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.
Sample 1Sample 2
Third Party Payers means any person authorized to transact health insurance or to engage in the business of a health service corporation in this State.
Sample 1Sample 2Sample 3
Third Party Payers means, collectively, the Entities that pay or reimburse the Debtors for services rendered to a third party.
Sample 1Sample 2Sample 3

Examples of Third Party Payers in a sentence

  • 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.

  • 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.

  • Under no circumstances will Third Party Payers include any fee-for-service State Medicaid.

  • Credit Card Authorization I Date of Birth authorize JNG Health Network to charge my credit card, medical charge card, or debit card, in order to facilitate payment for the cost of my mental health service or the mental health service of my child, whose name is and those not covered by Insurance or Other Third Party Payers, and the cost of co-payments, no-show/cancellation fee, share-cost, co- insurance, or deductibles, just prior to initiating the service.

  • 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.

  • 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.

  • 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).


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 1.2
Sample 1

Related to Third Party Payers

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

  • Third Party Payor means any governmental entity, insurance company, health maintenance organization, professional provider organization or similar entity that is obligated to make payments on any Account.

  • 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.

  • Third Party Payor Programs means all third party payor programs in which Tenant presently or in the future may participate, including, without limitation, Medicare, Medicaid, CHAMPUS, Blue Cross and/or Blue Shield, Managed Care Plans, other private insurance programs and employee assistance programs.

  • Third Party Products means the Third Party Software and Third Party Hardware.

  • Third Party Product means a product (whether hardware, software or services) supplied to you by a third party;

  • Third Party Providers or “TPPs” means any payment service provider that provides payment services to you or someone else that concerns the Account, for example, an AISP (described in Clause 1(c) below).

  • Third Party Provider means licensors, subcontractors and suppliers of BNYM furnishing the Third Party Products.

  • Third Party Data has the meaning set forth in Section 9.3(a).

  • Third Party Vendor means any person or entity that provides SaaS, third party software and/or related intellectual property. “Work” means any additional work the Customer requests Singtel to perform in relation to the Service.

  • Third Party means a provider of digital educational software or services, including cloud- based services, for the digital storage, management, and retrieval of Education Records and/or Student Data, as that term is used in some state statutes. However, for the purpose of this DPA, the term “Third Party” when used to indicate the provider of digital educational software or services is replaced by the term “Provider.” EXHIBIT “D” DIRECTIVE FOR DISPOSITION OF DATA Provider to dispose of data obtained by Provider pursuant to the terms of the Service Agreement between LEA and Provider. The terms of the Disposition are set forth below:

  • Third Party IPR means any Intellectual Property Rights not belonging to either party to this Agreement but used by the Supplier in the creation of the Deliverables and/or in the course of or in connection with the Project.

  • Third Party IP means the Intellectual Property Rights of any third party that is not a party to this Contract, and that is not a Subcontractor.

  • Third Party Royalties means any royalties or license fees owing to a Third Party attributable to the manufacture, use or sale of Products and in consideration of a license under any patent which such Product would otherwise infringe.

  • Third Party(ies) means a person or entity who or which is neither a Party nor an Affiliate of a Party.

  • Third Party Licensor means the relevant licensor of any Third Party Data or any Third Party Trade Xxxx;

  • Nonaffiliated third party means any person except:

  • Third Party Items means Third Party Content and Third Party Products.

  • Third-Party Service means any service or product offered by a party that is not Company.

  • Third Party Service Providers means any third party wherever situated selected by us or any member of the BEA Group to provide services to it.

  • Third Party Service Provider means any consultant, agent, advisor, or independent contractor who renders services to the Company, a Subsidiary, or an Affiliate that (a) are not in connection with the offer and sale of the Company’s securities in a capital raising transaction, and (b) do not directly or indirectly promote or maintain a market for the Company’s securities.

  • Third Party License means licenses from third parties governing third party software embedded or used in the Trading Platform.

  • Third-party logistics provider means a person that provides or coordinates warehousing of or other logistics services for a drug or device in interstate commerce on behalf of a manufacturer, wholesale distributor, or dispenser of the drug or device but does not take ownership of the product or have responsibility for directing the sale or disposition of the product.

  • Third Party Manufacturer means (i) a Third Party whose primary business is contract manufacturing, or (ii) a Third Party who has a contractual arrangement with Licensee or with a sublicensee of Licensee that includes manufacturing of Client Product and/or Drug Product by such Third Party for Licensee or such sublicensee.