Shadow Billing definition

Shadow Billing means the process where physicians receiving alternate payment submit specially designated claims for the medical services provided to patients that result in no payment, subject to the blended payment where applicable.
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Shadow Billing means reporting by Physicians of Insured Medical Service encounter information to MSI in the format prescribed by DOH;
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Examples of Shadow Billing in a sentence

  • Shadow Billing is applicable for the same period as Bill Protection, for the first twelve months of service effective on the first regularly scheduled meter reading date following receipt by the Utility.

  • Shadow Billing and Access BonusesCFHTs reported a need for more information and orientation with respect to Shadow Billing.

  • That the Ministry take the initiative to resolve BSM compensation issues with the OMA and HealthForce Ontario with respect to Shadow Billing, Premiums and Bonuses and Locum compensation.

  • In these cases, the Locum is referred to and processed as a sessional Physician.• Attending Physician – The Physician for which the Locum Physician is doing work and providing coverage for.• Locum Tenens – A Locum Physician filling a position for a period of time or temporarily taking the place of another Physician.• Shadow Billing Number – Required for all Physicians who are paid hourly sessional as an Alternate Funded Independent Contractor (i.e. all WRHA Primary Care Direct Operation Clinics).

  • Any Physician receiving Alternate Payment who fails to provide Shadow Billing may be required to convert to fee-for-service at the discretion of Health PEI in those circumstances.

  • This is particularly true for Preventative Care codes, Access Bonuses and Shadow Billing.

  • The Locum Physician’s billing number (FFS or Shadow Billing) is to be used.• User Number is specific to the clinic where the work is being performed.

  • All Physicians receiving Alternate Payment shall perform Shadow Billing.

  • The purpose of this sub-network is to enable Fellowship alumni to share relevant news, seek advice, ask for support in promoting their ventures, and learn best practices from each other.

Related to Shadow Billing

  • Detailed telecommunications billing service means an ancillary service of separately stating information pertaining to individual calls on a customer's billing statement.

  • Customer Service means Company’s customer service telephone service department or representatives.

  • Support Service means an activity, such as information technology, accounting, human resources, legal, and other support functions that are required to support the ongoing delivery of core services.

  • Billing involves the provision of appropriate usage data by one Telecommunications Carrier to another to facilitate Customer Billing with attendant acknowledgments and status reports. It also involves the exchange of information between Telecommunications Carriers to process claims and adjustments.

  • 911 Service means a universal telephone number which gives the public direct access to the Public Safety Answering Point (“PSAP”). Basic 911 service collects 911 calls from one or more local exchange switches that serve a geographic area. The calls are then sent to the correct authority designated to receive such calls.

  • input service means any service used or intended to be used by a supplier in the course or furtherance of business;

  • Meet-Point Billing (MPB) refers to the billing associated with interconnection of facilities between two or more LECs for the routing of traffic to and from an IXC with which one of the LECs does not have a direct connection. In a multi-bill environment, each Party bills the appropriate tariffed rate for its portion of a jointly provided Switched Exchange Access Service.

  • Customer Account Information means personally identifiable information including Personal Data and Consumption Data. Customer Account Information also includes information received by the Company from the customer for purposes of participating in regulated utility programs, including, but not limited to bill pay assistance, shutoff protection, renewable energy, demand-side management, load management, or energy efficiency.

  • Prepaid wireless calling service means a telecommunications service that provides the right to utilize mobile wireless service as well as other non-telecommunications services, including the download of digital products delivered electronically, content and ancillary services, which must be paid for in advance that is sold in predetermined units or dollars of which the number declines with use in a known amount.

  • Self-service display means the open display or storage of Tobacco Products or Tobacco Paraphernalia in a manner that is physically accessible in any way to the general public without the assistance of the retailer or employee of the retailer and a direct person-to-person transfer between the purchaser and the retailer or employee of the retailer. A vending machine is a form of Self-Service Display.

  • Enhanced 911 Service (“E911”) means a telephone communication service which will automatically route a call dialed “9-1-1” to a designated public safety answering point (PSAP) attendant and will provide to the attendant the calling party’s telephone number and, when possible, the address from which the call is being placed and the Emergency Response agencies responsible for the location from which the call was dialed.

  • Toll Billing Exception Service (TBE) means a service that allows End Users to restrict third number billing or collect calls to their lines.

  • flight information service means a service provided for the purpose of giving advice and information useful for the safe and efficient conduct of flights;

  • School service means a website, mobile application, or online service that (i) is designed and marketed solely for use in elementary or secondary schools; (ii) is used at the direction of teachers or other employees at elementary or secondary schools; and (iii) collects and maintains, uses, or shares student personal information. "School service" does not include a website, mobile application, or online service that is designed and marketed for use by individuals or entities generally, even if it is also marketed for use in elementary or secondary schools.

  • Service Drop means a cable that, by its design, capacity and relationship to other cables of the Company, can be reasonably considered to be for the sole purpose of connecting backbone of the Equipment to not more than one individual customer or building point of presence or property;

  • account information service means an online service to provide consolidated information on one or more payment accounts held by the payment service user with either another payment service provider or with more than one payment service provider;

  • Periodic Billing Requirement means, for any Remittance Period, the aggregate amount of Charges calculated by the Servicer as necessary to be billed during such period in order to collect the Periodic Payment Requirement on a timely basis.

  • payment service user means a natural or legal person making use of a payment service in the capacity of either payer or payee, or both;

  • Toll Billing Exception Service (TBE means a service that allows End Users to restrict third number billing or collect calls to their lines.

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Professional service means a type of personal service to the public that requires as a condition precedent to the rendering of the service the obtaining of a license or other legal authorization. Professional service includes, but is not limited to, services rendered by a certified or other public accountant, chiropractor, dentist, optometrist, veterinarian, osteopathic physician, physician, surgeon, podiatrist, chiropodist, physician's assistant, architect, professional engineer, land surveyor, or attorney-at-law.

  • Your Billing Rights Keep This Document for Future Use

  • Meet-Point Billing (MPB means the billing associated with interconnection of facilities between two (2) or more LECs for the routing of traffic to and from an IXC with which one of the LECs does not have a direct connection. In a multi-bill environment, each Party bills the appropriate tariffed rate for its portion of a jointly provided Switched Exchange Access Service.

  • Contactless means a payment feature that provides You with a way to pay by tapping the Card on a point–of–sale terminal reader for transactions of up to a specified limit.

  • Voice mail service means an ancillary service that enables the customer to store, send or receive recorded messages. Voice mail service does not include any vertical services that the customer may be required to have in order to utilize the voice mail service.

  • Internet service means a service that enables users to access proprietary and other content,