Other Payors definition

Other Payors means persons or entities, utilizing the Network(s)/Plan Program(s) pursuant to an agreement with Anthem or an Affiliate, including without limitation, other Blue Cross and/or Blue Shield Plans that are not Affiliates, and employers or insurers providing Health Benefit Plans pursuant to insured, self-administered or self-insured programs.
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Other Payors are employers, insurance companies, associations, health and 27 welfare trusts, and other organizations with which Blue Shield contracts to provide
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Examples of Other Payors in a sentence

  • Other Payors The Hospital also has entered into payment agreements with certain commercial insurance carriers and preferred provider organizations.

  • NF, SNF, and Swing Bed Cost for Other Payors (Hospital must calculate.

  • The identity of Other Payors shall be disclosed in the Provider Manual.

  • Blue Shield shall require that: (a) the health programs of Other Payors include provisions to encourage the use of Blue Shield contracting providers, and (b) Other Payors comply with performance standards relating to timely processing of claims which meet or exceed the time requirements set forth in California law.

  • Other Payors MHP also has entered into payment agreements with certain commercial insurance carriers and preferred provider organizations.

  • Other Payors Hendricks also has entered into payment agreements with certain commercial insurance carriers and preferred provider organizations.

  • Other Payors: The Hospital has also entered into payment agreements with certain commercial insurance carriers and other organizations.

  • On a drawing being approved, the CONTRACTOR shall submit 6 copies for formal approval and distribution to relevant offices.

  • Other Payors The Hospital has also entered into payment agreements with certain commercial insurance carriers and other organizations.

  • The 3M 360 ENCOMPASS services are reasonably related to ACO activities because the arrangements will improve care management and coordination for Medicare fee-for-service (Part A/B) beneficiaries aligned with the Montefiore ACO, and for persons covered by Other Payors.

Related to Other Payors

  • Medicaid means that government-sponsored entitlement program under Title XIX, P.L. 89-97 of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth on Section 1396, et seq. of Title 42 of the United States Code.

  • Medicare means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

  • Provider agreement means the signed, written, contractual agreement between the department and the provider of services or goods.

  • Health care facility or "facility" means hospices licensed

  • Payor means a trustee, insurer, business entity, employer, government, governmental subdivision or agency, or other person authorized or obligated by law or a governing instrument to make payments.