Common use of VERIFICATION OF CLAIMS WITH SOURCE DOCUMENTS Clause in Contracts

VERIFICATION OF CLAIMS WITH SOURCE DOCUMENTS. Regardless of whether the Provider employs a Xxxxxx, the Provider agrees to retain personal responsibility for the development, transcription, data entry, and transmittal of all claim information for payment. This includes usual and customary charges for services rendered. The Provider shall also assume personal responsibility for verification of submitted claims with source documents. The Provider/Xxxxxx agrees that no claim shall be submitted until the required source documentation is completed and made readily retrievable in accordance with Medi-Cal statutes and regulations. Failure to make, maintain, or produce source documents shall be cause for immediate suspension of electronic billing privileges.

Appears in 11 contracts

Samples: Telecommunications, Telecommunications, Telecommunications

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VERIFICATION OF CLAIMS WITH SOURCE DOCUMENTS. Regardless of whether the Provider employs a Xxxxxx, the Provider agrees to retain personal responsibility for the development, transcription, data entry, and transmittal of all claim information for payment. This includes usual and customary charges for services rendered. The Provider shall also assume personal responsibility for verification of submitted claims with source documents. The Provider/Xxxxxx agrees that no claim shall be submitted until the required source documentation is completed and made readily retrievable in accordance with Medi-Cal statutes and regulations. Failure to make, maintain, or produce source documents shall be cause for immediate suspension of electronic billing and program privileges.

Appears in 3 contracts

Samples: Medi Cal Dental Telecommunications Provider and Biller Application/Agreement, Medi Cal Dental Telecommunications Provider and Biller Application/Agreement, Medi Cal Dental Telecommunications Provider and Biller Application/Agreement

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