Payments to Providers Sample Clauses

Payments to Providers. Payments shall not be made on behalf of an enrollee to providers of health care services other than the contractor for the benefits covered in Article Four and rendered during the term of this contract.
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Payments to Providers. Payments to Preferred Providers shall be made by UHS on behalf of the City in accordance with the terms of the agreements with those providers and, except to the extent the Health Service is subject to coordination of benefits and/or subrogation recovery, shall be billed to City in accordance with Exhibit D. Health Services subject to coordination of benefits and/or a subrogation recovery shall be billed to City in accordance with the Preferred Provider's Customary Charges after any copayments and/or deductibles have been applied. City acknowledges that there may be arrangements with providers or suppliers of pharmacy Health Services under which UHS or its affiliates may receive and retain payments from those providers or suppliers in return for services. UHS, as soon as administratively possible at the end of each Plan year, will provide City with an accounting of the amounts received from providers or suppliers of pharmacy Health Services. Non-Preferred Providers shall be paid by City according to the terms and conditions of the Plan. In the event that a dispute arises between City and any provider regarding payment of a claim, City shall promptly inform UHS of the dispute and UHS shall use reasonable efforts to facilitate resolution of the dispute.
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Payments to Providers. For purposes of this Agreement, timely payment shall mean payment by the earlier of (i) thirty (30) days after Medical Group's receipt of a clean claim, or (ii) such other period as is specified by applicable state or federal law or regulation (3) the time specified in the applicable Medical Group Subcontract. For purposes of this Section 3.13.1 and Section 3.13.2, a clean claim is one in which Medical Group has received the complete claim and all information necessary to determine liability for the claim. Medical Group shall provide, at PacifiCare's request, claims reports in a form to be mutually agreed upon by the parties.
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Payments to Providers. 1. Except as provided under federal regulation 42 CFR §§447.56(c)(2) and (c)(3), each MCO must reduce the payment it makes to a provider by the amount of a beneficiary's copayment obligation, regardless of whether the provider has collected the copayment or has waived the copayment. Where the MCO contracts a provider on a capitated basis, the beneficiary’s copayment obligation is taken into account in calculating capitated rates.
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Payments to Providers 
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Related to Payments to Providers

  • PAYMENTS TO OWNER Section 4.01 Remittances...................................................29 Section 4.02 Statements to Owner...........................................29 Section 4.03 Monthly Advances by Servicer..................................30 Section 4.04 Due Dates Other Than the First of the Month...................30 ARTICLE V

  • Payments to Third Parties Grantee agrees to hold harmless Grantor when Grantor acts in good faith to redirect all or a portion of any Grantee payment to a third party. Grantor will be deemed to have acted in good faith if it is in possession of information that indicates Grantee authorized Grantor to intercept or redirect payments to a third party or when so ordered by a court of competent jurisdiction.

  • Payments to Originators With respect to each Receivable transferred to Seller under the Receivables Sale Agreement, Seller has given reasonably equivalent value to the applicable Originator in consideration therefor and such transfer was not made for or on account of an antecedent debt. No transfer by any Originator of any Receivable under the Receivables Sale Agreement is or may be voidable under any section of the Federal Bankruptcy Code.

  • PAYMENTS TO PURCHASER 52 ARTICLE VI....................................................................54

  • Payments to Agent A payment by the Borrower to the Agent hereunder or any of the other Loan Documents for the account of any Bank shall constitute a payment to such Bank. The Agent agrees promptly to distribute to each Bank such Bank's pro rata share of payments received by the Agent for the account of the Banks except as otherwise expressly provided herein or in any of the other Loan Documents.

  • Payments to the Company Except as provided in Section 1(d), 2 or 3 hereof, the Company shall have no right or power to direct the Trustee to return to the Company or to divert to others any of the Trust assets before all payment of benefits have been made to Plan participants and their beneficiaries pursuant to the terms of the Plan(s).

  • Payments to Xxxxxx In connection with the distribution of shares of the Fund, Xxxxxx will be entitled to receive: (a) payments pursuant to any Distribution Plan and Agreement from time to time in effect between the Fund and Xxxxxx with respect to the Fund or any particular class of shares of the Fund, (b) any contingent deferred sales charges applicable to the redemption of shares of the Fund or of any particular class of shares of the Fund, determined in the manner set forth in the then current Prospectus and Statement of Additional Information of the Fund and (c) subject to the provisions of Section 3 below, any front-end sales charges applicable to the sale of shares of the Fund or of any particular class of shares of the Fund, less any applicable dealer discount.

  • Payments to Finance Parties If a Finance Party (a “Recovering Finance Party”) receives or recovers any amount from an Obligor other than in accordance with Clause 29 (Payment mechanics) and applies that amount to a payment due under the Finance Documents then:

  • Payments to the Owner Section 4.1

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