VERIFICATION OF CLAIMS WITH SOURCE DOCUMENTS Sample Clauses

VERIFICATION OF CLAIMS WITH SOURCE DOCUMENTS. Regardless of whether the Provider employs a Xxxxxx, the Provider agrees to retain personal responsibility for the development, transcription, data entry, and transmittal of all claim information for payment. This includes usual and customary charges for services rendered. The Provider shall also assume personal responsibility for verification of submitted claims with source documents. The Provider/Xxxxxx agrees that no claim shall be submitted until the required source documentation is completed and made readily retrievable in accordance with Medi-Cal statutes and regulations. Failure to make, maintain, or produce source documents shall be cause for immediate suspension of electronic billing privileges.
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VERIFICATION OF CLAIMS WITH SOURCE DOCUMENTS. The Provider agrees to retain personal responsibility for the development, transcription, data entry, and transmittal of all invoice information for payment. The Provider shall also assume personal responsibility for verification of submitted invoices with source documents. The Provider agrees that no invoice shall be submitted until the required source documentation is completed and made readily retrievable in accordance with Medi-Cal statutes and regulations. Failure to make, maintain, or produce source documents shall be cause for immediate termination of electronic billing privileges.
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VERIFICATION OF CLAIMS WITH SOURCE DOCUMENTS. Regardless of whether the Provider employs a Xxxxxx, the Provider agrees to retain personal responsibility for the development, transcription, data entry, and transmittal of all claim information for payment. This includes usual and customary charges for services rendered. The Provider shall also assume personal responsibility for verification of submitted claims with source documents including the original CHDP Pre‑enrollment Application (DHCS 4073) signed by the parent/guardian, when applicable. The Provider/Xxxxxx agrees that no claim shall be submitted until the required source documentation is completed and made readily retrievable in accordance with CHDP program statutes and regulations. Failure to make, maintain, or produce source documents shall be cause for immediate suspension of electronic billing privileges.
Sample 1

Related to VERIFICATION OF CLAIMS WITH SOURCE DOCUMENTS

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OR SOME (Section B) or all of the employees of Contractor and any subcontractor are covered employees. If this box is checked, I further certify that: (1) Contractor has obtained all required criminal history record information regarding its covered employees. None of the covered employees has a disqualifying criminal history. (2) If Contractor receives information that a covered employee subsequently has a reported criminal history, Contractor will immediately remove the covered employee from contract duties and notify the District in writing within 3 business days. (3) Upon request, Contractor will provide the District with the name and any other requested information of covered employees so that the District may obtain criminal history record information on the covered employees. 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