Payment hold definition

Payment hold. [(3) "Hold on payment"] means the

Payment hold means that payments to be made in good faith for services rendered will be put on hold during the period of an investigation/forensic audit which has no predetermined length of time in days.

Payment hold means the temporary denial of Medicaid reimbursement for items or services a specified provider furnished.

Examples of Payment hold in a sentence

• Class Counsel assume full responsibility and liability for taxes owed on the Class Counsel Fees Payment and the Class Counsel Litigation Expenses Payment, hold Defendant harmless, and indemnify Defendant, from any dispute or controversy regarding any division or sharing of any of these payments.

• Class Counsel assume full responsibility and liability for taxes owed on the Class Counsel Fees Payment and the Class Counsel Litigation Expenses Payment, hold Defendant harmless, and indemnify Defendant from any dispute or controversy regarding any division or sharing of any of these payments.

• Payment of older invoices before the payment deadline - Payment hold – if the Reseller has at least one invoice which is more than 5 days past the payment deadline.

• Pending and in the absence of such approval, the Parties will, upon said Closing Payment, hold the interests to be transferred in trust for the other Party .

• The Purchaser agrees that if it continue to hold and/or use the Tokens after being notified of such amendments to these Terms of Sale, such Payment, hold and/or use shall constitute an affirmative: (a) acknowledgement by the Purchaser of these Terms of Sale and its amendments; and (b) agreement by the Purchaser to abide and be bound by these Terms of Sale and its amendments.

• You agree that if You continue to make the Payment and/or to hold and/or use the Tokens after being notified of such amendments to these Terms of Sale, such Payment, hold and/or use shall constitute an affirmative: (a) acknowledgement by You of these Terms of Sale and its amendments as form- ing a part of the Agreement; and (b) agreement by You to abide and be bound by these Terms of Sale and its amendments as part of the Agreement.

• Payment hold information must also be provided to LDH OIG upon request.

• Class Counsel assume full responsibility and liability for taxes owed on the Class Counsel Fees Payment and the Class Counsel Litigation Expenses Payment, hold Defendants harmless, and indemnify Defendants from any dispute or controversy regarding any division or sharing of any of these payments.

• Payment hold (suspension of payments)--An admin- istrative sanction that withholds all or any portion of payments due a provider until the matter in dispute, including all investigation and legal proceedings, between the provider and the Commission or an operat- ing agency or its agent(s) are resolved.

• Examples of XML business transactions are: Payment Request document, Payment hold record, Purchase Order document.

More Definitions of Payment hold

Payment hold. [(3) "Hold on payment"] means the 1-54 temporary denial of reimbursement under the Medicaid program for 1-55 items or services furnished by a specified provider.

Payment hold means the temporary

Payment hold. The situation when a Provider who owes funds to Puerto Rico, such Provider cannot be paid until the amounts owed to Puerto Rico are repaid or an acceptable repayment plan is in place, as determined by ASES. Pharmacy: Any person, institution, corporation or any other business entity duly licensed by the Government under Act No. 247 of September 3, 2004, as amended, to dispense prescription drugs. Pharmacy Call Center: A call center facility established by the Contractor to provide Information through a local toll-free telephone access to Pharmacies offering Covered Pharmacy Services to Enrollees. Pharmacy Complaints and Appeal Process: The overall system that Contractor must have to address any complaints, grievances, and appeals of Network Pharmacies, as well as access to the Administrative Law Hearing process. Pharmacy Contract: The written agreements to be entered into by the Contractor and Network Pharmacies forming part of the Pharmacy Network, as required under this Contract. Pharmacy Financial Committee: Committee authorized by ASES to make formulary recommendations and include in the Formulary of Medications Covered (FMC) or List of Medication by Exception (LME) selections based on the drug review and recommendations of the P&T Committee to include or exclude prescription drugs. Pharmacy Network: The Network Pharmacies contracted by the Contractor to provide Covered Pharmacy Services under the terms and conditions of this Contract to Enrollees. Pharmacy and Therapeutics (“P&T”) Committee: A multi-disciplinary, multi-specialty committee authorized by ASES consisting of independent health care professionals that provides advice regarding the efficacy and safety of prescription drugs. Physician Administered Drug (“PAD”): An outpatient drug other than a vaccine that is typically administered by a health care provider in a physician’s office or other outpatient clinical setting Primary Medical Group (“PMG”): A grouping of associated Primary Care Physicians and other Providers for the delivery of services to GHP Enrollees using a coordinated care model. PMGs may be organized as Provider care organizations, or as another group of Providers who have contractually agreed to offer a coordinated care model to GHP Enrollees under the terms of this Contract. Prior Authorization: Authorization granted by the Contractor to determine whether the service is Medically Necessary. In some instances, this process is a condition for receiving the Covered Pharmacy Service...

Payment hold. The situation when a Provider who owes funds to Puerto Rico, such Provider cannot be paid until the amounts owed to Puerto Rico are repaid or an acceptable repayment plan is in place, as determined by ASES.