Common use of Claims Payments Clause in Contracts

Claims Payments. NYLCare Mid-Atlantic is solely responsible for making payments for any and all claims for non-capitated Covered Services in cooperation with Doctors Health and otherwise in accordance with the procedures in this Section 3.4. Claims payments to Participating Providers for non-capitated Covered Services, processed and approved strictly in accordance with this Section 3.4, shall be made by NYLCare Mid-Atlantic and then deducted from the compensation due Doctors Health under Section 6.1 of this Agreement subject to all of the conditions set forth in subparagraph 3.4.3 below.

Claims Payments. NYLCare Mid-Atlantic is solely responsible for making payments for any and all claims for non-capitated Covered Services in cooperation with Doctors Health and otherwise in accordance with the procedures in this Section 3.42.16. Claims payments to Participating Providers for non-capitated Covered Services, processed and approved strictly in accordance with this Section 3.42.16, shall be made by NYLCare Mid-Atlantic and then deducted from the compensation due Doctors Health under Section 6.1 2.5 of this Agreement subject to all of the conditions set forth in subparagraph 3.4.3 2.16.3 below.