Shadow Billing definition

Shadow Billing means the process where physicians receiving alternate payment submit specially designated claims for the medical services provided to patients that result in no payment, subject to the blended payment where applicable.
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Shadow Billing means reporting by Physicians of Insured Medical Service encounter information to MSI in the format prescribed by DOH;
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Examples of Shadow Billing in a sentence

  • Any Physician receiving Alternate Payment who fails to provide Shadow Billing may be required to convert to fee-for-service at the discretion of Health PEI in those circumstances.

  • All Physicians receiving Alternate Payment shall perform Shadow Billing.

  • For clarity, despite the provisions of the EDAFA, Second On-Call Physicians (as defined in the EDAFA) providing on-site services under the EDAFA shall prepare Service Encounter Reports (Shadow Billing) and be paid at their site’s hourly rate within the 120% funding provided, together with the applicable shadow billing premium, rather than being compensated entirely on a fee-for-service basis.

Related to Shadow Billing

  • Alternate Billing Service (ABS) means a service that allows End Users to bill calls to accounts that may not be associated with the originating line. There are three types of ABS calls: calling card, collect and third number billed calls.

  • E911 Service means the functionality to route wireless 911 calls and the associated caller and/or location data of the wireless end user to the appropriate Public Safety Answering Point.

  • Detailed telecommunications billing service means an ancillary service of separately stating information pertaining to individual calls on a customer's billing statement.

  • Customer Service means Company’s customer service telephone service department or representatives.