Disclosure of Claims Processing Information Sample Clauses

Disclosure of Claims Processing Information. 3.2.1 Upon the Provider’s request, the MCO will provide information to assist the Provider in determining that he or she is being compensated in accordance with this Agreement. The information will provide a level of detail sufficient to enable a reasonable person with sufficient training, experience and competence in claims processing to determine the payment to be made to the Provider for Covered Services rendered pursuant to this Agreement. The information will include a summary and explanation of the payment and reimbursement methodologies that the MCO will use to pay Clean Claims submitted by the Provider, including but not limited to fee schedules, coding methodologies, bundling processes, downcoding policies, descriptions of any other applicable policy or procedure used by the MCO that may affect payment to the Provider, and any addenda, schedules, exhibits or policies used by the MCO in carrying out the payment of Clean Claims submitted by the Provider. If source information outside the control of the MCO, such as State Medicaid or federal Medicare fee schedules, is the basis for fee computation under this Agreement, the MCO will identify such source and explain the procedures by which the Provider may readily access the source electronically, telephonically, or as otherwise agree to be the parties.
Sample 1
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Related to Disclosure of Claims Processing Information

  • Disclosure of Account Information to Third Parties It is our general policy to treat your account information as confidential. However, we will disclose information to third parties about your account or the transactions you make in the following situations pursuant to our Privacy Policy (as further described in Section 10 (Your Privacy) of the General Terms), in addition to the circumstances set forth in Section 20 of the General Terms (Information Authorization):

  • Disclosure of Account Information We may disclose information to third parties about Your Account or transfers You make: (1) when it is necessary to complete an electronic transaction; or (2) in order to verify the existence and conditions of Your Account for a third party such as a credit bureau or merchant; or (3) in order to comply with a government agency or court order, or any legal process; or (4) if You give Us written permission.

  • DISCLOSURE OF FINANCIAL INFORMATION 26.1 The Customer represents and warrants that the financial information disclosed to us in his/its Application is an accurate representation of the Customer’s current financial condition.

  • Billing Information 6.1 NLT and the RL shall provide each other with information within their possession that is necessary to allow them to provide accurate and timely billing to each other and to any other relevant third parties.

  • DISCLOSURE OF CUSTOMER INFORMATION XXXXX.xxx will not share or sell information regarding its customers and/or prospective customers, except to its employees, agents, partners, and associates as required in the ordinary course of XXXXX.xxx’s business conducted on behalf of customers, including, but not limited to, XXXXX.xxx’s banking or credit relationships in accordance with XXXXX.xxx’s privacy policy. XXXXX.xxx may also disclose to federal or state regulatory agencies and law enforcement authorities’ information regarding Customer and Customer’s transactions in response to a request for such information or in response to a court order or subpoena. To read XXXXX.xxx’s entire privacy policy, please visit: xxx.xxxxx.xxx/xx-xx/xxxxx-xxx-xxxxxxxx/xxxxxxx-xxxxxx/

  • Exclusions from Confidential Information Receiving Party's obligations under this Agreement do not extend to information that is: (a) publicly known at the time of disclosure or subsequently becomes publicly known through no fault of the Receiving Party; (b) discovered or created by the Receiving Party before disclosure by Disclosing Party; (c) learned by the Receiving Party through legitimate means other than from the Disclosing Party or Disclosing Party's representatives; or (d) is disclosed by Receiving Party with Disclosing Party's prior written approval.

  • Updating information You must tell us promptly if information you have provided to us changes, including if your billing address changes or if your use of energy changes (for example, if you start running a business at the premises).

  • Program Information The Heritage Greece Program is generally described in the literature provided to the Student and available online at: xxxx://xxx.xxx.xxx. It is understood and agreed that the information contained therein is descriptive only and may be changed in the discretion of ACG which reserves the right to make Program changes at any time and for any reason, with or without notice. ACG and/or the Sponsor shall not be liable to the Student because of any such change. ACG reserves all rights, in its sole discre tion, to cancel the Program or any aspect thereof prior to or after departure, and in the case of cancellation after departure, to require the Student to return to the United States, if ACG determines or believes it is in the best interests of the Student.

  • Budget Information Funding Source Funding Year of Appropriation Budget List Number Amount EPIC 18-19 301.001F $500,000 EPIC 20-21 301.001H $500,000 R&D Program Area: EDMFO: EDMF TOTAL: $ 1,000,000 Explanation for “Other” selection Reimbursement Contract #: Federal Agreement #:

  • Disclosure of Confidential Information Any Finance Party may disclose:

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