Payer Contract definition

Payer Contract means a contract entered into by a Payer with OSCIPA that sets the prices and price-related terms between OSCIPA’s Physician members and the Payer;

Payer Contract means a contract between a payer and a physician by which that physician agrees to provide physician services to persons designated by the payer;

Payer Contract means any agreement with a private, state, local, or federal health care program, insurance company, managed care organization, employer or other entity relating to the payment for healthcare goods or services coordinated or furnished by a Participating Pharmacy or any agreement to participate in grants, pilot programs, care coordination shared or other performance incentive programs.

Examples of Payer Contract in a sentence

• The Contractor agrees to retain all financial books, records, and other documents pertaining to this Contract or any other applicable Payer Contract for at least six years after final payment or until six years after the resolution of any audit questions or disputes.

• The provisions under this Contract or any other applicable Payer Contract relating to payment for services shall become effective when funds assigned for the purpose of compensating the Contractor as herein provided are actually available to MIHS for disbursement.

• The use or disclosure by any party of any information concerning a Patient served under this Contract or any other applicable Payer Contract is directly limited to services under this Contract subject to applicable federal, state and local laws, rules and/or regulations.

• If any action is taken by any state agency, federal department, or any other agency, payer or instrumentality to suspend, decrease, or terminate its fiscal obligations under, or in connection with, this Contract or any other applicable Payer Contract, MIHS may amend, suspend, decrease, or terminate its obligations under, or in connection with, this Contract.

• In the event of termination, MIHS shall be liable for payment only for services rendered prior to the effective date of the termination, provided that such services performed are in accordance with the provisions of this Contract or any other applicable Payer Contract.

More Definitions of Payer Contract

Payer Contract means a contract between a healthcare provider and health insurance issuer that explains a provider's reimbursement arrangement for delivering healthcare services to patients covered by a specific health benefit plan.

Payer Contract means any agreement FCHA has negotiated and entered into on behalf of CIN Members with a federal health care program (including, but not limited to, the Medicare Shared Savings Program); state or local health care program; or insurance company, health plan, employer, or other third-party payer (“Payers”) relating to payment for health care goods and services coordinated and/or furnished by CIN Members.

Payer Contract means an agreement between MIHS and a Payer or funder, pursuant to which XXXX agrees to provide or arrange to provide Covered Services to Members, Patients, or Beneficiaries. Plan means a health benefits plan under which a Payer/Funder has contracted with MIHS to provide or arrange to provide Covered Services to enrolled Members, Beneficiaries or Patients.

Payer Contract means a contract between BILH and a Payer pursuant to which BILH agrees to provide or arrange for the provision of health care services to enrollees of the Payer’s Commercial Health Insurance Products and/or the Payer’s Managed Medicare Insurance Products.

Payer Contract means a contract between a payer and a physician or physician practice by which that physician or physician practice agrees to provide physician services to persons designated by the payer; and

Payer Contract means a contract between SVMC Holdings and a Payer pursuant to which SVMC Holdings agrees to provide or arrange for the provision of health care services to enrollees of the Payer’s commercial health insurance products and/or the Payer’s Managed Medicare Insurance Products.

Payer Contract means a contract between YNHHS/WH and/or YNHHS/MMH/RGH and a Payer pursuant to which YNHHS/WH and/or YNHHS/MMH/RGH agree to provide or arrange for the provision of health care services to enrollees of the Payer’s commercial health insurance products.