Common use of Form Execution Clause in Contracts

Form Execution. Medical Practice shall execute such forms (and/or shall cause any of Medical Practice’s Providers or other personnel, as necessary, to execute such forms), including, without limitation, assignments and re-assignments, as may be required to permit MMBS to provide the RCM Services on behalf of Medical Practice. Without limiting the foregoing, Medical Practice shall accurately complete all clinical and charge source data and insurance forms and provide such forms to MMBS in a timely manner(but no later than three (3) business days after the applicable patient encounter). Any charge submitted to MMBS by Medical Practice that is missing any of the billing information required by MMBS may be returned by MMBS to Medical Practice.