SERVICE FEE SCHEDULE. Hearing exams for the purpose(s) of determining hearing aid candidacy are provided to Patients at no charge except as specified in the Provider Instructions. • If a Patient is a candidate for hearing aids, units should be selected from the current HCS Approved Hearing Aids List • Hearing aids must be ordered using the HCS Online Provider Portal, L&D excluded. • HCS collects payments for hearing aids, accessories, and L&D Claims directly from Patients prior to delivery. • Provider must order earmolds directly from preferred vendor and collect payment from Patient. Excluding Medicaid plans or otherwise specified in the Provider Instructions Price not to exceed: o Standard Earmolds – $60 / Earmold o RIC/Embedded/Power/Encased Earmolds – $115 / Earmold x Xxxxxxx Encased Earmolds – $170 / Earmold • Patients must sign a current HCS Purchase Agreement and Delivery Receipt. Providers must send a copy to: o XxxxxxxxXxxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx or fax to (000) 000-0000 • Service Fees will be paid by HCS within 15 days after the following conditions have been met: o All funds for hearing instruments have been collected in full by HCS in any of these instances: ▪ Responsibility for full payment is that of the Patient ▪ Responsibility for full payment is that of the Plan ▪ Responsibility for payment is shared between the Patient and the Plan o HCS has received the completed and signed Delivery Receipt with a credentialed provider’s signature. ▪ Purchase Agreements are also accepted but Delivery Receipts are preferred. o A signed copy of the Care Credit sales slip, and copy of the cardholder or authorized user’s license or copy of the Care Credit card is submitted with completed Purchase Agreement when appropriate. o The Patient’s trial period is complete after fitting date. • Service fees are outlined in the List of Approved Hearing Aids specific to each Patient. • Returns or exchanges must be processed within 60 days after delivery. • In the event of a return, HCS will refund the Patient, less a $75 per hearing aid restocking fee charged in states where permitted by law. The refund will be sent to the Patient after the manufacturer of the device has issued HCS a credit, except if the Patient resides in the State of Maine, in which case the refund will be issued same day. HCS will then pay the restocking fee to the Provider. • Service fee payments are made in agreement with a provider to complete the 1 year of service obligation. HCS can withhold service fees if...
SERVICE FEE SCHEDULE. Claim Fees shall be effective as of the Effective Date, or upon the agreed established date. Client agrees to pay ERS the following fees for handling of Workers Compensation Claims: This includes quarterly file reviews and loss or trending reporting as requested, access to the online claims system with ability to file claims online. Reports available include a variety of loss and safety reports that are provided upon a schedule or per request, as well as reports that can be tailored to the specific business needs of the City of Council Bluffs. Subrogation/Recovery Fee: As requested and authorized: 18% of the amount of recovery In consideration of such compensation, ERS will adjust Claims for a two (2) year period; after which, if the Claim remains open after two (2) years, then a reload service fee as set out above will be invoiced. The claim fees will include all Medicare and State EDI filings as required.
SERVICE FEE SCHEDULE. Business Introducer Service Fee Schedule applicable to Business Introducers only which outlines the remuneration of the Business Introducers based on commissions and/or mark-ups and/or any other compensation method agreed.
SERVICE FEE SCHEDULE. Formula. The Fee shall be calculated in accordance with Schedule 2 (Service Fee Schedule/Formula) hereof.
SERVICE FEE SCHEDULE. In exchange for Your access to the Purchased Services, You hereby agree to pay a one-time $5,000.00 licensing fee and an additional annual fee of $600.00 per User for each Service Year that this Agreement remains in effect. The annual fee shall be paid in 12 equally monthly installments of $50.00 per month for each User granted access to the Purchased Products. We will immediately charge the credit card You have provided on the first date of this Agreement and on that same date for each month thereafter through the end of the Service Year. If this Agreement is terminated for any reason during the pendency of any given Service Year, the entire fee for that Service Year shall still remain due and nonrefundable. We will continue to charge the monthly service fee until the end of the Service Year that this Agreement has been terminated. If the Agreement is terminated for any reason, We will immediately suspend Your access to the Purchased Products and terminate all of Your data, but We will continue to charge the monthly amount of $50.00 per User until the Service Year has ended. The Service Fees set forth herein are subject to adjustment in accordance with Section 4.3 of the Subscription Agreement.
SERVICE FEE SCHEDULE. Storage and Call Center fees related to Products are to commence on the day of Product receipt and pro-rated for the month if not received on the first day of the month. ALFERON-N Storage* and Call Center $1,750 per month except when the Distribution Fee paid to BRP exceeds $225,000 in any given year Exclusive Distribution Fee Annual Purchases $0 through $3,000,000 6.0% of sales Annual Purchases $3,000,001 > $100,000,000 3.3% of sales Annual Purchases > $100,000,001 1.4% of sales AMPLIGEN Storage* and Call Center $1,750 per month
SERVICE FEE SCHEDULE. The services as discussed within this Agreement will be subject to annual payments based upon the products and services used by the Customer. If additional services or product licenses are provided prior to the renewal date of this Agreement, additional fees may apply. Company reserves the right to adjust the fees associated with this Agreement for the services provided at renewal time. This Agreement will automatically renew each year unless cancelled in writing. Additionally, for services outside the scope of this Agreement, the following rates will apply: Pre-booked Service Rate: $1,200 USD per day per business day. This rate will be used when service fees are paid in advance. Standard Service Rate: $1,800 USD per business day. This rate will be used when service fess are not paid in advance.
