Primary Payor definition

Primary Payor means (i) each Obligor referred to in clauses (A), (B), (E), (F) and (G) of the definition of "Obligor" contained in this Section 1.1, (ii) collectively, all Obligors of the type referred to in clause (C) of the definition of "Obligor" contained in this Section 1.1 and (iii) collectively, all Obligors of the type referred to in clause (D) of the definition of "Obligor" contained in this Section 1.1.
View Source
Primary Payor means the first category of major payor categories which receives the bill for a patient stay.
View Source
Primary Payor means all cases in which neither the Medicare Program nor any other health insurer is the Affected Product Recipient's primary health insurer. This payment will be made as designated by the Settling Health Plan's legal counsel no later than sixty (60) days after Sulzer's receipt of the Revision Report. As to those claims where the▇▇ ▇▇ ▇▇ dispute, the Revision Report or supplemental Revision Report will serve as Sulzer's payment instructions to the Trustee pursuant to a Sulzer app▇▇▇▇▇ ▇▇ird party payor settlement as provided in the Class Action Settlement.
View Source

Examples of Primary Payor in a sentence

  • If Sulzer denies any claim(s) for identified Covered Revisions Surgeries or disputes any other information supplied by a Settling Health Plan including the plan's status as a Primary Payor or the amounts incurred by any Secondary Payor, it will do so no later than forty-five (45) days from its receipt of the Revision Report, unless an extension of time is agreed to between the parties.


More Definitions of Primary Payor

Primary Payor means (i) each Obligor referred to in clauses (A), (B), (E), (F) and (G) of the definition of "Obligor", (ii) collectively, all Obligors of the type referred to in clause (C) of the definition of "Obligor" and (iii) collectively, all Obligors of the type referred to in clause (D) of the definition of "Obligor".
View Source

Related to Primary Payor

  • Third Party Payor means Medicare, Medicaid, TRICARE, and other state or federal health care program, Blue Cross and/or Blue Shield, private insurers, managed care plans and any other Person or entity which presently or in the future maintains Third Party Payor Programs.

  • Third Party Payors means Medicare, Medicaid, CHAMPUS, Blue Cross and/or Blue Shield, private insurers and any other Person which presently or in the future maintains Third Party Payor Programs.

  • 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.

  • Medicare Levy Surcharge means an extra charge payable by high income earners beyond the standard Medicare Levy if they do not have qualifying private hospital insurance coverage. This charge is assessed as part of an individual or family’s annual tax return.