Payment Review definition

Payment Review means the process described in section 4 of this Agreement.
Payment Review. The INSURER will establish a program to review service claims for purposes of creating a provider profiling system. The INSURER shall submit a report to the ADMINISTRATION on a quarterly basis of all findings under the Utilization Review Programs. The ADMINISTRATION may review and/or audit the programs' findings and reports at any time.
Payment Review means the process described in this Agreement.

Examples of Payment Review in a sentence

  • Post Payment Review Dental services are evaluated after treatment is rendered for accuracy of payment, benefit coverage and potential fraud or abuse as defined in the Health Insurance Portability and Accountability Act of 1996 - Public Law 102-191.

  • Contractor's Requisitions for Payment: Review and make recommendations to the Architect for disposition.

  • Post Payment Review) The department is directed to perform post payment reviews as permitted under Medicaid regulations to ensure compliance with the Hyde Amendment provisions as it relates to the performance of medically necessary services under the Medicaid program.

  • For this purpose, overpriced procedures are the procedures determined by the Physician Payment Review Commission to be overvalued pursuant to the process established under the Medicare program, other procedures considered overvalued in the Medicare program (for which Congress directed reductions in Medicare allowable levels for 1991), radiology procedures and pathology procedures.

  • Air districts should use the Air District Payment Review Checklist to help review if a complete reimbursement package has been submitted and payment can be issued (Appendix L).

  • Appendix I, Billing and Payment Review Protocol, describes how billing and payment reviews are conducted.

  • All payments must be reviewed using the payment checklist in Section 512.118, “ProTracts Financial Management Modernization Initiative (FMMI) Payment Review Checklist,” or an equivalent State checklist.

  • Payment Review is a process by which PayPal reviews certain potentially high-risk payment transactions.

  • Air districts should use the Air District Payment Review Checklist (Appendix L) to help review if a complete reimbursement package has been submitted and payment can be issued.

  • Physician Payment Review Commission: Physician Payment Review Commission: Annual Report to Congress.


More Definitions of Payment Review

Payment Review means the process described in section 4 of this Agreement. mm. “PayPal,” “we,” “us” or “our” means PayPal (Europe) S.à.x.x. et Cie, S.C.A. with registered head office at 00-00 Xxxxxxxxx Xxxxx X-0000, Xxxxxxxxxx, and includes its successors and any person to whom it has assigned it rights under this Agreement.
Payment Review. The MBHO will establish a program to review service claims for purposes of creating a provider profiling system. The MBHO shall submit a report to the ADMINISTRATION on a quarterly basis of all findings under the Utilization Review Programs. The ADMINISTRATION may review and/or audit the programs' findings and reports at any time.
Payment Review has the meaning stated in Clause 4.3.
Payment Review shall consist solely of a review of each of the following occurrences (each referred to individually as a “Payment Requirement” and collectively the “Payment Requirements”) upon the implementation of the NUE Process, annually as required under Section 4.2(c)(8), and immediately upon a Misuse Allegation, if the Misuse Allegation expressly alleges a violation of the any of the Payment Requirements: Invoice Requirementthe issuance of NPAC/SMS invoices to Contractor and each Affiliate of Contractor that is a User to confirm that those NPAC/SMS invoices contain all applicable charges under the User Agreement (the “Invoice Requirement”); and

Related to Payment Review

  • Application Review Start Date means the later date of either the date on which the District issues its written notice that the Applicant has submitted a completed Application or the date on which the Comptroller issues its written notice that the Applicant has submitted a completed Application and as further identified in Section 2.3.A of this Agreement.