Provider Expense definition

Provider Expense means an expense ---------------- incurred by the Service Company or Provider and for which Provider, and not the Service Company, is financially liable. Provider Expense shall include dentist (as defined in (S)2.5) salaries, benefits (which includes workers' compensation coverage), and other direct costs related to the dentists employed or otherwise retained by Provider for the provision of its Dental Care (including professional dues, subscriptions, continuing dental education expenses, and travel costs for continuing dental education or other business travel, but excluding business travel requested by Service Company, which shall be a Clinic Expense), together with any expenses related to any Dental Assets or the maintenance and protection of the same and such other costs and expenses designated as Provider Expense in or pursuant to this agreement (including without limitation the amounts described in (S)4.13(d)(ii)). In the event Provider incurs consulting, accounting, legal or other similar fees without Service Company's approval of such engagement through Service Company, all fees and expenses so incurred shall be Provider Expenses. For purposes of calculating the Performance Fee, Provider Expenses shall equal [*] of Adjusted Gross Revenues or such other percentage of Adjusted Gross Revenues as may be set forth in the Budget less an amount equal to the Service Fee Adjustment.
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Provider Expense means any expense (other than an expense for which Provider is required by applicable law to be financially liable and which is expressly identified in this Agreement as a Clinic Expense) incurred by the Service Company or Provider and for which Provider, and not the Service Company, is financially liable. Provider Expense shall include dentist (as defined in Section 2.5) salaries, benefits (which includes workers’ compensation coverage), and other direct costs related to the dentists employed or otherwise retained by Provider for the provision of its Dental Care (including professional dues, subscriptions, continuing dental education expenses, and travel costs for continuing dental education or other business travel, but excluding business travel requested by Service Company, which shall be a Clinic Expense), together with any expense related to any Dental Assets or the maintenance or protection of the same and any other cost or expense designated as a Provider Expense in or pursuant to this Agreement. In the event Provider incurs any consulting, accounting, legal or other similar fee without Service Company’s approval of such engagement through Service Company, any fee or expense so incurred shall be a Provider Expense, but one that is ignored for purposes of calculating the Calculated Margin and therefore must be paid out of Provider Retained Earnings. Any Provider Expense which is not within the then-applicable Budget or the parameters described in the third paragraph of Section 4.13(a) and is not approved by either the Policy Board or the Service Company shall be ignored for purposes of calculating the Calculated Margin and therefore must be paid out of Provider Retained Earnings. In addition, and notwithstanding any other provisions of this Agreement or the Initial Agreement to the contrary, the Guaranteed Payments shall not be deemed to be Provider Expenses for purposes of calculating the Calculated Margin and also must be paid out of Provider Retained Earnings; provided that to the extent Provider Retained Earnings are insufficient for Provider to make the Guaranteed Payments, Service Company shall advance funds to Provider in an amount equal to such insufficiency (which advances shall be deemed made under Section 7.2).
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Provider Expense means any expense (other than an expense for which Provider is required by applicable law to be financially liable and which is expressly identified in this Agreement as a Clinic Expense) incurred by the Service Company or Provider and for which Provider, and not the Service Company, is financially liable. Provider Expense shall include dentist salaries, benefits (which includes workers’ compensation coverage), and other direct costs related to the dentists employed or otherwise retained by Provider for the provision of its Dental Care (including professional dues, subscriptions, continuing dental education expenses, and travel costs for continuing dental education or other business travel, but excluding business travel requested by Service Company, which shall be a Clinic Expense), together with any expense related to any Dental Assets or the maintenance or protection of the same and any other cost or expense designated as a Provider Expense in or pursuant to this Agreement. In the event Provider incurs any consulting, accounting, legal or other similar fee without Service Company’s approval of such engagement through Service Company, any fee or expense so incurred shall be a Provider Expense, but one that is ignored for purposes of calculating the Calculated Margin and therefore must be paid out of Provider Retained Earnings. Notwithstanding the foregoing or any other provisions of this Agreement to the contrary, unless a Provider Expense is included in the then-applicable Budget, is within the parameters described in the third paragraph of Section 4.13(a), or is approved by either the Policy Board or Service Company, such Provider Expense shall be ignored for purposes of calculating the Calculated Margin and therefore must be paid out of Provider Retained Earnings.
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Examples of Provider Expense in a sentence

  • On October 5, 1990, the Board issued Respondent Iowa license number 00508, which authorized him to engage in the practice of podiatric medicine.

  • Please note that the Fund Office will work with Aetna to have your claim paid timely, once all required documentation is received.

  • Provider shall retain, as a Provider Expense and not as a Clinic Expense, that number of dentists during the Term which are necessary and appropriate, in Provider’s sole discretion, to provide Dental Care to reasonably meet the demand therefor.

  • This advanced technology has emerged as a response to the limitations of traditional bulk sequencing [4], enabling the exploration of gene modules at a heightened resolution.

  • To compensate PDG’s dentists for earning these revenues, PDG was to receive a specified portion of the revenues, called the “Provider Expense.” In 1999, the Provider Expense was set at 23.6% of the revenues generated by PDG.

  • All costs, expenses, and liabilities incurred by Provider or Service Company in excess of the limits of such policies shall be a Provider Expense.

  • This amount was called the “Base Provider Expense.” Then, an amount equal to 1% of revenues would be added to the Base Provider Expense.

  • In addition to this year’s activity and exposure of the guides, a committee member was asked to present at the NACAC conference in Denver to a group of local high school guidance counselors on how to utilize the manuals.

  • It is only used with PTAR Real-time Entry and when set to Yes, causes that function to display the Provider Expense button when any of those conditions exists.

  • Thus, in 2002, under the methodology set forth in the First Amendment, the correct Provider Expense percentage should have been 27.1 percent.


More Definitions of Provider Expense

Provider Expense means an expense ---------------- incurred by the Service Company or Provider and for which Provider, and not the Service Company, is financially liable. Provider Expense shall include dentist (as defined in (S)2.5) salaries, benefits (which includes workers' compensation coverage), and other direct costs related to the dentists employed or otherwise retained by Provider for the provision of its Dental Care (including professional dues, subscriptions, continuing dental education expenses, and travel costs for continuing dental education or other business travel, but excluding business travel requested by Service Company, which shall be a Clinic Expense), together with any expenses related to any Dental Assets or the maintenance and protection of the same and such other costs and expenses designated as Provider Expense in or pursuant to this agreement (including without limitation the amounts described in (S)4.13(d)(ii)). In the event Provider incurs consulting, accounting, legal or other similar fees without Service Company's approval of such engagement through Service Company, all fees and expenses so incurred shall be Provider Expenses.
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Provider Expense means an expense incurred by the Service Company or Provider and for which Provider, and not the Service Company, is financially liable. Provider Expense shall include dentist (as defined in §2.5) salaries, benefits (which includes workers’ compensation coverage), and other direct costs related to the dentists employed or otherwise retained by Provider for the provision of its Dental Care (including professional dues, subscriptions, continuing dental education expenses, and travel costs for continuing dental education or other business travel, but excluding business travel requested by Service Company, which shall be a Clinic Expense), together with any expenses related to any Dental Assets or the maintenance and protection of the same and such other costs and expenses designated as Provider Expense in or pursuant to this agreement. In the event Provider incurs consulting, accounting, legal or other similar fees without Service Company’s approval of such engagement through Service Company, all fees and expenses so incurred shall be Provider Expenses.
Sample 1

Related to Provider Expense

  • Provider fee means the consideration paid for a service contract.

  • Medical Expense means an expense incurred at the time a past member or his or her health reimbursement account dependent is furnished the medical care or service. To be considered a medical expense under this act, the expense shall meet all of the following conditions:

  • Transfer expenses means all expenses of a transfer that the transfer agreement requires the payee to pay or have deducted from the gross advance amount, including, but not limited to, court filing fees, attorney fees, escrow fees, lien recordation fees, judgment and lien search fees, finders' fees, commissions, and other payments to a broker or other intermediary. Transfer expenses do not include preexisting obligations of the payee that are payable for the payee's account from the proceeds of a transfer.

  • Seller Expenses has the meaning set forth in Section 11.1.

  • Lender Expenses are all audit fees and expenses, costs, and expenses (including reasonable attorneys’ fees and expenses) for preparing, amending, negotiating, administering, defending and enforcing the Loan Documents (including, without limitation, those incurred in connection with appeals or Insolvency Proceedings) or otherwise incurred with respect to Borrower.

  • Medical Reimbursement Programs means a collective reference to the Medicare, Medicaid and TRICARE programs and any other health care program operated by or financed in whole or in part by any foreign or domestic federal, state or local government.

  • Extra Expense means expense or cost incurred (1) to continue the conduct of the Assured’s business,

  • Program Expenses means all UHC’s expenses of administering the Program under the Indenture and the Act and shall include without limiting the generality of the foregoing; salaries, supplies, utilities, labor, materials, office rent, maintenance, furnishings, equipment, machinery and apparatus, including information processing equipment; software, insurance premiums, credit enhancement fees, legal, accounting, management, consulting and banking services and expenses; Fiduciary Expenses; remarketing fees; Costs of Issuance not paid from proceeds of Bonds; and payments to pension, retirement, health and hospitalization funds; and any other expenses required or permitted to be paid by UHC.

  • Medical Expenses means those expenses that an Insured Person has necessarily and actually incurred for medical treatment on account of Illness or Accident on the advice of a Medical Practitioner, as long as these are no more than would have been payable if the Insured Person had not been insured and no more than other hospitals or doctors in the same locality would have charged for the same medical treatment.

  • Professional Fee Reserve Amount means the total amount of Professional Fee Claims estimated in accordance with Article II.A.2(c) of the Plan.

  • Management Expenses means the Management Expenses more particularly described in Clause 10.1;

  • Tuition Fees means a sum specified in the Offer Letter, payable by the Student to cover tuition, access to College facilities, enrolment procedures and orientation meetings, use of Information Technology facilities, exam sitting and a Kaplan award on successful completion of the Programme; and

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Medicare eligible expenses means expenses of the kinds covered by Medicare Parts A and B, to the extent recognized as reasonable and medically necessary by Medicare.

  • Professional Fee Amount means the aggregate amount of Professional Fee Claims and other unpaid fees and expenses that Professionals estimate they have incurred or will incur in rendering services to the Debtors prior to and as of the Confirmation Date, which estimates Professionals shall deliver to the Debtors as set forth in Article II.B of the Plan.

  • Provider is any individual or company that provides professional or technical services.

  • Transportation Expense means the cost of Medically Necessary conveyance, personnel, and services or supplies.

  • 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.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Health care expenses means, for purposes of Section 14, expenses of health maintenance organizations associated with the delivery of health care services, which expenses are analogous to incurred losses of insurers.

  • Dependent Care Expenses means employment-related expenses incurred on behalf of a person who meets the requirements to be a "Qualifying Individual," as defined in the first bulleted item below. All of the following conditions must be met for such expenses to qualify as Dependent Care Expenses that are eligible for reimbursement:

  • Provider Advance means a Downgrade Advance or a Non-Extension Advance.

  • Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

  • Expense Reimbursement has the meaning set forth in Section 8.2(c).

  • Unapplied Provider Advance means any Provider Advance other than an Applied Provider Advance.

  • Professional Fees means amounts billed or to be billed to a client for legal services provided or to be provided to the client by the lawyer or the lawyer’s firm;