AAA Billing Clause Samples

AAA Billing. (a) Payments will be made through the state of Utah, Division of Finance Electronic Funds Transfer (“EFT”) system. (b) The AAA shall ensure it is enrolled in the EFT system by submitting a completed form FI 171 and W-9 form to ▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇, prior to the submission of invoices. Failure to enroll in the EFT system will result in a delay of all payments. (c) Invoices must be submitted using the DHHS invoice form with all required supporting documentation. (d) Invoices must include the service code “AMW” and billing code “4191”. (e) The AAA shall submit itemized monthly invoices for authorized services to ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇ with the following information: (1) payment address, phone number, and signature; (2) contract number; (3) uniquely identifiable invoice number; (4) invoice date; (5) invoice amount; and (6) detailed description of how funds were spent. (f) Invoices not submitted on the DHHS invoice form, submitted without the required information or supporting documentation, or submitted after the stated deadlines may be denied and returned to the AAA for completion.