Payment Responsibility definition

Payment Responsibility means that portion of the cost for medical services that a an individual or member is required to pay and has agreed to pay according to a signed written agreement.
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Payment Responsibility. As result of my voluntary decision to waive any benefits or reimbursement that would otherwise be available through the Medicaid program for this care and treatment, I acknowledge that I am financially responsible for all charges associated with health care services provided by the Center to me (or the patient named below). I understand that payment for services is due at the time services are rendered unless special arrangements are made in advance. Late Cancellations or Missed Appointments: I understand that I am required to provide at least 24 hours advance notice if I (or the patient named below) am unable to keep a scheduled appointment. In the event that I do not provide 24 hours advance notice, I acknowledge that the Center has the right to charge me for the scheduled appointment. If I fail to cancel a scheduled appointment, and do not come to the Center at my (or the patient’s) scheduled appointment time, I understand that the Center will charge me for the scheduled appointment. I agree to pay the Center any late cancellation or missed appointment charges. I fully understand and agree to the Center’s policies and conditions described in this agreement. A copy of this agreement will be made available upon request. Patient Name: Last First Middle Patient/Parent/Guardian Signature: Printed Name: Date/Time:
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Payment Responsibility. Patient understands that he/she is responsible for any portion of the GSO invoice(s) for Services that remains outstanding. Patient agrees to execute any necessary documents to direct all third party benefits and other payments for Services to GSO. The undersigned certifies that he/she has read this entire document and is the patient, or the legal representative of the patient, and accepts, agrees, and understands the above agreement and all of its terms. Patient signature: Time/Date: Witness signature: Time/Date: FINANCIAL, OFFICE POLICY & HIPPA ACKNOWLEDGEMENT 1. I authorize GEORGIA SPINE & ORTHOPAEDICS DBA XXXX X XXXXXXX MD PC to xxxx my insurance carrier and request such payments to be made directly to GEORGIA SPINE & ORTHOPAEDICS DBA XXXX X XXXXXXX MD PC.
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Examples of Payment Responsibility in a sentence

  • Account Requirement, Payment Responsibility, Transferability, Enforceability.

  • Payment Responsibility: Any claim against Xxxxxxx does not alter the distributor’s responsibility to pay invoices when due.

  • Charge Card Payment Responsibility HHS agencies assume no liability for any charges made on any state travel charge card, and use normal voucher procedures to reimburse expenses.

  • Payment Responsibility and Transferability You are liable for the payment of Card transactions authorized by you or your agents.

  • Patient’s initials Payment Responsibility For Non-Covered Services Limited coverage is common among insurance plans.

  • P atient Payment Responsibility for Non-covered Services: In some cases, your insurance may not cover certain services or may have coverage limits in place.

  • Payment Responsibility For Missed Appointments We value our patients and their families and try faithfully to respect your valuable time by scheduling at your convenience.

  • Payment Responsibility • A deposit of $185 for your Consultation is due when you send us your signed Tax Planning Consultation Engagement Agreement and BEFORE our first meeting.

  • Payment Responsibility: LESSEE / LESSOR Signature: The LESSOR and the LESSEE herewith jointly and severally indemnify the Agent, and hold the Agent harmless, against any claim of whatsoever nature which may be made against the Agent for water and electricity cuts, including disconnection of water and electricity as well as load shedding by Eskom.

  • Account Requirement, Payment Responsibility, Transferability, Enforceability .


More Definitions of Payment Responsibility

Payment Responsibility. Xxxxxxxx represents you as the Client. As our Client you agree to be fully responsible for payment for any amounts owed for services rendered by Xxxxxxxx each time a request for documents or services is submitted. In most cases, unless otherwise pre-arranged, Xxxxxxxx will attempt to collect payment from closing agent; however, in the event that we are unsuccessful in such attempts, you agree to pay us in full for services rendered. Investors: It is the Client’s responsibility to provide Xxxxxxxx with investor-specific information or documentation and/or overlays related to investor products and services that may affect how the closing package must be prepared. Please forward investor contact information and web access, along with any specific loan product and investor information to Client Services (xxxxxxxxxxxxxx@xxxxxxxxxx.xxx) so that we may better serve you. Performance and Liability: Xxxxxxxx will perform its contractual duties in a good and workmanlike fashion. Client understands and agrees that Xxxxxxxx’x liability for any losses suffered by Client is strictly limited to the amount of fees charged and collected by Xxxxxxxx. In no event shall Xxxxxxxx be liable to Client in an amount greater than the document preparation or software fee charged and received by Xxxxxxxx on the specific file that is subject to any loss.
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Payment Responsibility means a payment responsibility assumed by anyGroup Company in the ordinary course of its business on behalf of importers or exporters when goods are declared for import or export;
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Related to Payment Responsibility

  • extended producer responsibility ’ (EPR) means responsibility of any producer of packaging products such as plastic, tin, glass, wrappers and corrugated boxes, etc., for environmentally sound management, till end-of-life of the packaging products ;

  • Customer Responsibilities means the responsibilities of the Customer set out in Call Off Schedule 4 (Implementation Plan) and any other responsibilities of the Customer in the Call Off Order Form or agreed in writing between the Parties from time to time in connection with this Call Off Contract;

  • Financial responsibility means the ability to respond in damages for liability thereafter incurred

  • Institutional Responsibilities means an Investigator’s professional responsibilities on behalf of the Institution, including activities such as research, teaching, clinical or other professional practice, academic activities, scholarly events, institutional committee memberships, and service on panels such as Institutional Review Boards or Data and Safety Monitoring Boards.

  • parental responsibility , in relation to a child, means all the duties, powers, responsibilities and authority which, by law, parents have in relation to children.

  • Area of responsibility means the geographical area, as

  • Proof of financial responsibility means proof of ability to respond in damages for liability, on account of accidents occurring after the effective date of the proof, arising out of the ownership, maintenance, or use of a motor vehicle, in the amount of twenty-five thousand dollars because of bodily injury to or death of one person in any one accident, and, subject to the limit for one person, in the amount of fifty thousand dollars because of bodily injury to or death of two or more persons in any one accident, and in the amount of twenty-five thousand dollars because of injury to or destruction of property of others in any one accident.

  • Responsibility means a duty for which a person is accountable by virtue of licensure.

  • Official responsibility means administrative or operating authority, whether intermediate or final, to initiate, approve, disapprove or otherwise affect a procurement transaction, or any claim resulting therefrom.

  • Corporate Social Responsibility means Corporate Social Responsibility (CSR) as defined in Section 135 of the Companies Act, 2013 and Companies Corporate Social Responsibility Policy) Rules, 2014;

  • Technical Support Services means the technical support and maintenance Services provided by us according to our then-current technical support policy and procedure listed at xxxxxxxxxxxxx.xxx (“Technical Support Policy”) when the Services are purchased.

  • Counseling services means services provided by qualified social workers, psychologists, guidance counselors, or other qualified personnel.

  • Support and Maintenance Services means the support and maintenance services described in Section 1 of these Support Terms.

  • Child support services means any civil, criminal or administrative action taken by the Division of

  • Maintenance and Support Services means the services provided by Contractor under Appendix F.

  • Maintenance Services means SAP’s then-current maintenance and/or support services offered under and described in detail in the applicable SAP PartnerEdge Model.

  • Scope of Services or “Scope of Work” means the work to be performed by the Proposer or Consultant as described in Section 2.0 of this RFP, as amended thereto.

  • Emergency medical services personnel means that term as defined in section 20904 of the public health code, 1978 PA 368, MCL 333.20904.

  • Family support services means providing opportunities for

  • Training Services means access to Red Hat training courses, including online courses or courses provided at a site as may be agreed by the parties.

  • Past Response Costs means all costs, including, but not limited to, direct and indirect costs, that the United States paid at or in connection with the Site through [insert date of most recent cost summary], plus Interest on all such costs through such date.]

  • Medical support means providing health care coverage for a joint child by carrying health care coverage for the joint child or by contributing to the cost of health care coverage, public coverage, unreimbursed medical expenses, and uninsured medical expenses of the joint child.

  • Responsible Respondent means a Respondent that has the capability in all material respects to perform the scope of work and specifications of the Contract. In determining whether a Respondent is a Responsible Respondent, the Agency may consider various factors including, but not limited to, the Respondent’s competence and qualifications to provide the goods or services requested, the Respondent’s integrity and reliability, the past performance of the Respondent and the best interest of the Agency and the State.

  • Distribution Services means the service of distribution, as defined in section 5 of the Act;

  • Project Management Report means each report prepared in accordance with Section 4.02 of this Agreement;

  • Transitional Services means services involving technical or specialized knowledge required to complete a project or to provide temporary consulting services to the City.