Non-Standard of Care Medical Procedures and Services Sample Clauses

Non-Standard of Care Medical Procedures and Services. For Medical Procedures or Services that are not within the standard of care for a patient properly enrolled in the Trial, whether the non- standard of care determination is made by Hospital, Clinical Team, or the patient's third party health insurer, Hospital may submit an invoice to Sponsor for Hospital’s or Clinical Team’s usual amount for the Medical Procedure or Service. The invoice shall include original documentation evidencing and certifying that (a) the Medical Procedure or Service is not within the standard of care for the patient; and (b) neither Hospital nor any member of the Clinical Team shall further seek or retain payment for the Medical Procedure or Service from the patient, from a third-party health insurer or from any person or entity other than Sponsor. Subject to the terms and conditions of the Qualifications for Payment provision in Section 7 of this Exhibit C, Sponsor shall pay Hospital and Clinical Team the reasonable and customary amount for each such Medical Procedure or Service up to one hundred percent (100%) of the applicable Medicare Rate for such Medical Procedure or Service. 4.
Sample 1
AutoNDA by SimpleDocs

Related to Non-Standard of Care Medical Procedures and Services

  • Medical Procedures 1. No teacher shall be required to perform any medical procedures (including but not limited to bandaging cuts/abrasions, gastrostomy tube feedings, tracheostomy suctioning and catheterizations) on any student.

  • Information and Services Required of the Owner § 3.1.1 The Owner shall provide information with reasonable promptness, regarding requirements for and limitations on the Project, including a written program which shall set forth the Owner’s objectives, constraints, and criteria, including schedule, space requirements and relationships, flexibility and expandability, special equipment, systems, sustainability and site requirements.

  • Professional Services Warranty Kodak warrants that it shall perform Professional Services in a professional manner using appropriately skilled personnel in accordance with generally accepted industry standards and Kodak’s then current policies and procedures. Subject to the provisions of condition 16.1 Customer’s sole and exclusive remedy under the warranty described in this condition shall be, at Kodak’s option, (1) re-performance of the non-conforming Professional Services, or (2) refund of the amount paid by Customer for the non-conforming Professional Services.

  • LIMITATIONS OF COVERED MEDICAL SERVICES In order to be covered, the Member’s Attending Physician must specifically prescribe such services and such services must be consequent to treatment of the cleft lip or cleft palate.

  • Use of local labour professional services and materials 10. (1) The Company shall, for the purposes of this Agreement —

  • Information and Services 2.1.1 The Owner shall provide full information in a timely manner regarding the requirements of the Project, including the Owner’s objectives, constraints and criteria, space requirements and relationships, flexibility and expandability requirements, special equipment and systems, and site requirements as reasonably requested by Construction Manager in writing.

  • Academic Policies and Student Support Services X. Xxxx College courses offered as dual credit, regardless of where they are taught, follow the same syllabus, course outline, textbook, grading method, and other academic policies and procedures as the courses outlined in the Hill College policy manual, catalog, and student handbook. [TAC 19, Part 1, Chapter 4, Subchapter D, 4.85(g)(1)]

  • Medical Services Plan 10.1.1 Regular Full-Time and Temporary Full-Time Employees shall be entitled to be covered under the Medical Services Plan commencing the first day of the calendar month following the date of employment.

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Human and Financial Resources to Implement Safeguards Requirements 6. The Borrower shall make available necessary budgetary and human resources to fully implement the EMP and the RP.

Time is Money Join Law Insider Premium to draft better contracts faster.