Common use of Reimbursement from Third Party Payors Clause in Contracts

Reimbursement from Third Party Payors. The accounts receivable for the physician groups for which the Borrower and its Subsidiaries provide management services have been and will continue to be adjusted to reflect reimbursement policies of third party payors such as Medicare, Medicaid, Blue Cross/Blue Shield, private insurance companies, health maintenance organizations, preferred provider organizations, alternative delivery systems, managed care systems and other third party payors. In particular, the accounts receivable relating to such third party payors do not and shall not exceed amounts the relevant physician group is entitled to receive under any capitation arrangement, fee schedule, discount formula, cost-based reimbursement or other adjustment or limitation to the usual charges of such physician group.

Reimbursement from Third Party Payors. The accounts receivable Accounts for the Loan Parties and for the physician groups for which the Borrower and its Subsidiaries Borrowers provide management services have been and will continue to be adjusted in all material respects to reflect the reimbursement policies of third party payors such as Medicare, Medicaid, Blue Cross/Blue Shield, private insurance companies, health maintenance organizations, preferred provider organizations, alternative alternate delivery systems, managed care systems and other third party payors. In particular, the accounts receivable Accounts relating to such third party payors do not and shall not exceed amounts the relevant Loan Party or physician group is entitled to receive under any capitation arrangement, fee schedule, discount formula, cost-based reimbursement or other adjustment or limitation to the usual charges of such physician group.