Reimbursement for Services Sample Clauses

Reimbursement for Services. If the Covered Person has paid for Covered Services, Company, upon submission of a complete claim by the Covered Person shall reimburse the Covered Person to the same extent that it would have directly paid the Provider of the Covered Services.

Reimbursement for Services. A. County will bill the Medi-Cal program on behalf of Provider for services rendered to Medi-Cal beneficiaries, which are within the scope of Medi-Cal covered services, using the provider number assigned by the Medi-Cal program to Provider. B. Payment will be authorized for valid claims for Specialty Mental Health Services if: (i) Services were pre-authorized by the Access Team, Utilization Review Committee of the County; however, Specialty Mental Health Services provided to a Beneficiary with an emergency psychiatric condition do not require preauthorization. (ii) Services were delivered by Provider and were within the range of pre-selected service codes allowed by scope of practice and contract agreement(s). (iii) Beneficiary was Medi-Cal eligible at the time services were provided. Following the initial authorization, it is the Provider’s responsibility to ensure that services are provided to eligible Beneficiaries. Medi-Cal Beneficiaries who become ineligible for Medi-Cal benefits during an authorization period may continue to receive services; however, the Provider must notify the Beneficiary and County that eligibility has changed. The County will determine the best treatment plan which may include authorizing continued services to ensure continuity of care and minimizing disruption of services or transition of the Beneficiary back to the County as appropriate. (iv) Payment shall be made to Provider only after Provider submits to County a fully itemized billing statement showing the unbundled services performed along with all documentation such as assessments, progress notes, treatment plans, etc. Provider shall submit the statement of services rendered to Xxxxx County Health and Human Services Agency, X.X. Xxx 000, Xxxxxxx, XX 00000, or by e-mail to GCHHSA Accounts Payable xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxxxx.xxx within 45 days after the end of the month. (v) On the day of discharge, Provider will make best efforts to discharge Beneficiary by 1:00 p.m. (vi) Reimbursement rate(s) shall be considered payment in full and are subject to Third Party Liability and Beneficiary share of cost. The County will only reimburse the difference between the County services rate(s) and the payment amount by the primary payer, minus the share of cost. The total reimbursement will conform with Provider’s fee schedule as described in Exhibit B, attached hereto and incorporated herein by reference, and as amended for each fiscal year to reflect any rate increases. (vii) ...

Reimbursement for Services. If the Property Owner requests and receives mutual aid firefighting assistance and is a member of Channel Industries Mutual Aid organization (“CIMA”) or similar organization, the Property Owner shall reimburse the City for costs incurred by the City in providing fire protection services to the Property Owner as shall be provided in the charter, bylaws and agreements pursuant to which CIMA or such similar organization is organized and operates. If the Property Owner requests and receives mutual aid firefighting assistance and is not a member of CIMA or a similar organization, then the Property Owner shall be required to reimburse the City for costs actually expended by the City in providing any firefighting assistance to the Property Owner, including chemical and personnel costs.

Reimbursement for Services. 1. The student union is entitled to separately charge the lessee services which are also necessary to its special request or by his abusive behaviour, invoice, for example, if the timely application of the extract or the delivery of the leased property is not made when an extra cleaning of the leased property or apartment / residential group is required due to specific pollution when painting the leased property is necessary because of special neglect, contamination or degradation if the tenant does not have the rented equipment is not completely cleared or or estate of the tenant must be stored when a futile transition of staff of the student union takes place because the tenant has not complied with an agreed date or did not appear to decrease the rented if items left behind must be cleared from the leased property, if an employee of the STudent Social Service renders services outside the normal service time. 2. The individual amounts are set according to the Student Social Service expenses; the use of flat-rate prices is permitted. Reference is made to § 3 section 10 and 12.

Reimbursement for Services. (a) Northern Tier hereby agrees to reimburse the Western Parties for all cash expenses and expenditures that the Western Parties and their Subsidiaries incur or payments the Western Parties and their Subsidiaries make on behalf of the Northern Tier Parties in connection with providing the Western Services, as well as for certain other direct or allocated costs and expenses incurred by the Western Parties and their Subsidiaries on behalf of the Northern Tier Parties, in each case as provided in Exhibit A-2. (b) Western hereby agrees to reimburse the Northern Tier Parties for all cash expenses and expenditures that the Northern Tier Parties and their Subsidiaries incur or payments the Northern Tier Parties or their Subsidiaries make on behalf of the Western Parties in connection with providing the NTI Services, as well as for certain other direct or allocated costs and expenses incurred by the Northern Tier Parties and their Subsidiaries on behalf of the Western Parties, in each case, as provided in Exhibit B-2. (c) Within ten (10) days following the end of each calendar month, each of Western, on behalf of the Western Parties, on the one hand, and Northern Tier, on behalf of the Northern Tier Parties, on the other hand, shall deliver to the other party an invoice or other mutually acceptable record of the fees owed to such party for services performed under Section 2.1(a) or Section 2.1(b) hereof during the prior calendar month, as applicable. Such reimbursements shall be made on or before the twenty-first (21st) calendar day of the month following the month such costs and expenses are incurred. As long as Western is an Affiliate of Northern Tier, Western and Northern Tier may settle Northern Tier’s financial obligations to the Western Parties through the Western Parties’ normal intercompany settlement processes, which shall include the netting of such obligations, in which case the Party, if any, owning payment after effectuating such netting shall reimburse the other Party on or before the twenty-first (21st) calendar day of the month as set forth above. (d) For the avoidance of doubt, the costs and expenses set forth in Section 2.2(a) shall be paid by Northern Tier in addition to, and not as a part of or included in, certain expenses of Western that are reimbursed under the Partnership Agreement.

Reimbursement for Services. (a) Class S of the Fund shall, subject to the terms of this Agreement, reimburse the Distributor on a monthly basis for its expenses incurred in providing the Services under this Agreement. The Distributor shall be entitled to no compensation from the Fund for the services provided by the Distributor pursuant to this Agreement. (b) Regardless of the amount of expenses incurred by the Distributor, the maximum annual amount of expenses reimbursable by Class S of the Fund pursuant to this Agreement and the Plan shall not exceed the lesser of (i) the expenses incurred by the Distributor for that period that would be reimbursable under the terms of the Plan and this Agreement if this section 7(b) were not given effect and (ii) the Maximum Reimbursable Amount. The term “Maximum Reimbursable Amount” means: up to 0.25% of the average daily net assets of Class S of the Fund on an annual basis or such other amount as is agreed to from time to time by the Board and the Distributor in accordance with this Agreement and subject to the Plan.

Reimbursement for Services. In consideration of the performance of the Services by Xxxxxxxxx, the Company will reimburse Xxxxxxxxx for actual time spent by Hutchison personnel performing the Services under the Service Schedules on the basis of the number of FTEs performing activities under the Services Schedules and all reasonable out-of-pocket costs incurred by Xxxxxxxxx in performing such Services.

Reimbursement for Services. Members must call the Member Service Center to confirm eligibility and coverage prior to consulting with any attorney. The Member Service Center will assign a Participating Attorney to provide services relative to the matter. Failure to notify the Member Service Center within thirty (30) days following consultation with an attorney may result in a denial of coverage.

Reimbursement for Services. Prior to the consummation of a Qualified Public Offering, Antero shall provide to the Company customary management and general administrative services. The Company, or a Member on the Company’s behalf, shall reimburse Antero at cost for the direct expenses incurred on the Company’s behalf and a proportionate amount for the indirect expenses incurred on the Company’s behalf, including, but not limited to, compensation expenses. After any Qualified Public Offering, such services will be provided for, and reimbursed in accordance with, the terms set forth on Annex A hereto.

Reimbursement for Services. Services that are granted Prior Authorization by The Plan, or by the control plan as required by some Benefit Agreements, which are covered Benefits under the terms of the Member's Benefit Agreement, are determined to be Medically Necessary and will be reimbursed in accordance with the terms of this Agreement. If Prior Authorization is obtained and the information given at that time is accurate, no adjustment to the prior Medical Necessity determination will be made as a result of a subsequent Medical Necessity determination on that specific case, so long as Group adheres to requirements contained in this Article.