Billing Generally Sample Clauses
Billing Generally. Supplier shall confirm that billing to Eligible Customers will be provided by ComEd under a consolidated billing format pursuant to "Rider PORCB – Purchase of Receivables and Consolidated Billing," and pursuant to the Requirements of Law. The Municipality acknowledges and agrees that ComEd will bill Participating Customers for the Price of the Full-Requirements Electricity Supply as part of its billing for the distribution of such supply, and that the Supplier shall not be responsible for billing Participating Customers
Billing Generally. The Contractor and its Subcontracted Providers shall submit claims or encounters for covered services, in accordance with ADHS/DBHS/CPSA Provider Manual, Section 6.1, Submitting Claims and Encounters
Billing Generally. CGC shall invoice the Company: (i) for the Management and Services Fee, on a monthly basis in advance on the first day of each fiscal month of the Company and (ii) for Third Party Services and for any Insurance Coverage provided to the Company, upon or reasonably prior to the payment by CGC of such costs or insurance premiums (such invoice to include the approximate date when CGC intends to pay (or accrue) such costs or insurance premiums).
Billing Generally. The Contractor, by such means and in such format as may be specified by the RBHA and/or ADHS, shall submit claims/encounters to the Fiscal Agent for covered services delivered to members within the terms and provisions of this Subcontract. Such claims, assuming their timeliness and conformity with appropriate service authorization, shall be valued by the Fiscal Agent. Initial claims/encounters for covered services shall be submitted to the RBHA within forty-five (45) calendar days from the end of month during which services were provided. Initial claims/encounters involving Third Party Liability (TPL) must be submitted within thirty (30) days of the TPL EOB or EOMB. Initial claims/encounters involving a 24-hour facility must be submitted within 60 calendar days from the end of month during which services were provided. The resubmission process for denied claims / encounters must be completed within forty-five (45) days from the date the Contractor is notified of denied claims/encounters. The Contractor shall ensure that 90% of clean claims submitted by its Subcontractors are adjudicated in the Contractor's claims system and paid within thirty (30) days from the time a clean claim is received. The Contractor shall ensure that 100% of clean claims are adjudicated in the Contractor's claims system and paid within 100 days from the time a clean claim is received unless an appeal has been filed. The Contractor shall comply with these reimbursement time lines regardless of the Contractor receiving payment from the RBHA. Contractor shall distribute an appropriate Explanation of Benefits (EOB) statement with all payments to its Subcontractors. In no event shall the RBHA be responsible for compensating a Subcontracted Provider who provides services requested by the Contractor. Final Sep 30-02 Effective 7-01 -02 Page 23 -------------------------------------------------------------------------------- [LOGO] Community Partnership SUBCONTRACT AGREEMENT of Southern Arizona COMPREHENSIVE SERVICE NETWORK Regional Behavioral The Providence Service Corporation Health Authority AMENDMENT #6 ------------------------------------------------- CONTRACT NUMBER: A0108 FY 02/03 -------------------------------------------------------------------------------- The Contractor's obligation to pay for Covered Services authorized by the Contractor under this Subcontract survives the termination or expiration of this Subcontract. Professional claims/encounters shall be submitted using the ...