Third Party Payers definition

Third Party Payers means managed care providers, health maintenance organizations, insurance companies, self-insurance programs of employers, third-party administrators, the United States Medicare and Medicaid programs, and other similar entities.
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Third Party Payers. ' shall mean any person authorized to transact health insurance or to engage in the business of a health service corporation in this State.
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Third Party Payers means, collectively, the Entities that pay or reimburse the Debtors for services rendered to a third party.
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Examples of Third Party Payers in a sentence

  • Upon approval of such plan by CLIENT, OUTSOURCER shall have the right, without CLIENT's prior approval, to negotiate special payment terms with Third Party Payers and Patients that are consistent with such plan.

  • PAYMENTS and CO-PAYMENTS from CLINIC’s ELIGIBLE MEMBERS for COVERED DRUGS as approved by patient’s Third Party Payers must be greater than the sum of the 340B Cost of COVERED DRUG and the PHARMACY FILL FEE for each prescription included as a Patient Third Party Prescription under this Agreement.

  • Contractor shall require each of its Subcontracted Providers to ▇▇▇▇ Medicare and all other Third Party Payers for Covered Services.

  • New contracts with Third Party Payers or the enactment of new Applicable Laws may further limit the disclosure of patient- and physician-specific data and information.

  • Arrangements with Third Party Payers The parties hereto acknowledge and agree that Coram conducts its operations through its duly licensed subsidiaries and that this Amendment is being entered into for the benefit of such entities.

  • New contracts with Third Party Payers and the enactment of new Applicable Laws which further limit the disclosure of patient- and physician-specific data and information shall not be deemed to be a change in a law for purposes of this Agreement.

  • Third Party Payer may have additional ownership rights to the VAR document Consent and agree to prepare and submit a corrective action plan to the Auditee Authorized Recipients, Third Party Payers, and/or the APM (upon direction) within two calendar weeks of receipt of the final VAR for the following nonconformity types (major, minor, and risk of nonconformance).

  • Under the Payer Contract, Allscripts has agreed ------------------- that Third Party Payers may seek recovery against Allscripts or may deduct from future payment obligations to Allscripts, amounts that represent improper claims where Customer provided Pharmacy Services contrary to the terms of the Allscripts Manual or the applicable Provider Agreement.

  • As defined in Schedule A of this Agreement, PHARMACY shall allow CLINIC and its Pharmacy Benefits Manager, to collect any and all payments received by Third Party Payers for COVERED DRUGS for CLINIC patients, and any Third Party Payer CO-PAYMENTS paid by CLINIC ELIGIBLE MEMBERS for COVERED DRUGS to PHARMACY less subsequent payment to PHARMACY of PHARMACY FILL FEES as set forth in Schedule A of this Agreement.

  • Unless otherwise provided in the applicable Provider ----------- Agreement, Provider may elect to terminate its participation with any one or more Third Party Payers by giving Allscripts 75 days prior written notice.


More Definitions of Third Party Payers

Third Party Payers means third party payers, including Medicare, Medicaid, commercial insurance carriers, Worker's Compensation, health maintenance organizations and preferred provider organizations. "Transferred Employee" shall have the meaning set forth in Section 4.3(a)(i). "Transition Period" shall mean the period from the Agreement Date through the Effective Date. "Transition Plan" shall mean the document setting forth anticipated timelines and general activities of each of OUTSOURCER and CLIENT as presented on Exhibit A, Section B, Part I. "Up-Front Payment" shall have the meaning set forth in Section 2.2. SECTION
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Related to Third Party Payers

  • Third-party payer means an entity that is, by

  • 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.

  • Third Party Payments means the payment made through instruments issued from an account other than that of the beneficiary investor mentioned in the application form. However, in case of payments from a joint bank account, the first named applicant/investor has to be one of the joint holders of the bank account from which payment is made.

  • Third Party Payment means payment through an instrument issued from a bank account other than that of the beneficiary investor. In case of payments from a joint bank account, the first named investor/holder of the mutual fund folio has to be one of the joint holders of the bank account from which payment is made.