Electronic Remittance Advice Sample Clauses

Electronic Remittance Advice. (“ERA”) means a document containing information pertaining to the disposition of a specific claim for payment of services or supplies rendered to an Individual that a Provider files with DHS on the Individual’s behalf. The documents include, without limitation, information such as the Provider name and address, Individual’s name, date of service, amount billed, amount paid, whether the claim is approved or denied, and if denied, the reason for the denial.
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Electronic Remittance Advice. By execution of this Agreement, I authorize HS1 to receive and process on behalf of Provider, any and all Electronic Remittance Advice transactions which are returned to HS1 from participating health plans. EXHIBIT A BUSINESS ASSOCIATE PROVISIONS This Exhibit sets forth the terms and conditions under which You and/or Us (individually or collectively, as applicable, "Business Associate") will use, disclose and safeguard information provided by You and/or Us (individually or collectively, as applicable, "Covered Entity") that is deemed to be protected health information ("the PHI") or electronic protected health information ("the Electronic PHI") under federal or state law, including but not limited to the regulations promulgated pursuant to the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and the implementing regulations, as amended from time to time, including by certain provisions of the American Recovery and Reinvestment Act of 2009 ("ARRA") referred to individually as the "HIPAA Privacy Regulations", and the "HIPAA Security Regulations" and, collectively, as the "HIPAARegulations".
Sample 1
Electronic Remittance Advice. Electronic remittance advice service includes receiving electronic remittance advice messages from Company’s Clearinghouse Partners in the ANSI 835 format. Company shall charge a fee for each electronic remittance transaction for all End Users based upon the subscription plan to which Client is subscribed
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Electronic Remittance Advice. The Provider Organization acknowledges that signing this Agreement will provide the Organization with access to receive electronic Remittance Advice (ERA) via the Online Provider Portal effective 15 days after receipt of this Agreement. Upon access to the ERA on the Provider Portal a hard copy of the Remittance Advice will no longer be mailed to the Organization. Unauthorized Use The Provider Organization shall be responsible for the actions of the user that has been authorized to use the UHA Online Provider Services Web portal on its behalf. Any misuse of the Online Provider Services information that violates HIPAA Privacy Rules must be pursued and corrective actions taken immediately.
Sample 1
Electronic Remittance Advice. GATEWAY EDI will electronically send to the CLIENT “ERA” files received from payers (when available). The CLIENT agrees to pay GATEWAY EDI $25/200 claims/month for this service. Click ‘n Print Secondary Claims: Provided the CLIENT is currently using GATEWAY EDI’s Electronic Remittance Advice service, Gateway EDI will make ERA information available through the website and CLIENT can put a checkmark next to patients requiring secondary documentation. By choosing to print those check marked patients, a separate page will print for each patient with the ERA payment information as well as a header containing check information for a fee of $0.25/click. Automated Secondary Claims: Provided the CLIENT is currently using GATEWAY EDI’s Electronic Remittance Advice service (not required for COB Pass Thru Secondaries) and CLIENT can send the secondary payer information, Gateway EDI will create secondary claims when necessary, submit them electronically if applicable, or print and mail the secondary claims to the secondary carriers not set up for electronic submission, for a fee of $0.83 per claim. I am interested in receiving more information regarding Gateway EDI’s Credit Card Services from TransFirst. ACH AUTHORIZATION FORM WE OFFER FREE ACH (AUTOMATED CLEARINGHOUSE) SERVICE TO HELP EASE SOME OF YOUR STRESS… Here’s how it works… With Automatic Payment from Gateway EDI LLC your monthly invoices will be paid from your bank account. You will continue to receive your Gateway EDI invoices but instead of writing a check, simply deduct the amount from your bank account. Your bank statement will reflect your payments as a separate transaction, so you’ll always have a record. The Automatic Payment system will take care of transferring the correct payment amount directly from your bank to your Gateway EDI account. There are no late fees or lost checks and your payments are made precisely on an agreed upon date. To activate the Automatic Payment program, complete this blank form and we will take care of the rest. Automatic Payment (ACH) Activation Form Complete all of the following information and FAX or mail along with a voided check. I authorize the financial institution named to charge my (name of bank your office uses) Checking or Share Draft Account Savings Account (not passbook) Name of Bank Account Holder Bank Account Number ABA/Routing Number And remit payment for my Gateway EDI, LLC invoices to: Gateway EDI, LLC, Midwest BankCentre, ACH account Monthly to begin mm/yy ...
Sample 1
Electronic Remittance Advice. (ERA) Authorization Agreement - 835 Health Care Claim Payment/Advice Please note that it is necessary to complete Article VIII to enroll providers for an ERA/835 Health Care Claim Payment/Advice. In accordance with ACA Section 1104, in the required “Other Identifiers” field below, the Trading Partner must list the AVRS ID in the field labeled “Trading Partner ID” in the Other Identifiers section. The AVRS ID uniquely identifies each provider. Each AVRS ID is nine digits and can be found in the “Provider Welcome Letter” issued upon a provider’s successful enrollment into the Connecticut Medical Assistance Program.
Sample 1

Related to Electronic Remittance Advice

  • Electronic Visit Verification ("EVV Provider shall cooperate with State requirements for electronic visit verification for personal care services and home health services, as applicable.

  • Electronic Access Access by the Customer to certain systems, applications or products of Bank shall be governed by this Agreement and the terms and conditions set forth in Annex A Electronic Access.

  • Electronic Record Search The Reporting Financial Institution must review electronically searchable data maintained by them for any of the following indicia:

  • Electronic Execution; Electronic Records; Counterparts This Agreement, any Loan Document and any other Communication, including Communications required to be in writing, may be in the form of an Electronic Record and may be executed using Electronic Signatures. Each of the Borrowers and each of the Administrative Agent and each Credit Party agrees that any Electronic Signature on or associated with any Communication shall be valid and binding on such Person to the same extent as a manual, original signature, and that any Communication entered into by Electronic Signature, will constitute the legal, valid and binding obligation of such Person enforceable against such Person in accordance with the terms thereof to the same extent as if a manually executed original signature was delivered. Any Communication may be executed in as many counterparts as necessary or convenient, including both paper and electronic counterparts, but all such counterparts are one and the same Communication. For the avoidance of doubt, the authorization under this paragraph may include, without limitation, use or acceptance of a manually signed paper Communication which has been converted into electronic form (such as scanned into .pdf format), or an electronically signed Communication converted into another format, for transmission, delivery and/or retention. The Administrative Agent and each of the Credit Parties may, at its option, create one or more copies of any Communication in the form of an imaged Electronic Record (“Electronic Copy”), which shall be deemed created in the ordinary course of such Person’s business, and destroy the original paper document. All Communications in the form of an Electronic Record, including an Electronic Copy, shall be considered an original for all purposes, and shall have the same legal effect, validity and enforceability as a paper record. Notwithstanding anything contained herein to the contrary, neither the Administrative Agent, the L/C Issuers nor Swing Line Lender is under any obligation to accept an Electronic Signature in any form or in any format unless expressly agreed to by such Person pursuant to procedures approved by it; provided, further, without limiting the foregoing, (a) to the extent the Administrative Agent, L/C Issuers and/or Swing Line Lender has agreed to accept such Electronic Signature, the Administrative Agent and each of the Credit Parties shall be entitled to rely on any such Electronic Signature purportedly given by or on behalf of any Borrower and/or any Credit Party without further verification and (b) upon the request of the Administrative Agent or any Credit Party, any Electronic Signature shall be promptly followed by such manually executed counterpart. Neither the Administrative Agent, L/C Issuers nor Swing Line Lender shall be responsible for or have any duty to ascertain or inquire into the sufficiency, validity, enforceability, effectiveness or genuineness of any Loan Document or any other agreement, instrument or document (including, for the avoidance of doubt, in connection with the Administrative Agent’s, L/C Issuers’ or Swing Line Lender’s reliance on any Electronic Signature transmitted by telecopy, emailed .pdf or any other electronic means). The Administrative Agent, L/C Issuers and Swing Line Lender shall be entitled to rely on, and shall incur no liability under or in respect of this Agreement or any other Loan Document by acting upon, any Communication (which writing may be a fax, any electronic message, Internet or intranet website posting or other distribution or signed using an Electronic Signature) or any statement made to it orally or by telephone and reasonably believed by it to be genuine and signed or sent or otherwise authenticated (whether or not such Person in fact meets the requirements set forth in the Loan Documents for being the maker thereof). Each of the Borrowers and each Credit Party hereby waives (i) any argument, defense or right to contest the legal effect, validity or enforceability of this Agreement and any other Loan Document based solely on the lack of paper original copies of this Agreement and/or such other Loan Document, and (ii) any claim against the Administrative Agent, each Credit Party and each Related Party for any liabilities arising solely from the Administrative Agent’s and/or any Credit Party’s reliance on or use of Electronic Signatures, including any liabilities arising as a result of the failure of the Borrowers to use any available security measures in connection with the execution, delivery or transmission of any Electronic Signature.

  • Electronic Records You acknowledge and agree that we may in our discretion store all records electronically; and that we will not retain and have no obligation to retain any original documents for any period of time. This applies to all documentation including but not limited to checks, transaction records, notes, mortgages, deeds of trust and other loan and/or security documentation. We will routinely destroy all original documentation. We may store records electronically via imaging, scanning, filming or other technology used in the financial services industry for the storage of documentation via internal processes or third-party processors that we approve for these services. You agree that such storage shall be secure, and further agree that such records shall for all purposes be recognized and admissible in evidence or otherwise to prove the agreements, rights and obligations of the parties pursuant to any such records.

  • Electronic Payments The Grantee can choose to use electronic funds transfer (EFT) to receive grant payments. All grantees wishing to receive their award through EFT must submit a Vendor Direct Deposit Authorization form (form number DFS-AI-26E, rev 6/2014), incorporated by reference, to the Florida Department of Financial Services. If EFT has already been set up for your organization, you do not need to submit another authorization form unless you have changed bank accounts. To download this form visit xxxxxxxxxxxx.xxx/Xxxxxxxx/XX/Xxxxx/XXX-X0-00X.xxx. The form also includes tools and information that allow you to check on payments.

  • ELECTRONIC SUBMISSIONS Concessionaire must have the capacity to send and receive electronic submissions and communications as a pre-condition and continuing requirement of this Agreement. For purposes of this Agreement, “Electronic Submissions” shall only include the transmission of documents by email. Concessionaire shall comply with the following terms and conditions:

  • Electronic Re-presented Checks If you write a check on a personal account that we return unpaid because of insufficient or uncollected funds, payee or any subsequent holder of the check may re-present the check to us, through an electronic instruction ("Electronic Re-presented Check") to charge your account for the amount of the check. If we receive an electronic re-presented check, we will pay or return the electronic re-presented check as if the original paper check was presented to us. Any collection fee you authorize the merchant to debit from your account is an electronic funds transfer subject to the terms of the Electronic Funds Transfer Agreement. If you want to reverse an electronic re-presented check, you must give us an affidavit within fifteen (15) days after we send or make available to you the periodic statement that reflects payment of that electronic re-presented check. In your affidavit, you must declare and swear under oath that the electronic re-presented check was ineligible or unauthorized. If we receive a proper notice of affidavit from you within the 15-day period, we will recredit your account with the amount of the charge. If you wish to stop payment of any electronic re-presented check, you must follow the procedures for stopping payment of checks, not the procedures for stopping payment on electronic loan or bill payments. If you ask us to request the depositor's bank to send us the original paper check or a copy of the paper check, and we provide it to you, you agree that you will not seek to have your account re-credited due to a prior stop payment order or if the item is otherwise ineligible for collection.

  • Electronic Invoicing (eInvoicing The Contractor may supply electronic invoices in lieu of paper-based invoices for those transactions processed through MFMP. Contractor may establish electronic invoicing within ninety (90) days of written request to the Department. Electronic invoices shall be submitted to the Customer through the Ariba Network (AN) in one of three mechanisms as listed below. The Contractor will work with the MFMP management team to obtain specific requirements for the eInvoicing.

  • Electronic Payment The Debt Collection Improvement Act of 1996 requires that all payments except IRS tax refunds be made by Electronic Funds Transfer. It is the policy of the Nuclear Regulatory Commission to pay vendors by the Automated Clearing House (ACH) electronic funds transfer payment system. The electronic system is known as Vendor Express. Payment shall be made in accordance with FAR 52.232-33, entitled "Mandatory Information for Electronic Funds Transfer Payment" . To receive payment, the contractor shall complete the "Company Information" portion of the Standard Form 3881, entitled "ACH Vendor/Miscellaneous Payment Enrollment Form" found as an attachment to this document. The contractor shall take the form to the ACH Coordinator at the financial institution that maintains its company's bank account. The contractor shall discuss with the ACH Coordinator how the payment identification information (addendum record) will be passed to them once the payment is received by the financial institution. Further information concerning the addendum is provided at Attachment 2. The ACN Coordinator should fill out the "Financial Institution Information" portion of the form and return it to the Office of the Controller at the following address: Nuclear Regulatory Commission, Division of Accounting and Finance, Financial Operations Section, Mail Stop T-9-H-4, Washington, DC 20555, ATTN: ACH/Vendor Express. It is the responsibility of the contractor to ensure that the financial institution returns the completed form to the above cited NRC address. If the contractor can provide the financial information, signature of the financial institutions ACH Coordinator is not required. The NRC is under no obligation to send reminders. Only after the Office of the Controller has processed the contractor's sign-up form will the contractor be eligible to receive payments. Once electronic funds transfer is established for payments authorized by NRC, the contractor needs to submit an additional SF 3881 only to report changes to the information supplied. Questions concerning ACH/Vendor Express should be directed to the Financial Operations staff at (000) 000-0000."

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