Common use of Use of System Only To Submit Claims Or For Related Transactions Clause in Contracts

Use of System Only To Submit Claims Or For Related Transactions. Health Plan and other payors signing agreements with Health Plan assure Trading Partner that Health Plan and/or the other payors shall only use the information, which Trading Partner initiates or submits through the electronic services, for the purposes of making claims payments or responding to related transactions, as initiated by Trading Partner. Neither Health Plan nor other payors shall collect or review any information submitted by Tradin g Partner for any other reason, such as collection of health care statistics, monitoring the activities of Trading Partner, or any other purpose not related to payment of claims submitted by Trading Partner and responses to related transactions. Trading Partner agrees that it shall only make use of the electronic services offered by Health Plan and the other payors in order for Trading Partner to submit claims for payment to Health Plan or the other payors or to obtain responses to related transactions (such as eligibility verification) in relation to anticipated efforts to obtain claimpayments from Health Plan or other payors for rendering services. Trading Partner agrees that it shall not use the electronic services to collect or review information regarding Health Plan and/or the other payors for other reasons such as collection of health care statistics, information about customers of Health Plan or other payors, or their employees or dependents. However, nothing in this agreement will prevent Health Plan from submitting data from the electronic services to a State agency or other party pursuant to the explicit terms of any existing or future Federal or State laws, rules and regulations. S ection 4. Trading Partner’s Agents/Business Associates

Appears in 1 contract

Samples: Trading Partner Agreement

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Use of System Only To Submit Claims Or For Related Transactions. Health Plan for itself and in its agreements with other payors signing agreements with Health Plan assure that affect Trading Partner states that Health Plan and/or the other payors shall only use the information, information which Trading Partner initiates or submits through the electronic services, services for the purposes of making claims payments or responding to related transactions, transactions as initiated by Trading Partner. Neither Health Plan nor for itself and in its agreements with other payors that affect Trading Partner shall not collect or review any information submitted by Tradin g Trading Partner for any other reason, such as collection of health care statistics, monitoring the activities of Trading Partner, or any other purpose not related to payment of claims submitted by Trading Partner and responses to related transactions. Trading Partner agrees that it shall only make use of the electronic services offered by Health Plan and the other payors in order for Trading Partner to submit claims for payment to Health Plan or the other payors or to obtain responses to related transactions (such as eligibility verification) in relation to anticipated efforts to obtain claimpayments claim payments from Health Plan or other payors for rendering services. Trading Partner agrees that it shall not use the electronic services to collect or review information regarding Health Plan and/or the other payors for other reasons such as collection of health care statistics, information about customers of Health Plan or other payors, or their employees or dependents. However, nothing Nothing in this agreement Agreement, however, will prevent Health Plan from submitting data from the electronic services to a State agency or other party pursuant to the explicit terms of any existing or future Federal or State laws, rules and regulations. S ection 4. Trading Partner’s Agents/Business Associates

Appears in 1 contract

Samples: Trading Partner Agreement

Use of System Only To Submit Claims Or For Related Transactions. Health Plan and other payors signing agreements with Health Plan assure Trading Partner that Health Plan and/or the other payors shall only use the information, which Trading Partner initiates or submits through the electronic services, for the purposes of making claims payments or responding to related transactions, as initiated by Trading Partner. Neither Health Plan nor other payors shall collect or review any information submitted by Tradin g Trading Partner for any other reason, such as collection of health care statistics, monitoring the activities of Trading Partner, or any other purpose not related to payment of claims submitted by Trading Partner and responses to related transactions. Trading Partner agrees that it shall only make use of the electronic services offered by Health Plan and the other payors in order for Trading Partner to submit claims for payment to Health Plan or the other payors or to obtain responses to related transactions (such as eligibility verification) in relation to anticipated efforts to obtain claimpayments claim payments from Health Plan or other payors for rendering services. Trading Partner agrees that it shall not use the electronic services to collect or review information regarding Health Plan and/or the other payors for other reasons such as collection of health care statistics, information about customers of Health Plan or other payors, or their employees or dependents. However, nothing in this agreement will prevent Health Plan from submitting data from the electronic services to a State agency or other party pursuant to the explicit terms of any existing or future Federal or State laws, rules and regulations. S ection 4. Trading Partner’s Agents/Business Associates.

Appears in 1 contract

Samples: pm.officeally.com

Use of System Only To Submit Claims Or For Related Transactions. Health Plan and other payors signing agreements with Health Plan assure Trading Partner that Health Plan and/or the other payors shall only use the information, which Trading Partner initiates or submits through the electronic services, for the purposes of making claims payments or responding to related transactions, as initiated by Trading Partner. Neither Health Plan nor other payors shall collect or review any information submitted by Tradin Xxxxxx g Partner for any other reason, such as collection of health care statistics, monitoring the activities of Trading Partner, or any other purpose not related to payment of claims submitted by Trading Partner and responses to related transactions. Trading Partner agrees that it shall only make use of the electronic services offered by Health Plan and the other payors in order for Trading Partner to submit claims for payment to Health Plan or the other payors or to obtain responses to related transactions (such as eligibility verification) in relation to anticipated efforts to obtain claimpayments from Health Plan or other payors for rendering services. Trading Partner agrees that it shall not use the electronic services to collect or review information regarding Health Plan and/or the other payors for other reasons such as collection of health care statistics, information about customers of Health Plan or other payors, or their employees or dependents. However, nothing in this agreement will prevent Health Plan from submitting data from the electronic services to a State agency or other party pursuant to the explicit terms of any existing or future Federal or State laws, rules and regulations. S ection 4. Trading Partner’s Agents/Business Associates.

Appears in 1 contract

Samples: Trading Partner Agreement

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Use of System Only To Submit Claims Or For Related Transactions. Health Plan for itself and in its agreements with other payors signing agreements with Health Plan assure that affect Trading Partner states that Health Plan and/or the other payors shall only use the information, information which Trading Partner initiates or submits through the electronic services, services for the purposes of making claims payments or responding to related transactions, transactions as initiated by Trading Partner. Neither Health Plan nor for itself and in its agreements with other payors that affect Trading Partner shall not collect or review any information submitted by Tradin g Trading Partner for any other reason, such as collection of health care statistics, monitoring the activities of Trading Partner, or any other purpose not related to payment of claims submitted by Trading Partner and responses to related transactions. Trading Partner agrees that it shall only make use of the electronic services offered by Health Plan and the other payors in order for Trading Partner to submit claims for payment to Health Plan or the other payors or to obtain responses to related transactions (such as eligibility verification) in relation to anticipated efforts to obtain claimpayments claim payments from Health Plan or other payors for rendering services. Trading Partner agrees that it shall not use the electronic services to collect or review information regarding Health Plan and/or the other payors for other reasons such as collection of health care statistics, information about customers of Health Plan or other payors, or their employees or dependents. However, nothing Nothing in this agreement Agreement, however, will prevent Health Plan from submitting data from the electronic services to a State agency or other party pursuant to the explicit terms of any existing or future Federal or State laws, rules and regulations. S ection 4. Trading Partner’s Agents/Business Associates.

Appears in 1 contract

Samples: Trading Partner Agreement

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