Medicaid Application. The PROVIDER shall make reasonable documented attempts that uninsured CONSUMERS apply for benefits, including Medicaid, and that PAYOR required Ability to Pay (ATP) forms are completed. The PROIVDER and PAYOR shall cooperate and coordinate efforts as necessary. The PROVIDER shall maintain a record for review by the PAYOR that applications and required forms have been completed. If CONSUMER does not agree to provide information to complete the ATP assessment, the PROVIDER shall bill the CONSUMER for the full amount of the services received but may also direct the CONSUMER to the PAYOR to coordinate the completion of the ATP assessment. PROVIDER agrees to cooperate and provide demographic and insurance information gathered during admission on a case-by-case basis as needed in order to assist the PAYOR in completing the CONSUMERS ATP assessment.
Appears in 3 contracts
Sources: Contractual Agreement, Contractual Agreement, Contractual Agreement
Medicaid Application. The PROVIDER shall make reasonable documented attempts that uninsured CONSUMERS apply for benefits, including Medicaid, and that PAYOR required Ability to Pay (ATP) forms are completed. The PROIVDER and PAYOR shall cooperate and coordinate efforts as necessary. The PROVIDER shall maintain a record for review by the PAYOR that applications and required forms have been completed. If CONSUMER does not agree to provide information to complete the ATP assessment, the PROVIDER shall bill the CONSUMER for the full amount of the services received but may also direct the CONSUMER to the PAYOR to coordinate the completion of the ATP assessment. PROVIDER agrees to cooperate and provide demographic and insurance information gathered during admission on a case-by-case basis as needed in order to assist the PAYOR in completing the CONSUMERS ATP assessment.. PAYOR
Appears in 1 contract
Sources: Contractual Agreement