SPECIFIC REIMBURSEMENT TERMS Sample Clauses

SPECIFIC REIMBURSEMENT TERMS. For Covered Services provided by or on behalf of Provider to a Covered Individual who is enrolled in a product and/or program that is supported by a Network designated in this Agreement, Provider agrees to accept the lesser of Provider's Charges or the applicable Plan Fee Schedule which is based on 100% of the current CMS Medicare Fee Schedule effective January 1st of that year with the exception of drugs that are updated quarterly, except for those items specifically identified on the PCS Attachment, which will be reimbursed at one hundred percent (100%) of the applicable Plan Fee Schedule. Plan will automatically update its allowance for injectable drugs in accordance with CMS quarterly updates to the Drug Pricing File. Retroactive adjustments made by CMS to the Drug Pricing File or the Medicare Fee Schedule shall not be made to Anthem's Drug Pricing File or the applicable Plan Fee Schedule.
Sample 1
AutoNDA by SimpleDocs
SPECIFIC REIMBURSEMENT TERMS. For Covered Services provided by or on behalf of Provider to a Covered Individual who is enrolled in a product and/or program that is supported by a Network in this Agreement, Provider agrees to accept the lesser of Provider's Charges or the applicable Plan Fee Schedule. The PCS Attachment attached hereto and made a part hereof contains information that further describes the reimbursement for Covered Services.
Sample 1

Related to SPECIFIC REIMBURSEMENT TERMS

  • Travel Expense Reimbursement Pricing for services provided under this Contract are exclusive of any travel expenses that may be incurred in the performance of those services. Travel expense reimbursement may include personal vehicle mileage or commercial coach transportation, hotel accommodations, parking and meals; provided, however, the amount of reimbursement by Customers shall not exceed the amounts authorized for state employees as adopted by each Customer; and provided, further, that all reimbursement rates shall not exceed the maximum rates established for state employees under the current State Travel Management Program (xxxx://xxx.xxxxxx.xxxxx.xx.xx/procurement/prog/stmp/). Travel time may not be included as part of the amounts payable by Customer for any services rendered under this Contract. The DIR administrative fee specified in Section 5 below is not applicable to travel expense reimbursement. Anticipated travel expenses must be pre-approved in writing by Customer.

  • Tuition Reimbursement Program 21.2.1 The District will fund $28,000 each fiscal year for incentive pay for employees pursuing their National Board Certification, a master’s degree, or an endorsement.

  • Expense Reimbursement The Executive shall be entitled to receive reimbursement for all appropriate business expenses incurred by him in connection with his duties under this Agreement in accordance with the policies of the Company as in effect from time to time.

  • Meal Reimbursement 1. If an employee is required to work one and one-half (1-1/2) hours before or beyond his/her normal working day or on overtime for emergency purposes or for extended work periods of five (5) or more hours in length on a day that is not the employee’s regular work day, and the employee is not exercising flexible work hours, the employee shall be reimbursed for the actual cost of a meal/food items not to exceed $18.00, plus tip (not to exceed 15%) and applicable taxes. Reimbursement is contingent upon the employee providing receipts.

  • Reimbursement Schedule Maximum reimbursement shall be as follows:

  • Requesting Reimbursement Requests for reimbursements must be submitted via the ASAP system. Requests for reimbursement should coincide with normal billing patterns. Each request must be limited to the amount of disbursements made for the Federal share of direct project costs and the proportionate share of allowable indirect costs incurred during that billing period.

  • Tuition Reimbursement A. Agencies may approve full or partial tuition reimbursement, consistent with agency policy and within available resources.

  • Cost Reimbursement This payment method is based on an approved budget and submission of a request for reimbursement of expenses Xxxxxxx has incurred at the time of the request;

  • Travel Reimbursement 2.1 The County will only cover costs associated with travel on vendors outside a 50 mile radius from Xxxxxxxxxx County, Texas.

  • Mileage Reimbursement A. Subject to the current Vehicle Rules and Regulations established by the Board, an employee who is authorized to use a private automobile in the performance of duties shall be reimbursed for each mile driven in the performance of his or her duties during each monthly period as follows:

Time is Money Join Law Insider Premium to draft better contracts faster.