REQUIRED SERVICES FOR INSURANCE ACCOUNTS Sample Clauses

REQUIRED SERVICES FOR INSURANCE ACCOUNTS. 1) Follow-up: a) OUTSOURCER shall develop a schedule, which shall be available for CLIENT’s inspection, detailing the expected follow-up and collections cycle (billing to payment received) for each Third Party Payer or Third Party Payer group. This schedule will be used by OUTSOURCER to trigger phone calls and/or letters to Third Party Payers to inquire about delayed payments. b) OUTSOURCER will follow-up on every Account, aged less than or equal to 180 days from Date of Service as of 3/1/06, until such Account is fully paid, transferred to a Self Pay category or becomes a Delinquent Account. OUTSOURCER shall, at its own discretion, select and follow up on Accounts aged over 180 days from Date of Service as of 3/1/06 until such Accounts are fully or partially paid, transferred to a Self Pay category or become Delinquent Accounts c) To the extent problems are identified during its discussions/correspondence with Third Party Payers, OUTSOURCER shall correct such problems and be responsible for resubmitting a completed/amended xxxx to Third Party Payers. d) OUTSOURCER may update the above referenced schedule as new information on Third Party Payer payment patterns becomes available during the Term of this Agreement. e) CLIENT shall be responsible for determining the appropriate procedure code (HCPCS or its functional replacement) and Charge for each service it provided to the Patients.