Billing Form definition

Billing Form means the document generated by the Department that acts as a prior authorization, contract, and payment mechanism for services.
View Source
Billing Form means the document generated by the Seniors and People with Disabilities Division that acts as a prior authorization, contract, and payment mechanism for services.
View Source

Examples of Billing Form in a sentence

  • The Final Event Total may not be determined until the day of the Event whereupon the Additional Billing Form will be finalized to reflect any additional services requested and any additional fees incurred in connection with or during the Event.

  • Credit card payments, including applicable fees, will be accepted for incidental items reflected on the Additional Billing Form only.

  • The Parties agree that billing requirements and outputs will be consistent with the Ordering & Billing Form (OBF) and also with Telcordia Technologies Billing Output Specifications (BOS).

  • Any additional mutually agreed upon fees and charges reflected in the Additional Billing Form (Addendum C) shall be due and payable on the day of the Event.

  • Any additional fees incurred in connection with or during the Event reflected on the Additional Billing Form shall be due and payable on the day of the Event.

  • The final event total is comprised of the sum of the Estimated Event Total and additional fees incurred in connection with the Event as reflected in the Event Order (in the form attached hereto as Addendum B) and the Additional Billing Form (attached hereto as Addendum C) (“Final Event Total”).

  • A claim submitted by Provider or its agent to Company or its agent using a HCFA 1500 form or a Uniform Billing Form 92 (UB92), as appropriate, or a successor to either of these forms adopted by the National Uniform Billing Committee or its successor.

  • This time restriction shall be extended for the 799 ED Billing Form, for which the LENDER shall have 180 days to bring an error to the attention of AFSA.

  • All billing claims will consist of the Billing Form and supporting Client Log(s).

  • Each billing claim will consist of the completed Billing Form and the substantiating Client Log(s).

Related to Billing Form

  • Billing involves the provision of appropriate usage data by one Telecommunications Carrier to another to facilitate Customer Billing with attendant acknowledgments and status reports. It also involves the exchange of information between Telecommunications Carriers to process claims and adjustments.

  • Booking Form means the booking form you completed setting out details of your order in respect of the Event;

  • Invoice means a Contractor’s claim for payment. At the Agency’s discretion, claims may be submitted on an original invoice from the Contractor or may be submitted on a claim form accepted by the Agency, such as a General Accounting Expenditure (GAX) form.

  • Billing Statement has the meaning assigned to such term in Section 2.18(g).

  • Calling Name Delivery Service (CNDS) means a service that enables a terminating End User to identify the calling Party by a displayed name before a call is answered. The calling Party’s name is retrieved from a calling name database and delivered to the End User’s premise between the first and second ring for display on compatible End User premises equipment.