Billing and Collection Agreement Sample Contracts

BILLING AND COLLECTION AGREEMENT
Billing and Collection Agreement • December 4th, 2020

This 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 attached Exhibit 1 to this Agreement (“Exhibit 1”), and [CUSTOMER NAME] (“Customer”), sets forth the terms and conditions under which UHS will assist in the billing and collection of Service Fees from Customer, and the processing and remittance of the Service Fees to Service Provider. This Agreement is effective as of [EFFECTIVE DATE] (the “Effective Date”).

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BILLING AND COLLECTION AGREEMENT
Billing and Collection Agreement • September 23rd, 2020

This 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 attached Exhibit 1 to this Agreement (“Exhibit 1”), the [NAME of THE CUSTOMER] (“Customer”), sets forth the terms and conditions under which UHS will assist in the billing and collection of Service Fees from the Customer, and the processing and remittance of the Service Fees to Service Provider. This Agreement is effective as of [EFFECTIVE DATE] (the “Effective Date”).

BILLING AND COLLECTION AGREEMENT
Billing and Collection Agreement • March 31st, 2015

This Billing and Collection Agreement (“Agreement”) is entered into as of the effective date below among Aetna Health Management, LLC, a Delaware limited liability company, Customer (specified below) and Producer (specified below). Aetna Health Management, LLC and its affiliates are collectively referred to as “Aetna.” Aetna, Customer and Producer are collectively referred to as the “Parties”.

EMPLOYER MEMBER LEVEL BILLING AND COLLECTION AGREEMENT (Exhibit C)
Billing and Collection Agreement • November 2nd, 2022

This 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”).

BILLING AND COLLECTION AGREEMENT
Billing and Collection Agreement • August 18th, 2019

This 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 attached Exhibit 1 to this Agreement (“Exhibit 1”), the Customer Name (“Customer”), sets forth the terms and conditions under which UHS will assist in the billing and collection of Service Fees from the Customer, and the processing and remittance of the Service Fees to Service Provider. This Agreement is

BILLING AND COLLECTION AGREEMENT
Billing and Collection Agreement • May 2nd, 2016 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Tennessee

THIS BILLING AND COLLECTION AGREEMENT (the “Agreement”) is made and entered into effective as of the 29th day of April, 2016, by and between PHYSICIAN PRACTICE SUPPORT, LLC, a Delaware limited liability company (“PPS”), and QHCCS, LLC, a Delaware limited liability company (“QHCCS”).

Our Agreement with you
Billing and Collection Agreement • May 15th, 2018
The Arthur Mutual Telephone Company
Billing and Collection Agreement • March 25th, 2021

The Arthur Mutual Telephone Company has a billing and collection agreement with Bright Long Distance. All your direct dialed 1+ calls, BLD 800 Calls* and BLD Calling Card Calls* will appear on your Arthur billing.

BILLING AND COLLECTION AGREEMENT (Foreign Customers)
Billing and Collection Agreement • July 11th, 2008 • Local Insight Yellow Pages, Inc. • Delaware

This BILLING AND COLLECTION AGREEMENT (this “Agreement”) is entered into as of November 30, 2007 (the “Effective Date”), by and between Windstream Communications, Inc., a Delaware corporation (“WCI”), and Windstream Yellow Pages, Inc., an Ohio corporation (“Publisher”). Promptly after the date hereof, Publisher will change its name to Local Insight Yellow Pages, Inc. WCI and Publisher are each sometimes referred to herein as a “Party” and together as the “Parties”. Capitalized terms not otherwise defined herein will have the meanings assigned to such terms in Article I.

Our Agreement with you
Billing and Collection Agreement • May 30th, 2018
BILLING AND COLLECTION AGREEMENT
Billing and Collection Agreement • July 11th, 2008 • Local Insight Yellow Pages, Inc. • Delaware

This BILLING AND COLLECTION AGREEMENT (this “Agreement”) is entered into as of November 30, 2007 (the “Effective Date”), by and between Windstream Communications, Inc., a Delaware corporation (“WCI”), and Windstream Yellow Pages, Inc., an Ohio corporation (“Publisher”). Promptly after the date hereof, the Publisher will change its name to Local Insight Yellow Pages, Inc. WCI and Publisher are each sometimes referred to herein as a “Party” and together as the “Parties”. Capitalized terms not otherwise defined herein will have the meanings assigned to such terms in Article I.

in millions unless otherwise indicated)
Billing and Collection Agreement • February 22nd, 2017

purchase reagents and other laboratory supplies. As of December 31, 2016, the approximate total future purchase commitments are $111 million, of which $66 million are expected to be incurred in 2017, $21 million are expected to be incurred in 2018 through 2019 and the balance thereafter.

ALL SAVERS ALTERNATE FUNDING BILLING AND COLLECTION AGREEMENT
Billing and Collection Agreement • March 9th, 2017

This 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 attached Exhibit 1 to this Agreement (“Exhibit 1”), and Customer Name as indicated in the Signatures section of this Agreement (“Customer”), sets forth the terms and conditions under which UHS will assist in the billing and collection of Service Fees from Customer, and the processing and remittance of the Service Fees to Service Provider. This Agreement is effective as of the coverage effective date or the change of Service Provider date (the “Effective Date”).

AGREEMENT
Billing and Collection Agreement • June 21st, 2017 • Ohio

THIS AGREEMENT is made and entered into this day of , 2017, by and between the Northeast Ohio Regional Sewer District (“Sewer District”) a regional sewer district organized and existing as a political subdivision under Chapter 6119 of the Ohio Revised Code, pursuant to Resolution No. , adopted by its Board of Trustees on

BILLING AND COLLECTION AGREEMENT
Billing and Collection Agreement • August 23rd, 2020

This Billing and Collection Agreement (“Agreement”) is entered into as of the effective date below among Aetna Health Management, LLC, a Delaware limited liability company, Customer (specified below) and Producer (specified below). Aetna Health Management, LLC and its affiliates are collectively referred to as “Aetna.” Aetna, Customer and Producer are collectively referred to as the “Parties”.

Level Funded Billing and Collection Agreement
Billing and Collection Agreement • May 12th, 2023

This 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 attached Exhibit 1 to this Agreement (“Exhibit 1”), and [enter CUSTOMER NAME below] (“Customer”), sets forth the terms and conditions under which UHS will assist in the billing and collection of Service Fees from Customer, and the processing and remittance of the Service Fees to Service Provider. This Agreement is effective as of [enter EFFECTIVE DATE below] (“Effective Date”).

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