Payor. Payor definition

Payor. Payor means the individual who is carried on the books and records of the payee as the borrower on a qualified education loan. If there are multiple borrowers, the principal borrower on the payee’s books and records is treated as the payor for purposes of section 6050S and this section.
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Examples of Payor. Payor in a sentence

  • Remittance Workqueues• Common Remittance Errors– Claim Out of Balance– Invalid Invoice Number– Invalid Payor: Payor on payment does not match payor on invoice– Invoice has a Status of Processed– Service Detail Payment Total Exceeds Claim Payment Amount– The invoice has another payment present in remittance run.

  • In the event the discounted amount of a claim is contested by the Payor, Payor shall notify CN.

  • In addition to the payments required under paragraph 3 hereof, at the option of Payor, Payor may -7- prepay this Note in whole at any time or in part from time to time without penalty or premium.

  • Payor: Payor must be a natural person (i.e. cannot be an organization or company).

  • If, under the coordination of benefits provisions of the Payor, Payor is other than the primary payor, Provider shall be entitled to a payment from Payor not to exceed an amount, which when added to the amounts payable by the primary payor(s) equals the reasonable and customary amount determined for Provider’s services by the primary payor’s plan, but in no event shall such payment exceed the amounts payable hereunder if Payor was the primary payor for such services.

  • Upon the execution of this Agreement by both Permittee and Payor, Payor shall deposit the sum of $ with the Escrow Agent.

  • FULL Net Deposit shall be made to Payor from Payee within three (3) business days from the ‘no confirmation’ from issuing entities (Wells Fargo N.A.) When Payee sends the MT-799 and MT-760 confirmations to Payor, Payor agrees to confirm receipt of same within three business days.

  • When Payee sends the MT-799 and MT-760 confirmations to Payor, Payor agrees to confirm receipt of same within three business days… [PX.

  • When Payor receives a Clean Claim for Covered Services from Network Provider as to such Payor, Payor will bill the applicable plan on behalf of Network Provider in accordance with the rate and other terms agreed upon by Zelis with such Payor.

  • Payors/Plans: Payor, Payor Billing Errors, Plans, Billing Format, Service Dtl and Allow Scheduling of Authorizations – If Schedule from Auth is checked, train how to do this.

Related to Payor. Payor

  • Third Party Payors means Medicare, Medicaid, CHAMPUS, Blue Cross and/or Blue Shield, private insurers and any other Person which presently or in the future maintains Third Party Payor Programs.

  • Third Party Payor means any governmental entity, insurance company, health maintenance organization, professional provider organization or similar entity that is obligated to make payments on any Account.

  • Third Party Payor Programs means all third party payor programs in which Tenant presently or in the future may participate, including, without limitation, Medicare, Medicaid, CHAMPUS, Blue Cross and/or Blue Shield, Managed Care Plans, other private insurance programs and employee assistance programs.

  • Payors shall have the meaning set forth in Section 3.27.

  • Medicaid means the medical assistance programs administered by state agencies and approved by CMS pursuant to the terms of Title XIX of the Social Security Act, codified at 42 U.S.C. 1396 et seq.

  • Payor means a trustee, insurer, business entity, employer, government, governmental subdivision or agency, or other person authorized or obligated by law or a governing instrument to make payments.

  • TRICARE means, collectively, a program of medical benefits covering former and active members of the uniformed services and certain of their dependents, financed and administered by the United States Departments of Defense, Health and Human Services and Transportation, and all laws applicable to such programs.

  • Medicare means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

  • Third-party payer means an entity that is, by

  • Third Party Payments means the payment made through instruments issued from an account other than that of the beneficiary investor mentioned in the application form. However, in case of payments from a joint bank account, the first named applicant/investor has to be one of the joint holders of the bank account from which payment is made.

  • Health care facility or "facility" means hospices licensed

  • Contract Provider means any Person or any employee, agent or subcontractor of such Person who provides professional health care services under or pursuant to any contract with any Consolidated Party.

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other entity administering the Medicaid program and a health care operation under which the health care operation agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • Third Party Payment means payment through an instrument issued from a bank account other than that of the beneficiary investor. In case of payments from a joint bank account, the first named investor/holder of the mutual fund folio has to be one of the joint holders of the bank account from which payment is made.

  • Medicare Advantage The Medicare managed care options that are authorized under Title XVIII as specified at Part C and 42 C.F.R. § 422.

  • Medicare Levy Surcharge means an extra charge payable by high income earners beyond the standard Medicare Levy if they do not have qualifying private hospital insurance coverage. This charge is assessed as part of an individual or family’s annual tax return.

  • Medicare eligible expenses means expenses of the kinds covered by Medicare Parts A and B, to the extent recognized as reasonable and medically necessary by Medicare.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Medicare Provider Agreement means an agreement entered into between CMS (or other such entity administering the Medicare program on behalf of the CMS) and a health care provider or supplier, under which such health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Medical care facility as used in this title, means any institution, place, building or agency, whether

  • Payor bank means a bank that is the drawee of a draft.

  • Health care facilities means buildings, structures, or equipment suitable and intended for, or incidental or ancillary to, use in providing health services, including, but not limited to, hospitals; hospital long-term care units; infirmaries; sanatoria; nursing homes; medical care facilities; outpatient clinics; ambulatory care facilities; surgical and diagnostic facilities; hospices; clinical laboratories; shared service facilities; laundries; meeting rooms; classrooms and other educational facilities; students', nurses', interns', or physicians' residences; administration buildings; facilities for use as or by health maintenance organizations; facilities for ambulance operations, advanced mobile emergency care services, and limited advanced mobile emergency care services; research facilities; facilities for the care of dependent children; maintenance, storage, and utility facilities; parking lots and structures; garages; office facilities not less than 80% of the net leasable space of which is intended for lease to or other use by direct providers of health care; facilities for the temporary lodging of outpatients or families of patients; residential facilities for use by the aged or disabled; and all necessary, useful, or related equipment, furnishings, and appurtenances and all lands necessary or convenient as sites for the health care facilities described in this subdivision.

  • Health care expenses means, for purposes of Section 14, expenses of health maintenance organizations associated with the delivery of health care services, which expenses are analogous to incurred losses of insurers.

  • Medicaid program means the medical assistance

  • Capitation means the reimbursement arrangement in which a fixed rate of payment per Enrollee per month is made to the Contractor for the performance of all of the Contractor’s duties and obligations pursuant to this Contract.