Examples of Financial Assistance Application in a sentence
A determination of eligibility for Financial Assistance based on the submission of a Financial Assistance Application will remain valid for the Qualification Period for all eligible medical services provided, and will include all outstanding receivables for the previous six (6) months including those at bad debt agencies.
Patients/Guarantors with balances below ten dollars ($10.00) may contact a financial counselor to make monthly installment payment arrangements.● The patient must comply with Patient Cooperation Standards as described herein.● The patient must submit a completed Financial Assistance Application (FAA).
A discussion of each section of the Financial Assistance Application is presented below.
All project information submitted as part of the Financial Assistance Application shall be used by the Authority to determine the portion of the total project cost eligible under the I/I Local Financial Assistance Program.
The intent of these periodic inspections will be to insure that the project is: (1) proceeding substantially as defined in the Scope of Work and Project Schedule detailed in the executed Financial Assistance Agreement; and (2) proceeding in a manner which will produce the quantitative I/I reduction result which the community estimated would be achieved in the Financial Assistance Application.
Included in Section 15 of the Financial Assistance Application is a form that requests the community's estimate of peak and annual average infiltration and/or inflow reduction that may be achieved following the construction phase of the project.
Following review of a community's Financial Assistance Application, MWRA will determine the eligible project cost and establish the project Award Amount.
The affiliate hospital will consider each applicant’s Financial Assistance Application and grant Financial Assistance where the patient meets eligibility requirements and has received (or will receive) Covered Service(s).
To be eligible to execute a Financial Assistance Agreement on a particular funding distribution date, the community must have submitted a complete Financial Assistance Application in sufficient time to be reviewed and approved by MWRA staff thirty (30) calendar days prior to the proposed funding distribution date and must agree to begin the project within ninety (90) calendar days of execution of the agreement.
The filing of a Financial Assistance Application by a community will not constitute a binding commitment by MWRA to provide financial assistance.