Payment for Healthcare Services Sample Clauses

Payment for Healthcare Services on behalf of the Select Patient by the Authority
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Payment for Healthcare Services. You agree to pay all applicable charges at the prices then in effect for the Cue Care Services provided to you or your minor dependents. You will be charged for the Medical Group’s telehealth services you receive through the Cue Care Services and any applicable delivery, technology or other fees associated with your use of the Cue Care Services. You authorize Cue to charge your chosen payment method (your "Payment Method") for the Cue Care Services provided to you or your minor dependent. If your Payment Method is invalid at the time payment is due, you agree to pay all amounts due upon demand. Cue reserves the right to correct any billing errors or mistakes even if payment has already been requested or received. Charges for Cue Care Services are independent of any additional services and charges, such as the cost of prescriptions.
Payment for Healthcare Services. You may contact the Health Advocacy Unit of Maryland’s Consumer Protection Division at: Health Education and Advocacy Unit Consumer Protection Division Office of the Attorney General 000 Xx. Xxxx Xxxxx, 16th Floor Baltimore, Maryland 21202 000-000-0000 or 0-000-000-0000 (toll-free) Fax 000-000-0000 xxx.xxxx@xxx.xxxxx.xx.xx With the written consent of a Covered Employee and/or Dependent(s) or Health Care Provider the period of time for making a final decision may be extended for a period of no longer than thirty (30) working days. In the case of a non-emergency Grievance, oral communication will be made within 24 hours after decision has been made. The PLAN will document in writing any Grievance Decision that has been orally communicated to the Covered Employee and/or Dependent(s) or Health Care Provider within five (5) working days after the decision has been made. A notice will be sent to the Covered Employee and/or Dependent(s) and any Health Care Provider who filed a Grievance on behalf of the Covered Employee and/or Dependent(s). A Complaint may be filed if the Covered Employee and/or Dependent(s) or Health Care Provider filing a Grievance on behalf of the Covered Employee and/or Dependent(s) has not received a Grievance Decision on or before the 30th working day after the Filing Date of the Grievance concerning services not yet rendered, or the forty-fifth (45) working day for a retrospective denial, unless the Covered Employee and/or Dependent or Health Care Provider filing a Grievance on behalf of a Covered Employee and/or Dependent agrees in writing to an extension for a period of no longer than 30 working days. A Covered Employee and/or Dependent or a Health Care Provider filing a Complaint on behalf of a Covered Employee and/or Dependent may file a Complaint with the Commissioner without first filing a Grievance with the PLAN and receiving a final decision on the Grievance if the Covered Employee and/or Dependent or a Health Care Provider provides sufficient information and supporting documentation in the Complaint that demonstrates a compelling reason to do so. This notice will state in detail in clear, understandable language the specific factual basis for the PLAN’s decision; reference the specific criteria and standards, including interpretive guidelines, on which the decision was based, and may not use only generalized terms such as “experimental procedure not covered,” “cosmetic procedure not covered,” “service included under another proced...
Payment for Healthcare Services. During the term of this Agreement, HMO shall pay CCPN, CCPN Physicians and CCPN Participating Providers monthly capitation and fee-for-service payments in accordance with the provisions set forth in Attachment A for all Covered Health Services arranged for or provided to Members.
Payment for Healthcare Services on behalf of Select Patient by Insurers or the Government Instrumentality (a) TheSubject to Clause 22.10, the Select Patients enrolled under the Government Health Scheme will be entitled to obtain Healthcare Services covered under the Government Health Scheme from the Hospital, in accordance with the procedure and coverage specified in the Government Health Scheme. For the avoidance of doubt, the Parties expressly agree that the Hospital shall be eligible for reimbursement under the Government Health Scheme but the beneficiaries covered under the Government Health Schemes shall have no obligation to use the Healthcare Services at the Hospital.
Payment for Healthcare Services. Charges for Cue Care Services include the costs for an independent physician or nurse practitioner to review your information, communicate with You via a telehealth consultation through the Cue Health App, telephone, or web application, and determine your treatment options. Your payment may also include additional fees for other services such as delivery services and other administrative and operational support. You agree to pay all applicable charges at the prices then in effect for the Cue Care Services provided to you or your minor dependents. You will be charged for the Medical Group’s telehealth services you receive through the Cue Care Services and any applicable delivery, technology or other fees associated with your use of the Cue Care Services. You authorize Cue to charge your chosen payment method (your "Payment Method") for the Cue Care Services provided to you or your minor dependent. If your Payment Method is invalid at the time payment is due, you agree to pay all amounts due upon demand. Cue reserves the right to correct any billing errors or mistakes even if payment has already been requested or received. Charges for Cue Care Services are independent of any additional services and charges, such as the cost of prescriptions.

Related to Payment for Healthcare Services

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Core Services The Company agrees to provide those Core Services to the Municipality as set forth in Schedule “A” and further agrees to the process contained in Schedule “A”.

  • Educational Services Any service or supply for education, training or retraining services or testing including: special education, remedial education; cognitive remediation; wilderness/outdoor treatment, therapy or adventure programs (whether or not the program is part of a Residential Treatment facility or otherwise licensed institution); job training or job hardening programs; educational services and schooling or any such related or similar program including therapeutic programs within a school setting.

  • Vision Care Services For purposes of coordination of benefits, vision care services covered under other plans are not considered an allowable expense, as defined in the Coordination of Benefits and Subrogation in Section 7.

  • Legal Services If this Agreement is for legal services, this section is applicable. Contractor shall: (i) adhere to legal cost and billing guidelines designated by the JBE; (ii) adhere to litigation plans designated by the JBE, if applicable; (iii) adhere to case phasing of activities designated by the JBE, if applicable; (iv) submit and adhere to legal budgets as designated by the JBE; (v) maintain legal malpractice insurance in an amount not less than the amount designated by the JBE; and (vi) submit to legal bill audits and law firm audits if so requested by the JBE, whether conducted by employees or designees of the JBE or by any legal cost-control provider retained by the JBE for that purpose. Contractor may be required to submit to a legal cost and utilization review as determined by the JBE. If (a) the Contract Amount is greater than $50,000, (b) the legal services are not the legal representation of low- or middle-income persons, in either civil, criminal, or administrative matters, and (c) the legal services are to be performed within California, then Contractor agrees to make a good faith effort to provide a minimum number of hours of pro xxxx legal services, or an equivalent amount of financial contributions to qualified legal services projects and support centers, as defined in section 6213 of the Business and Professions Code, during each year of the Agreement equal to the lesser of either (A) thirty (30) multiplied by the number of full time attorneys in the firm’s offices in California, with the number of hours prorated on an actual day basis for any period of less than a full year or (B) the number of hours equal to ten percent (10%) of the Contract Amount divided by the average billing rate of the firm. Failure to make a good faith effort may be cause for nonrenewal of this Agreement or another judicial branch or other state contract for legal services, and may be taken into account when determining the award of future contracts with a Judicial Branch Entity for legal services.

  • Software Services If elected by Customer, the following Software Services will be made available for Customer’s use.

  • Marketing Services The Manager shall provide advice and assistance in the marketing of the Vessels, including the identification of potential customers, identification of Vessels available for charter opportunities and preparation of bids.

  • 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.

  • Verizon OSS Services Access to Verizon Operations Support Systems functions. The term “Verizon OSS Services” includes, but is not limited to: (a) Verizon’s provision of Reconex Usage Information to Reconex pursuant to Section 8.1.3 below; and, (b) “Verizon OSS Information”, as defined in Section 8.1.4 below.

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