Payor Contract definition

Payor Contract means the contract with a Payor, pursuant to which Company furnishes administrative services or other services in support of the Coverage Agreements entered into, issued or agreed to by a Payor, which services may include access to one or more of Company’s provider networks or vendor arrangements, except those excluded by Health Plan. The term “Payor Contract” includes Company’s or other Payor’s contract with a governmental authority (also referred to herein as a “Governmental Contract”) under which Company or Payor arranges for the provision of Covered Services to Covered Persons.

Payor Contract means any contract executed by HMHP with a Payor pursuant to which HMHP Providers will provide Covered Services to Enrollees in accordance with Health Benefit Plans.

Payor Contract means any current Contract, between the Company and/or any of its Subsidiaries, on the one part, and any Payor or Payors, on the other.

Examples of Payor Contract in a sentence

• A Company is only responsible for performing its respective obligations hereunder with respect to a particular Product, Coverage Agreement, Payor Contract, Covered Service or Covered Person.

• Each Party is prohibited from, and shall prohibit its Affiliates and Contracted Providers from, disclosing to a third party the substance of this Agreement, or any information of a confidential nature acquired from the other Party (or Affiliate or Contracted Provider thereof) during the course of this Agreement, except to agents of such Party as necessary for such Party’s performance under this Agreement, or as required by a Payor Contract or applicable Regulatory Requirements.

• As required by a Payor Contract and to ensure the success of the HMHP’s Clinical Integration program to achieve quality and cost efficiencies in the delivery of Covered Services, Practice and the Participating Physicians shall refer Enrollees, when medically appropriate, only to other HMHP Providers.

• The requirements of this Section 5 shall survive any termination of this Agreement or applicable Payor Contract for Covered Services.

• The most important infection control measure is that sick people stay at home.

More Definitions of Payor Contract

Payor Contract means the written agreement entered into between CDA and a Payor that identifies the terms of the arrangement under which (a) CDA will arrange for the provision of Covered Services to Covered Persons by Participating Providers; and (b) the Payor will reimburse or pay CDA and/or Participating Providers for providing such Covered Services.

Payor Contract means the written agreement entered into between MPP and a Payor which identifies the terms of the arrangement under which: (i) MPP will arrange for the provision of Covered Services to Covered Persons by Participating Providers; and (ii) the Payor will reimburse or pay MPP and/or Participating Providers for providing such Covered Services.

Payor Contract means an agreement (or agreements), pursuant to, or under which, a Payor shall be obligated to pay the Seller for services rendered or merchandise sold to patients of the Seller from time to time;

Payor Contract means a contract between a Health Care Provider and a Health Plan for reimbursement for the Health Care Provider’s treatment of the Health Plan’s members.

Payor Contract means MCNA’s contract with any Payor that governs the provision of Covered Services to Covered Persons.

Payor Contract shall have the meaning as set forth in Section 4.16(e).

Payor Contract means MCO’s contract with any Payor that governs provision of Covered Services to Covered Persons. Where MCO is the Payor, “Payor Contract” means MCO’s contract with the State or federal agency or other entity that has contracted with MCO to arrange for the provision of Covered Services to eligible individuals of such agency or other entity.