Billing Format definition

Billing Format means the format identified by the State in the applicable addendum. Each service must be included in a separate line item and include individual taxes.
Billing Format. CMS 1500 Directory: Yes No UB04 (FQHCs and Facilities only. Clinics must bill using CMS 1500) Please copy this page if necessary, in order to complete for each practice/site location.

Examples of Billing Format in a sentence

  • Contractor shall cure the improper Billing Format and returned a compliant invoice within thirty (30) days of notification by CTS of the improper Billing Format.

  • Invoices that do not contain the proper Billing Format and detail shall be returned unpaid and without penalty to CTS.

  • Approved Billing Format 1.1 LSG Invoice Data Fields – see Advocator System®: Support: Invoice Format.

  • See Truth-In-Billing & Billing Format, 20 F.C.C.R. 6448, 6475-76 (2005) (second report and order, declaratory ruling, and second further notice of proposed rulemaking).

  • FEE & BILLING INFORMATION Billing Format: ☒Lump Sum ☐Hourly, Estimated Fee: Total Fee for Limited Professional Services shall be a lump sum of one- hundred and sixty-seven dollars ($167,000), plus Reimbursable Expenses.

  • FEE & BILLING INFORMATION Billing Format: ☒Lump Sum ☐Hourly, Estimated Fee: Total Fee for Limited Professional Services shall be one-hundred and sixty-seven dollars ($167,000), plus Reimbursable Expenses.