Private Payor definition

Private Payor means any insurance company, health maintenance organization, preferred provider organization or similar entity that is obligated to make payments for goods or services provided to a patient, but shall not include a Government Reimbursement Program.
Private Payor means any Account Debtor that is a natural person.
Private Payor means a Person other than an Insurer or Governmental Entity.

Examples of Private Payor in a sentence

  • To the actual knowledge of the Responsible Officers of the Borrower, there is no threatened termination of any participation agreements under any Private Payor Arrangements to which any Credit Party is a party and which termination would reasonably be expected to have a Material Adverse Effect.

  • Each Program Participant and her counsel agree to identify every Private Payor that may have made any payments on behalf of such Program Participant in any way related to such Program Participant’s injury from the alleged use of DCOCs from the time the Program Participant alleges she first suffered injury from the alleged use of DCOCs through the Execution Date.

  • If each and every Private Payor identified pursuant to Section 13.01(C)(1) participate in the PLRP administered by the Lien Resolution Administrator or no Private Payors are identified, then the PLRP shall dictate the amount to be withheld in the Qualified Settlement Fund, but in no event will that holdback exceed 30% of the gross settlement proceeds.

  • The funds withheld in the Qualified Settlement Fund may be paid from the Qualified Settlement Fund directly to the Governmental and/or Private Payor at the direction of the Program Participant to the extent of such Payor’s interests.

  • Each Program Participant and his or her counsel agree to identify every Private Payor that may have made any payments on behalf of such Program Participant in any way related to such Program Participant’s injury from the alleged use of Olmesartan Products from the time the Program Participant alleges he or she first suffered injury from the alleged use of Olmesartan Products through the Execution Date.

  • The funds withheld in the Qualified Settlement Fund may be paid from the Qualified Settlement Fund directly to the Lien Resolution Administrator’s trust for payment to the Governmental and/or Private Payor to the extent of such Payor’s interests.

  • Claimant and ▇▇▇▇▇▇▇▇’s Counsel agree to identify every Private Payor that may have made any payments on behalf of Claimants in any way related to ▇▇▇▇▇▇▇▇’s alleged use of a DCOC from the time Claimant alleges she first suffered injury from the alleged use of a DCOC through the date the SA is fully executed.

  • Each Program Participant and his or her counsel agree to identify every Private Payor that may have made any payments on behalf of such Program Participant in any way related to such Program Participant’s injury from the alleged use of ACTOS Products from the time the Program Participant alleges she first suffered injury from the alleged use of ACTOS Products through the Execution Date.

  • Each Group Member will file all material applicable Government Reimbursement Program and Private Payor Arrangement cost reports in a timely and complete manner.

  • Each Private Payor Class Member shall look solely to the relief described in Paragraph 9 of this Agreement for settlement and satisfaction, as provided herein, of all Released Claims.


More Definitions of Private Payor

Private Payor means, individually and collectively as the context requires, (a) Insurance Payor and (b) Resident Payor.
Private Payor means any insurance company, health maintenance organization, professional provider organization or similar entity that is obligated to make payments for goods or services provided to a patient, but shall not include a Government Reimbursement Program.
Private Payor means an individual or insurance company responsible for the payment of services. Third-party govern- ment payor programs are not considered private payors.
Private Payor means a Resident Payor.
Private Payor means all non-Governmental Payors, including private managed care organizations, health maintenance organizations, MA organizations, self-insured health plans, preferred provider organizations, and workers’ compensation insurance plans, customers and individuals.

Related to Private Payor

  • private party means a party that enters into a project agreement with a contracting authority and is responsible for undertaking a project on behalf of the contracting authority under this Act;

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Private partner means any entity that is a partner in a public-private partnership other than:

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Third Party Payor means Medicare, Medicaid, TRICARE, and other state or federal health care program, Blue Cross and/or Blue Shield, private insurers, managed care plans and any other Person or entity which presently or in the future maintains Third Party Payor Programs.