Third Party Reimbursement. Except as set forth on Schedule 4.22 of the Disclosure Schedule, complete copies of all third party reimbursement agreements relating to the operation of the Business of the Group Companies (the “Reimbursement Agreements”) that are currently in force have been delivered to Buyer prior to the execution of this Agreement. There are no facts or circumstances that could result in (a) the cancellation or non-renewal of any Reimbursement Agreement (except to the extent provided in a termination “without cause” provision); or (b) any retroactive adjustment by any payor under any Reimbursement Agreement.
Third Party Reimbursement. If any Credit Party is or has been audited by Medicare, Medicaid, TRICARE, CHAMPVA or similar governmental payors, none of such audits provides for adjustments in reimbursable costs or asserts claims for reimbursement or repayment by such Credit Party of costs and/or payments theretofore made by such governmental payor that, if adversely determined, could reasonably be expected to have or result in a Material Adverse Effect.
Third Party Reimbursement a. Provider shall comply with N.C.G.S. § 122C-146, which requires the Provider and Alliance to make every reasonable effort to collect payments from third party payers. Each time a Member receives services Provider shall determine if the Member has third party coverage that covers the service provided. Provider shall report any third party coverage to the appropriate county Department of Social Services (DSS) within five (5) days of obtaining the information from a source other than DSS. Provider shall report any change in county of residence to Alliance.
Third Party Reimbursement a. Contractor will comply with N.C.G.S. §122C-146, which requires the LME/PIHP to make every reasonable effort to collect payments from third party payors. Each time an Enrollee receives services Contractor shall determine if the Enrollee has third party coverage that covers the service provided.
Third Party Reimbursement. In addition to the cancellation fees due under Clauses 4.2 and 4.4, the Client will reimburse the Hotel (on an indemnity basis) for any expenditure incurred in respect of any cancelled Event including (but not limited to) any costs, charges or penalties as a result of having to make consequential cancellation of its own arrangements with third parties in relation to the Event.
Third Party Reimbursement. (a) The Corporation and each of the other Members of the Obligated Group is duly authorized and licensed and certified to operate its Facilities (as hereinafter defined) and receive reimbursement therefor (to the extent reimbursement is applicable and available) under applicable Missouri law. As used herein, “Facilities” means any and all right, title and interest in and to property, plant and equipment of the Corporation, each other Member or such Affiliate.
Third Party Reimbursement. If the Borrower or any other Loan Party is or has been audited by Medicare, Medicaid or similar governmental Third Party Payors, to the knowledge of the Loan Parties, (a) none of such audits provides for adjustments in reimbursable costs or asserts claims for reimbursement or repayment by such Person of costs and/or payments theretofore made by such governmental Third Party Payor that, if adversely determined, individually or in the aggregate, could reasonably be expected to result in material claims against such Person and (b) none of such Persons has had requests or assertions of claims for reimbursement or repayment by it of costs and/or payments heretofore made by any other Third Party Payor that, if adversely determined, individually or in the aggregate, could reasonably be expected to result in material claims against such Person.
Third Party Reimbursement. If any Credit Party is or has been audited by Medicare, Medicaid, CHAMPUS, CHAMPVA or similar governmental Third Party Payors, (i) none of such audits provides for adjustments in reimbursable costs or asserts claims for reimbursement or repayment by such Credit Party of costs and/or payments theretofore made by such governmental Third Party Payor that, if adversely determined, could reasonably be expected to have or result in a Material Adverse Effect and (ii) none of the Credit Parties have had requests or assertions of claims for reimbursement or repayment by it of costs and/or payments heretofore made by any other Third Party Payor that, if adversely determined, could reasonably be expected to have or result in a Material Adverse Effect, except in either case to the extent described on Schedule 4.21.
Third Party Reimbursement. 22 a. CONTRACTOR shall first xxxx other third-party payers for Inpatient, Outpatient and 23 Physician Services, including but not limited to, private insurance, Medicare, Medi-Cal, TB Medi-Cal, 24 CalOptima, and the MSI Program for services provided to eligible Public Health Patients. When billing 25 COUNTY for patients for whom revenue has not been received, CONTRACTOR shall submit to 26 COUNTY a copy of the written denial of payment.
Third Party Reimbursement. If the Borrower, any Subsidiary, any Permitted Joint Venture or any Managed Practice is or has been audited by Medicare, Medicaid, TRICARE, CHAMPVA or similar governmental Third Party Payors, to the Borrower's knowledge, (a) none of such audits provides for adjustments in reimbursable costs or asserts claims for reimbursement or repayment by such Person of costs and/or payments theretofore made by such governmental Third Party Payor that, if adversely determined, individually or in the aggregate, could reasonably be expected to have or result in a Material Adverse Effect and (b) no Managed Practice has had requests or assertions of claims for reimbursement or repayment by it of costs and/or payments heretofore made by any other Third Party Payor that, if adversely determined, individually or in the aggregate, could reasonably be expected to have or result in a Material Adverse Effect.
