Verification of Eligibility Sample Clauses

Verification of Eligibility. Subscriber shall have affirmed, by checking the appropriate box on the Investment Information page attached hereto, that Subscriber is qualified to participate in this Offering, meaning that: (i) Subscriber’s investment in Shares does not exceed 10% of the greater of Subscriber’s annual income or net worth, or (ii) Subscriber is an “Accredited Investor” within the meaning of Rule 501 of the Securities Act.
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Verification of Eligibility. XXXXX shall make available to PROVIDER a system for determining eligibility of Members seeking services under benefit programs hereunder. PROVIDER agrees to comply with the eligibility system requirements and to obtain a valid, confirmation of eligibility number prior to rendering services to any Member. To verify eligibility of Member(s) PROVIDER shall call the appropriate toll-free (800/888) number supplied by XXXXX, or access the XXXXX website (xxx.xxxxxxxxxxx.xxx), or receive from Member(s) a valid pre-certified voucher. In order for PROVIDER to receive reimbursement for services rendered to a Member, services must be provided within the timeframe communicated to PROVIDER upon receipt of a confirmation of eligibility number, or upon PROVIDER’s receipt of an extension of the original confirmation of eligibility number. Neither XXXXX nor Plan(s) shall have any obligation to reimburse PROVIDER for any services rendered without a valid confirmation of eligibility number. However, if XXXXX provides erroneous eligibility information to PROVIDER, and if benefits under the program(s) are provided to a Member, XXXXX shall reimburse PROVIDER for any benefits provided to a Member.
Verification of Eligibility. Crescent will contractually require each TPA or Plan to agree to provide a mechanism for Physician to verify a patient’s eligibility as a Member, based on current information held by Payor or Payor’s designee prior to rendering services. Unless otherwise directed by Xxxxx or TPA, Physician may verify the current status of the Member’s eligibility for Covered Services by requesting the Member to present his or her identification card or by contacting Payor or Payor’s designee during normal business hours. So long as Physician substantially complies with such mechanisms, Crescent shall facilitate discussion of mutually agreeable provisions that may be made for cases where incorrect or retroactive information was submitted by employer groups. In addition, Crescent will contractually require Payor not to discontinue coverage for a Member during a confined hospital stay to the extent previously authorized by Payor and consistent with concurrent review procedures. Notwithstanding the foregoing, Physician shall not be required to verify coverage prior to rendering services in an Emergency, and Crescent will use best commercial efforts to require Payors to contractually agree that Physician shall not be denied payment for services rendered in an emergency solely due to Physician’s failure to verify coverage in advance of rendering services. Crescent shall require Payor to contractually agree that Physician shall not be liable to Payor for any refusal or failure to render services to any person for whom coverage cannot be verified in accordance with Payor’s customary administrative procedures.
Verification of Eligibility. As set forth in the Provider Manual, Group and Group Providers shall verify the eligibility of Members and provide services to individuals claiming eligibility but whose name does not appear on Blue Shield’s Eligibility List. Verification of eligibility shall not limit the rights of Blue Shield to retroactively adjust eligibility, as set forth in Paragraph 6.3 of this Agreement.
Verification of Eligibility. PROVIDER shall verify eligibility of Member(s) by calling the appropriate toll-free (800/888) number supplied by XXXXX, or by accessing the XXXXX website (xxx.xxxxxxxxxxx.xxx), or by receiving from Member(s) a valid pre-certified voucher.
Verification of Eligibility. Verify on-line with ESI that the --------------------------- Member submitting the prescription request is eligible for benefits under the Prescription Drug Program. Provider shall require the Member provide a health plan identification number.
Verification of Eligibility. When a candidate for transfer is selected by the principal for the position, the principal must immediately notify the Division of Human Resources to verify the candidate's certification/eligibility for the position.
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Verification of Eligibility. The parties acknowledge that the verification of an individual’s eligibility provided by TPA is only an indication of the enrollment status and benefits at the time of inquiry. Payment of services is contingent upon the confirmation of status at the time of claims processing and upon the terms and conditions of the participant’s certificate as determined by TPA. TPA shall have no liability for payment of benefits shown on the TPA Operating System. Benefits and terms of coverage are only as they exist in the current participant contract as determined by TPA.
Verification of Eligibility. Health Plan shall provide CompCare Member eligibility information received from CMS on at least a weekly basis by either: (a) online data linkage or (b) a data transfer in a format specified by Health Plans and deposited in CompCare’s site as agreed by the parties. The eligibility information shall be prepared and provided to CompCare at Health Plan’s expense. CompCare will process and load into its system the eligibility file within two (2) business days of receipt. CompCare may also access Health Plans’ internet website, InnovaMd, to verify eligibility of Members on an ad hoc basis. CompCare shall treat the information received under this paragraph as confidential and shall not distribute or furnish such information to any other person or entity, except (i) as required by law, (ii) as required to provide the service CompCare is required to provide under this Agreement or to otherwise perform its obligations hereunder, or (iii) as required by Commonwealth or federal law or regulation.
Verification of Eligibility. The Credit Union requires a signed HSA Application at the time of account opening in order to establish eligibility for a Health Savings Account. The Credit Union is not responsible for determining eligibility for a health savings account; it is the sole responsibility of the member/account holder to determine their own eligibility. For Health Savings Accounts the Credit Union requests a beneficiary to be named at the time of opening the account. Your signature on the Account Application authorizes the Credit Union to check your account, employment history, and obtain credit reports from third parties, including credit reporting agencies to verify your eligibility for the accounts and services you request.
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