Changes to Payment Process Sample Clauses
The "Changes to Payment Process" clause defines the procedures and conditions under which the payment method, schedule, or related terms may be modified during the course of an agreement. Typically, this clause outlines who has the authority to propose changes, the required notice period, and any approvals or documentation needed to implement adjustments. By establishing a clear framework for altering payment arrangements, the clause helps prevent disputes and ensures both parties remain informed and in agreement about how and when payments are to be made.
Changes to Payment Process. (a) Should a need arise to review the routine data requirements, submission formats and/or transmission protocols for processing Fee for Service Accounts, the review must consider, among other things, the efficacy of the modification and the cost to physicians of implementing such a change.
(b) When there are modifications to the routine data requirements, submission formats and/or transmission protocols for processing Fee for Service Accounts, the parties will attempt to reach agreement on the net average cost of implementing these modifications and, if they fail to do so, then the matter shall be determined by the Adjudication Committee and appropriate compensation (including retroactivity) if any, will be provided to the affected physicians.