Common use of Reimbursement Terms Clause in Contracts

Reimbursement Terms. The Contract must provide a complete description of the payment method or payment amounts applicable to a provider. The MCO provider Contract or provider manual must explain to providers how to submit a clean claim including a complete listing of all required information, including claims coding and processing guidelines for the applicable provider type. The MCO provider must understand and agree that BMS is not liable or responsible for payment for covered services rendered pursuant to the MCO provider contract;

Appears in 8 contracts

Samples: Service Provider Agreement, Service Provider Agreement, Service Provider Agreement

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Reimbursement Terms. The Contract contract must provide a complete description of the payment method or payment amounts applicable to a provider. The MCO provider Contract contract or provider manual must explain to providers how to submit a clean claim including a complete listing of all required information, including claims coding and processing guidelines for the applicable provider type. The MCO must pay in-network providers within 30 days of clean claims receipt. The MCO provider must understand and agree that BMS is not liable or responsible for payment for covered services rendered pursuant to the MCO provider contract;

Appears in 3 contracts

Samples: Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement

Reimbursement Terms. The Contract must provide a complete description of the payment method or payment amounts applicable to a provider. The MCO provider Contract or provider manual must explain to providers how to submit a clean claim including a complete listing of all required information, including claims coding and processing guidelines for the applicable provider type. The MCO must pay in-network providers within thirty (30) days of clean claims receipt. The MCO provider must understand and agree that BMS is not liable or responsible for payment for covered services rendered pursuant to the MCO provider contract;

Appears in 3 contracts

Samples: Service Provider Agreement, Model Purchase of Service Provider Agreement, Service Provider Agreement

Reimbursement Terms. The Contract must provide a complete description of the payment method or payment amounts applicable to a provider. The MCO provider Contract or provider manual must explain to providers how to submit a clean claim including a complete listing of all required information, including claims coding and processing guidelines for the applicable provider type. The MCO must pay both in-network and out- of-network providers within thirty (30) calendar days of clean claims receipt. The MCO provider must understand and agree that BMS DHHR is not liable or responsible for payment for covered services rendered pursuant to the MCO provider contract;

Appears in 3 contracts

Samples: Service Provider Agreement, dhhr.wv.gov, dhhr.wv.gov

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Reimbursement Terms. The Contract must provide a complete description of the payment method or payment amounts applicable to a provider. The MCO provider Contract or provider manual must explain to providers how to submit a clean claim including a complete listing of all required information, including claims coding and processing guidelines for the applicable provider type. The MCO must pay in-network providers within thirty (30) calendar days of clean claims receipt. The MCO provider must understand and agree that BMS DHHR is not liable or responsible for payment for covered services rendered pursuant to the MCO provider contract;

Appears in 2 contracts

Samples: Service Provider Agreement, Service Provider Agreement

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