Common use of Billing and Reimbursement Clause in Contracts

Billing and Reimbursement. 1. It is the CONTRACTOR’s responsibility to verify the Enrollee’s Medicaid coverage prior to submitting claims to the LME/PIHP. If an individual presents for services who is not eligible for Medicaid and the CONTRACTOR reasonably believes that the individual meets Medicaid financial eligibility requirements, CONTRACTOR shall offer to assist the Enrollee in applying for Medicaid.

Billing and Reimbursement. 1. It is the CONTRACTOR’s responsibility to verify the Enrollee’s Medicaid coverage prior to submitting claims to the LME/PIHP. If an individual presents for services who is not eligible for Medicaid and the CONTRACTOR reasonably believes that the individual meets Medicaid financial eligibility requirements, CONTRACTOR shall offer to assist the Enrollee individual in applying for Medicaid.

Billing and Reimbursement. 1. It is the CONTRACTORContractor’s responsibility to verify the Enrollee’s Medicaid coverage prior to submitting claims to the LME/PIHP. If an individual presents for services who is not eligible for Medicaid and the CONTRACTOR Contractor reasonably believes that the individual meets Medicaid financial eligibility requirements, CONTRACTOR Contractor shall offer to assist the Enrollee in applying for Medicaid.

Billing and Reimbursement. 1. It is the CONTRACTORContractor’s responsibility to verify the Enrollee’s Medicaid coverage prior to submitting claims to the LME/PIHP. If an individual presents for services who is not eligible for Medicaid and the CONTRACTOR Contractor reasonably believes that the individual meets Medicaid financial eligibility requirements, CONTRACTOR Contractor shall offer to assist the Enrollee individual in applying for Medicaid.