibility For all programs covered in this article, eligible dependents are an employee’s lawful spouse or domestic partner (as defined by Section 297 of the California Family Code), and unmarried children (natural, step, adopted, legal guardianship, and/or xxxxxx) of the employee or domestic partner, who are qualified IRS dependents of the employee or domestic partner, up to twenty-three (23) years of age. Disabled dependents may be able to continue coverage beyond the limiting age if the disability occurred while the dependent was covered under a County-sponsored medical plan or prior to the dependent’s 19th birthday, and is certified by a licensed physician.

  • Determination of Eligibility The Plan Administrator shall determine the eligibility of each Employee for participation in the Plan based upon information provided by the Employer. Such determination shall be conclusive and binding on all individuals except as otherwise provided herein or by operation of law.

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