Payer Plan definition

Payer Plan means a program agreed upon pursuant to a Payer Agreement by IPA and a Payer that includes a panel of Participating Providers selected by IPA and/or Payer to provide Covered Services.
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Payer Plan. Agreements shall mean those certain agreements between (i) TMHC and/or Provider, and (ii) Payers that describe the terms and conditions for the provision of Covered Services to Covered Persons by TMHC and/or Provider in accordance with each Payer's Payer Plan.
Sample 1

Examples of Payer Plan in a sentence

  • Rejection of a Payer Plan shall not terminate Physician’s obligations under this Agreement with respect to Covered Services to be provided to Covered Persons of other Payers under Payer Agreements previously or subsequently accepted by Physician.

  • Consistent with sound medical practice and in accordance with accepted community professional standards for rendering quality medical care, Physician agrees to use his or her best effort to make referrals of Covered Persons to the Participating Physicians and other Participating Providers in the relevant Payer Plan.

  • For any Payer Plan, the IPA will furnish Physician with the reimbursement schedule and/or any other pertinent information applicable to such Payer Plan.

  • Members of President Touadéra’s inner circle favourably compare Rwanda’s autocratic style of governance with CAR’s “phantom state”.73 Opposition figures thus understandably perceive Rwanda’s multi- faceted aid as direct support for Touadéra, who is determined to stay in power beyond his constitutional term.

  • Unless IPA receives timely written notice from Physician accepting such Payer Plan, Physician shall be deemed to have rejected such Payer Plan.

  • ORA reviewed Southwest’s proposed uncollectibles rates of 0.1925% for Southern California, and 0.0797% for the Northern California, and found both rates reasonable, but stated that the rates were incorrectly applied to all revenues, including cost of gas revenues.

  • IPA cannot warrant or guarantee (1) that Physician will participate in a minimum number of provider panels or Payer Plans, or (2) that, as a Participating Provider, Physician will be utilized by a minimum number of Covered Persons within any Payer Plan, or (3) that Physician will indefinitely remain a member of the provider panel or Payer Plan.

  • Consistent with such policies and agreements, IPA shall notify Physician at least thirty (30) days in advance of the effective date of any Payer Agreement providing a Payer Plan in which Physician may wish to participate pursuant to Section 4.1 of this Agreement.

  • Physician shall not disclose the terms of this Agreement or any Payer Agreement or Payer Plan, including but not limited to any fee schedule, without the prior written consent of IPA.

  • Joe VerValin, The Rise and Fall of Vermont’s Single Payer Plan, CORNELL POLICY REV.

Related to Payer Plan

  • Multi-employer Plan means a "multi-employer plan" as defined in Section 4001(a)(3) of ERISA which is or was at any time during the current year or the immediately preceding six (6) years contributed to by the Borrower or any ERISA Affiliate.

  • Multiemployer Plans means “multiemployer plans” as defined by Section 3(37) of ERISA.

  • Multiemployer Pension Plan means a multiemployer plan, as defined in Section 4001(a)(3) of ERISA, to which the Company or any other member of the Controlled Group may have any liability.

  • Pension Plans The meaning specified in Section 4.1(v).

  • Multiemployer Plan means a multiemployer plan as defined in Section 4001(a)(3) of ERISA.

  • Buyer Plans has the meaning set forth in Section 6.02(b).

  • Pension Plan means any “employee pension benefit plan” (as such term is defined in Section 3(2) of ERISA), other than a Multiemployer Plan, that is subject to Title IV of ERISA and is sponsored or maintained by the Borrower or any ERISA Affiliate or to which the Borrower or any ERISA Affiliate contributes or has an obligation to contribute, or in the case of a multiple employer or other plan described in Section 4064(a) of ERISA, has made contributions at any time during the immediately preceding five plan years.

  • Single Employer Plan any Plan which is covered by Title IV of ERISA, but which is not a Multiemployer Plan.

  • Foreign Plans shall have the meaning set forth in Section 3.11(d).

  • Foreign Plan means any employee benefit plan or arrangement (a) maintained or contributed to by any Loan Party or Subsidiary that is not subject to the laws of the United States; or (b) mandated by a government other than the United States for employees of any Loan Party or Subsidiary.

  • ERISA Plan means any employee pension benefit plan subject to Title IV of ERISA maintained by any ERISA Affiliate with respect to which any Restricted Person has a fixed or contingent liability.

  • ERISA Plans has the meaning set forth in Section 3.1(n)(1).

  • Title IV Plans means all Pension Plans that are subject to Title IV of ERISA, 29 U.S.C. Section 1301 et seq., other than Multi-Employer Plans.

  • Title IV Plan means a Pension Plan (other than a Multiemployer Plan), that is subject to Title IV of ERISA or Section 412 of the IRC, and that any Credit Party or ERISA Affiliate maintains, contributes to or has an obligation to contribute to on behalf of participants who are or were employed by any of them.

  • Foreign Pension Plan means any plan, fund (including, without limitation, any superannuation fund) or other similar program established or maintained outside the United States by the Borrower or any one or more of its Subsidiaries primarily for the benefit of employees of the Borrower or such Subsidiaries residing outside the United States, which plan, fund or other similar program provides, or results in, retirement income, a deferral of income in contemplation of retirement or payments to be made upon termination of employment, and which plan is not subject to ERISA or the Code.

  • Canadian Pension Plans means each pension plan required to be registered under Canadian federal or provincial law that is maintained or contributed to by a Loan Party or any Subsidiary of any Loan Party for its employees or former employees, but does not include the Canada Pension Plan or the Quebec Pension Plan as maintained by the Government of Canada or the Province of Quebec, respectively.

  • Employee Plan means each "employee benefit plan," as such term is defined in Section 3(3) of ERISA, that (A)(i) is subject to any provision of ERISA and (ii) is maintained or contributed to by the Company, or (B)(i) is subject to any provision of Title IV of ERISA and (ii) is maintained or contributed to by any of the Company's ERISA Affiliates.

  • Multiple Employer Plan means a Plan which has two or more contributing sponsors (including the Borrower or any ERISA Affiliate) at least two of whom are not under common control, as such a plan is described in Section 4064 of ERISA.

  • Title IV-E means title IV-E of the Social Security Act [Pub. L. 96-272, title I, sec. 101(a)(1); 94 Stat. 501; 42 U.S.C. 670 et seq.], as amended.

  • Benefit Arrangement means at any time an employee benefit plan within the meaning of Section 3(3) of ERISA which is not a Plan or a Multiemployer Plan and which is maintained or otherwise contributed to by any member of the ERISA Group.

  • Title IV-A means part A of subchapter IV of the social security

  • ERISA Affiliate Plan means each Employee Benefit Plan sponsored or maintained or required to be sponsored or maintained at any time by any ERISA Affiliate, or to which such ERISA Affiliate makes or has made, or has or has had an obligation to make, contributions at any time, or with respect to which such ERISA Affiliate has any liability or obligation.

  • Parent ERISA Affiliate means any entity that is considered a single employer with Parent under Section 414 of the Code.

  • Canadian Pension Plan means any Canadian Employee Benefit Plan, other than a Canadian Multiemployer Plan, which is registered in accordance with the ITA or other Applicable Law and which (a) is maintained for the employees of the Borrower or any of its Subsidiaries or (b) has at any time within the preceding six (6) years been maintained for the employees of the Borrower or any of its Subsidiaries which the Borrower or any of its Subsidiaries sponsors, maintains, or to which it makes, is making or is obligated to make, contributions, and shall not include any Pension Plan.

  • Foreign Benefit Arrangement any employee benefit arrangement mandated by non-US law that is maintained or contributed to by any Group Member or any ERISA Affiliate.

  • Company ERISA Affiliate means all employers (whether or not incorporated) that would be treated together with the Company or any of its Subsidiaries as a “single employer” within the meaning of Section 414 of the Code.