Common use of Submission of Claims Clause in Contracts

Submission of Claims. Facility Participating Provider shall submit claims for Psychiatric Inpatient Services to North Sound BH-ASO in a manner and format prescribed by North Sound BH-ASO, whether in Protocols or otherwise, and which may be in an electronic format. All information necessary to process the claims must be received by North Sound BH-ASO no more than 90 days from the date of discharge and 90 days from the date all Psychiatric Inpatient services are rendered. Facility Participating Provider agrees that claims received after this time period may be rejected for payment, at North Sound BH-ASO's and/or Payor’s sole discretion. Unless otherwise directed by North Sound BH-ASO, Facility Participating Provider shall submit claims using current UB04 forms, with applicable coding including, but not limited to, ICD9, CPT, Revenue and HCPCS coding. Facility Participating Provider shall include in a claim the Individual’s certification number, HCA per diem Charges for the Services rendered to an Individual during a single instance of service, Facility Participating Provider's Federal Tax I.D. number and/or other identifiers requested by North Sound BH-ASO. Payor shall have the right to make, and Facility Participating Provider shall have the right to request, corrective adjustments to a previous payment; provided however, that Payor shall have no obligation to pay additional amounts after 12 months from the date the initial claim was paid.

Submission of Claims. Facility Participating Provider shall submit claims for Psychiatric Inpatient Services to North Sound BH-ASO in a manner and format prescribed by North Sound BH-ASO, whether in Protocols or otherwise, and which may be in an electronic format. All information necessary to process the claims must be received by North Sound BH-ASO no more than 90 days from the date of discharge and 90 days from the date all Psychiatric Inpatient services are rendered. Facility Participating Provider agrees that claims received after this time period may be rejected for payment, at North Sound BH-ASO's and/or PayorXxxxx’s sole discretion. Unless otherwise directed by North Sound BH-ASO, Facility Participating Provider shall submit claims using current UB04 forms, with applicable coding including, but not limited to, ICD9, CPT, Revenue and HCPCS coding. Facility Participating Provider shall include in a claim the Individual’s certification number, HCA per diem Charges for the Services rendered to an Individual during a single instance of service, Facility Participating Provider's Federal Tax I.D. number and/or other identifiers requested by North Sound BH-ASO. Payor shall have the right to make, and Facility Participating Provider shall have the right to request, corrective adjustments to a previous payment; provided however, that Payor shall have no obligation to pay additional amounts after 12 months from the date the initial claim was paid.

Submission of Claims. Facility Participating Provider shall submit claims for Psychiatric Inpatient Services to North Sound BH-ASO in a manner and format prescribed by North Sound BH-ASO, whether in Protocols or otherwise, and which may be in an electronic format. All information necessary to process the claims must be received by North Sound BH-ASO no more than 90 365 days from the date of discharge and 90 365 days from the date all Psychiatric Inpatient services are rendered. Facility Participating Provider agrees that claims received after this time period may be rejected for payment, at North Sound BH-ASO's and/or Payor’s sole discretion. Unless otherwise directed by North Sound BH-ASO, Facility Participating Provider shall submit claims using current UB04 forms, with applicable coding including, but not limited to, ICD9, CPT, Revenue and HCPCS coding. Facility Participating Provider shall include in a claim the Individual’s certification number, HCA per diem Charges for the Services rendered to an Individual during a single instance of service, Facility Participating Provider's Federal Tax I.D. number and/or other identifiers requested by North Sound BH-ASO. Payor shall have the right to make, and Facility Participating Provider shall have the right to request, corrective adjustments to a previous payment; provided however, that Payor shall have no obligation to pay additional amounts after 12 months from the date the initial claim was paid.

Submission of Claims. Facility Participating Provider shall submit claims for Psychiatric Inpatient Services to North Sound BH-ASO in a manner and format prescribed by North Sound BH-ASO, whether in Protocols or otherwise, and which may be in an electronic format. All information necessary to process the claims must be received by North Sound BH-ASO no more than 90 days from the date of discharge and 90 days from the date all Psychiatric Inpatient services are rendered. Facility Participating Provider agrees that claims received after this time period may be rejected for payment, at North Sound BH-ASO's and/or Payor’s Xxxxx's sole discretion. Unless otherwise directed by North Sound BH-ASO, Facility Participating Provider shall submit claims using current UB04 forms, with applicable coding including, but not limited to, ICD9, CPT, Revenue and HCPCS coding. Facility Participating Provider shall include in a claim the Individual’s 's certification number, HCA per diem Charges for the Services rendered to an Individual during a single instance of service, Facility Participating Provider's Federal Tax I.D. number and/or other identifiers requested by North Sound BH-ASO. Payor shall have the right to make, and Facility Participating Provider shall have the right to request, corrective adjustments to a previous payment; provided however, that Payor shall have no obligation to pay additional amounts after 12 months from the date the initial claim was paid.

Submission of Claims. Facility Participating Provider shall submit claims for Psychiatric Inpatient Services to North Sound BH-ASO in a manner and format prescribed by North Sound BH-ASO, whether in Protocols or otherwise, and which may be in an electronic format. All information necessary to process the claims must be received by North Sound BH-ASO no more than 90 days from the date of discharge and 90 days from the date all Psychiatric Inpatient services are rendered. Facility Participating Provider agrees that claims received after this time period may be rejected for payment, at North Sound BH-ASO's and/or Payor’s Payer's sole discretion. Unless otherwise directed by North Sound BH-ASO, Facility Participating Provider shall submit claims using current UB04 forms, with applicable coding including, but not limited to, ICD9, CPT, Revenue and HCPCS coding. Facility Participating Provider shall include in a claim the Individual’s 's certification number, HCA per diem Charges for the Services rendered to an Individual during a single instance of service, Facility Participating Provider's Federal Tax I.D. number and/or other identifiers requested by North Sound BH-ASO. Payor shall have the right to make, and Facility Participating Provider shall have the right to request, corrective adjustments to a previous payment; provided however, that Payor shall have no obligation to pay additional amounts after 12 months from the date the initial claim was paid.

Submission of Claims. Facility Participating Provider shall submit claims for Psychiatric Inpatient Services to North Sound BH-ASO in a manner and format prescribed by North Sound BH-ASO, whether in Protocols or otherwise, and which may be in an electronic format. All information necessary to process the claims must shall be received by North Sound BH-ASO no more than within 90 days from the date of discharge and 90 days from the date all Psychiatric Inpatient services are renderedrendered but no later than 180 days. Facility Participating Provider agrees that claims received after this time period may be rejected for payment, at North Sound BH-ASO's and/or Payor’s sole discretion. Unless otherwise directed by North Sound BH-ASO, Facility Participating Provider shall submit claims using current UB04 forms, with applicable coding including, but not limited to, ICD9, CPT, Revenue and HCPCS coding. Facility Participating Provider shall include in a claim the Individual’s certification number, HCA per diem Charges for the Services rendered to an Individual during a single instance of service, Facility Participating Provider's Federal Tax I.D. number and/or other identifiers requested by North Sound BH-ASO. Payor shall have the right to make, and Facility Participating Provider shall have the right to request, corrective adjustments to a previous payment; provided however, that Payor shall have no obligation to pay additional amounts after 12 months from the date the initial claim was paid.