Electronic Claims Submission Sample Clauses
The Electronic Claims Submission clause establishes the requirement and procedures for submitting claims electronically, rather than through paper or manual processes. Typically, this clause outlines the technical standards, formats, and timelines that must be followed when submitting claims, and may specify the electronic systems or platforms to be used. By mandating electronic submission, the clause streamlines the claims process, reduces administrative burdens, and minimizes errors or delays associated with manual paperwork.
Electronic Claims Submission. Electronic claims submission service includes sending electronic claims in the ANSI 837 format to Company’s Clearinghouse Partners. Company shall charge Client a fee for each electronic claim transaction by all End Users based upon the subscription plan to which Client is subscribed.
Electronic Claims Submission. Electronic claims submission service includes sending electronic claims in Print Image format to Vendor's Clearinghouse Partner. Vendor shall charge Customer a fee for each electronic claim transaction as follows: Price: $0.22 per claim
Electronic Claims Submission. In the event of a systems failure, or a catastrophic event that substantially interferes with the business operations of the physician or Provider, Provider may submit non-electronic claims for the number of calendar days during which substantial interference with business operations occurs as of the date of the catastrophic event or systems failure. Provider shall provide written notice of Provider’s intent to submit non-electronic claims to Company within five calendar days of the catastrophic event or systems failure. TEX. INS. CODE § 1213.002; 28 TEX. ADMIN. CODE §§ 11.901(b)(10) & 21.3701. Provider may submit a request for a waiver of the electronic submission requirements of the Agreement in any of the following circumstances: