EMPLOYER MEMBER LEVEL BILLING AND COLLECTION AGREEMENT (Exhibit C)Member Level Billing and Collection Agreement • November 2nd, 2022
Contract Type FiledNovember 2nd, 2022This Billing and Collection Agreement (“Agreement”) by and among United HealthCare Services, Inc., and its subsidiaries and affiliates (collectively “UHS”), the designated Service Provider(s) (individually and collectively, “Service Provider”) indicated on the Attachment 1 to this Agreement (“Attachment 1”), the designated association health plan, Wisconsin Manufacturer’s & Commerce (“Policyholder”) and the designated Employer Member [NAME of EMPLOYER MEMBER] (“Employer Member”), sets forth the terms and conditions under which UHS will assist in the billing and collection of Service Fees from the Employer Member, and the processing and remittance of the Service Fees to Service Provider. This Agreement is effective as of [EFFECTIVE DATE] (the “Effective Date”).
EMPLOYER MEMBER LEVEL BILLING AND COLLECTION AGREEMENT (Exhibit C)Member Level Billing and Collection Agreement • September 4th, 2019
Contract Type FiledSeptember 4th, 2019This Billing and Collection Agreement (“Agreement”) by and among United HealthCare Services, Inc., and its subsidiaries and affiliates (collectively “UHS”), the designated Service Provider(s) (individually and collectively, “Service Provider”) indicated on the Attachment 1 to this Agreement (“Attachment 1”), the designated association health plan, Wisconsin Manufacturer’s & Commerce (“Policyholder”) and the designated Employer Member [NAME of EMPLOYER MEMBER] (“Employer Member”), sets forth the terms and conditions under which UHS will assist in the billing and collection of Service Fees from the Employer Member, and the processing and remittance of the Service Fees to Service Provider. This Agreement is effective as of [EFFECTIVE DATE] (the “Effective Date”).