APPROVED PAYOR definition

APPROVED PAYOR means an entity set forth on Schedule 1.01, and any other entity identified by Borrower after the date of this Agreement as an Approved Payor and approved in writing by the Required Lenders.
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APPROVED PAYOR means (a) any private medical insurance company which at the time of purchase of any Receivable payable by such private medical insurance company, the private medical insurance company has been assigned a long-term debt rating, or a rated claims paying ability of "AA" or better by S&P, "AA3" or better by Moody's, "A" or better by A.M. Best or Fitch, or the Administrator in its determination, otherwise believes is financially suitable; (b) any Federal or State government sponsored health care program; (c) large self insured corporations (as determined by the Administrator in its discretion); and (d) health maintenance organizations, in each case as identified in a certificate signed by the Administrator and delivered to the Trustee.
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APPROVED PAYOR means (a) any private medical insurance company which at the time of purchase of any Receivable payable by such private medical insurance company, the private medical insurance company [WHICH HAS BEEN ASSIGNED A LONG-TERM DEBT RATING OF [A RATED CLAIMS PAYING ABILITY?] of AA or better by S&P, AA3 or better by Moody's, A or better by A.M. Best or Fitch, or which the Administrator in its opinion certified in writing to the Trustee, otherwise believes is financially suitable; (ii) any Federal or State government sponsored health care program; (iii) large self insured corporations (as determined by the Administrator in its discretion); (iv) health maintenance organizations; and (v) skilled nursing facilities.
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More Definitions of APPROVED PAYOR

APPROVED PAYOR means (a) any private medical insurance company which at the time of purchase of any Receivable payable by such private medical insurance company, the private medical insurance company has been assigned a long-term debt rating, or a rated claims paying ability of "A" or better by S&P, "A1" or better by Moody's, "A" or better by A.M. Best or Fitch, or the Administrator in its determination, otherwise believes is financially suitable; (b) any Federal or State government sponsored health care program; (c) any for-profit or not-for-profit commercial organization (as determined by the Administrator in its discretion); (d) large self insured corporations (as determined by the Administrator in its discretion); and (e) health maintenance organizations, in each case as identified in a certificate signed by the Administrator and delivered to the Trustee.
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Related to APPROVED PAYOR

  • approved person means, in respect of a member (Member) of the Investment Industry Regulatory Organization of Canada (IIROC), an individual who is a partner, director, officer, employee or agent of a Member who is approved by IIROC or another Canadian SRO to perform any function required under any IIROC or other Canadian SRO by-law, rule, or policy;

  • Medicare Levy Surcharge means an extra charge payable by high income earners beyond the standard Medicare Levy if they do not have qualifying private hospital insurance coverage. This charge is assessed as part of an individual or family’s annual tax return.

  • Approved costs means the eligible costs or expenditures2 as approved by the Provider, and as defined in the Agreement or Decision on Grant Funding to carry out the Grant Project.

  • Advance Reimbursement Amount has the meaning stated in Section 4.4(b) of the Servicing Supplement.

  • Cost-reimbursement contract means a contract under which a contractor is

  • Total Required Payment means, for a Payment Date, the sum of

  • Third Party Payors means Medicare, Medicaid, CHAMPUS, Blue Cross and/or Blue Shield, private insurers and any other Person which presently or in the future maintains Third Party Payor Programs.

  • Third Party Payor means Medicare, Medicaid, TRICARE, and other state or federal health care program, Blue Cross and/or Blue Shield, private insurers, managed care plans and any other Person or entity which presently or in the future maintains Third Party Payor Programs.

  • Advance Reimbursement Amounts As defined in Section 3.29 hereof.

  • Approved Operating Expenses means Operating Expenses incurred by Borrower which (i) are included in the Approved Annual Budget for the current calendar month, (ii) are for real estate taxes, insurance premiums, electric, gas, oil, water, sewer or other utility service to the Property, (iii) if applicable, are for property management fees payable to Manager under the Management Agreement, such amounts not to exceed three percent (3.0)% of the monthly Gross Revenue, (iv) or (v) have otherwise been approved by Lender.

  • Approved Lender is defined in Section 12.1.

  • management expense ratio means the total fees and expenses a fund paid during a year divided by its average assets for that year.

  • VA Approved Lender means a lender which is approved by the VA to act as a lender in connection with the origination of VA Loans.

  • Medicare eligible expenses means expenses of the kinds covered by Medicare Parts A and B, to the extent recognized as reasonable and medically necessary by Medicare.

  • Servicing Advance Reimbursement Amounts As defined in Section 3.22.

  • foreign expenditures means expenditures in the currency of any country other than that of the Borrower for goods or services supplied from the territory of any country other than that of the Borrower;

  • Medicare cost report means CMS-2552-10, the cost report for electronic filing of

  • Approved List means Securities followed by the Global Fundamental Research Group and tracked on the Approved List. Securities may be added, removed, or undergo periodic ratings changes.

  • Approved Project means the Scheme application of the Applicant approved by the CIC.

  • Minimum Credit Enhancement Test With respect to any Payment Date, a test that will be satisfied if the Subordinate Percentage is greater than or equal to 6.00%.

  • Approved program or "approved state" means a state or interstate program that has been approved or authorized by EPA under 40 CFR Part 123 (2000).

  • Management Expenses means expenses, costs and charges necessarily and reasonably incurred in the management of the Development provided in this Deed which, except for the purpose of Clause 4.3 of Section IV of this Deed, shall include the Manager’s Remuneration;

  • Collection Costs means an amount that the Municipality can charge with regard to the enforcement of a consumer’s monetary obligations;

  • Approved Annual Budget shall have the meaning set forth in Section 5.1.11(d) hereof.

  • Fixed Costs means costs which do not vary with consumption or volume produced;

  • Cost Reimbursement means a contract which provides for a fee other than a fee based on a percentage of cost and under which a contractor is reimbursed for costs which are allowable and allocable in accordance with the contract terms.