Payer Agreement definition

Payer Agreement means a contract between a Payer and a Participant and/or Provider/Supplier which sets forth the health care benefits a Covered Person is entitled to receive and the terms and conditions upon which the Payer will pay the Participant and/or Provider/Supplier in connection with the provision of Covered Services. The term Payer Agreement includes all coverage, payment and other requirements applicable to the Medicare program, Parts A and B, but it does not include Program Agreements.
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Payer Agreement means the contract between a Payer and IPA.
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Payer Agreement means a contract between a Payer and a Participant that sets forth the health care benefits a covered person is entitled to receive and the terms and conditions upon which the Payer will pay the Participant for the provision of covered health care services.
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Examples of Payer Agreement in a sentence

  • Regional Planning Guidance for the North West indicates that greenfield sites should be accorded a lower priority within the sequential approach to meeting development needs.

  • You must also immediately notify CIN in the event of suspension or other termination of any such Payer Agreement.

  • Except as expressly agreed in writing by CIN, each Payer has full and final responsibility and liability for payment of claims under an applicable Payer Agreement.

  • Physician agrees to make available and provide Covered Services to Covered Persons pursuant to the terms of any Payer Agreement accepted by Physician in accordance with Section 4.1 of this Agreement in the same manner, in accordance with the same standards, and within the same time availability as offered to all of Physician’s other patients.

  • If You do not elect to terminate this Agreement, any Payer Agreement negotiated by CIN will supersede any individual Payer Agreements You have previously entered into with the designated Payer.

  • Physician will submit a Clean Claim for Covered Services rendered to Covered Persons to the applicable Payor or its designated representative as required in the Payer Agreement.

  • Consistent with such policies and agreements, IPA shall notify Physician at least thirty (30) days in advance of the effective date of any Payer Agreement providing a Payer Plan in which Physician may wish to participate pursuant to Section 4.1 of this Agreement.

  • You agree to provide to Covered Persons those Covered Services that Your Providers are licensed and credentialed to provide in compliance with this Agreement and an applicable Payer Agreement, and to provide such Covered Services in accordance with the same standards and in the same manner as Your other patients.

  • During the Term, You must maintain in effect, a separate Payer Agreement with each Payer with whom AHN has entered into a CIN Agreement, unless You are otherwise excluded from participating in a particular CIN Agreement by AHN or a Payer.

  • By executing this Agreement, You agree to, and represent and warrant that each of Your Providers agrees to, perform CIN Activities and to be bound by and comply with this Agreement, CIN Policies, the applicable Payer Agreement and Provider Manuals, and Performance Standards, as applicable to each Commercial Program Agreement in which You are designated to participate.


More Definitions of Payer Agreement

Payer Agreement means an agreement between HASO on behalf of a Network Provider and a Payer that specifies the rights and obligations of Payer and a Network Provider, respectively, regarding the provision of Covered Services by Network Providers to Members who are eligible under applicable Plans to receive Covered Services.
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Payer Agreement means an agreement with a Payer and KHF (and thus the Network) setting forth the terms and conditions under which the Network shall arrange for the provision of Covered Services to Members under Plan(s) specifically referenced in such Payer Agreement.
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Related to Payer Agreement

  • Reciprocal agreement means an agreement between this state and a higher education compact or 1 or more other states that allows participating colleges to provide distance education to residents of this state and other member states under this act.

  • Payment Agreement means a written agreement which provides

  • User Agreement means an agreement for the provision of Access to the Services.

  • Sponsor Letter Agreement has the meaning set forth in the recitals to this Agreement.

  • SPS Agreement means the Agreement on the Application of Sanitary and Phytosanitary Measures which is a part of the WTO Agreement; Subheading means the first six digits in the tariff classification number under the HS; Territory means:

  • Data Sharing Agreement A formal agreement that documents what data is being shared and how the data can be used between the Parties. ‘‘Data Sharing Code of Practice” the code of practice issued by the Information Commissioner in respect to the sharing of personal data.

  • Reseller Agreement means the separate agreement between Customer and Reseller regarding the Services. The Reseller Agreement is independent of and outside the scope of This Agreement.

  • Client Agreement means the agreement between the Company and the Client, which together with the Terms of Business are defined as “Operative Agreements” and govern the terms on which the Company deals with the Client.

  • MCIP Agreement means the Agreement for the Development of a Joint County Industrial and Business Park (2010 Park) dated as of December 1, 2010, as amended, between the County and Xxxxxxxx County, South Carolina, as the same may be further amended or supplemented from time to time, or such other agreement as the County may enter with respect to the Project to offer the benefits of the Special Source Revenue Credits to the Company hereunder.

  • Purchase Agreement Assignment means that certain Purchase Agreement Assignment [NW 1997 J], dated as of March 18, 1998, between Lessee and Lessor, as the same may be amended, supplemented or modified from time to time, with a form of Consent and Agreement to be executed by the Manufacturer attached thereto.

  • Side Agreement means the Side Agreement for Transfer Agency Services between the Customer and Transfer Agent dated as of January 1, 2015.

  • Licence Agreement means an agreement (whether or not in writing) between the owner of student accommodation and a student giving a licence to the student;

  • Assignment of Recognition Agreement With respect to a Cooperative Loan, an assignment of the Recognition Agreement sufficient under the laws of the jurisdiction wherein the related Cooperative Unit is located to reflect the assignment of such Recognition Agreement.

  • Data Use Agreement means the agreement incorporated into the Contract to facilitate creation, receipt, maintenance, use, disclosure or access to Confidential Information.

  • End User Agreement means any agreement that Eligible Users are required to sign in order to participate in this Contract, including an end user agreement, customer agreement, memorandum of understanding, statement of work, lease agreement, service level agreement, or any other named separate agreement.

  • Letter Agreement has the meaning set forth in the Recitals.

  • Local Agreement shall have the meaning set forth in Section 2.08.

  • Service Agreement means the initial agreement and any amendments or supplements thereto entered into by the Transmission Customer and the Transmission Provider for service under the Tariff. Site:

  • Diversion agreement means a mechanism designed to hold a child accountable for his or her behavior and, if appropriate, securing services to serve the best interest of the child and to provide redress for that behavior without court action and without the creation of a formal court record;

  • Cardholder Agreement means the agreement between Bank and a Cardholder governing the terms and use of a Card.

  • SCM Agreement means the Agreement on Subsidies and Countervailing Measures, contained in Annex 1A to the WTO Agreement;

  • IP Assignment Agreement has the meaning set forth in Section 3.2(a)(iii).

  • Supplier Agreement means this overarching agreement, consisting of these terms and conditions and any schedules to them, setting out the arrangements for management of the DPS, the process to apply when a Customer wishes to award Service Agreements via the DPS and the terms and conditions applicable to the carrying out of Service Agreements;

  • Termination Agreement has the meaning set forth in the Recitals.

  • Designation Agreement means a designation agreement in substantially the form of Exhibit G attached hereto, entered into by a Bank and a Designated Lender and accepted by the Administrative Agent.

  • Affiliation Agreement means a written agreement between a chartered program and any person that sets forth the roles and responsibilities of the parties, is signed by the individuals with authority to sign contracts, and provides for any of the following: