Payor Source definition

Payor Source. Enter the payor source for the AT service/device. Ensure private insurance information is correct on the Financial support screen. If policy information is missing or incorrect, submit the SCDHHS Health Insurance Information Referral Form (HIIRF) per instructions.
Sample 1Sample 2
Payor Source. Enter the payor source for the AT service/device. If the parent has consented to use of private insurance for the AT service and you find an error, complete and submit the SCDHHS Health Insurance Information Referral Form (HIIRF) per instructions.
Sample 1Sample 2
Payor Source. Enter the payor source for the AT service/device. Ensure private insurance information is correct on the Financial support screen. If policy information is missing or incorrect, submit the SCDHHS Health Insurance Information Referral Form (HIIRF) per instructions. Hearing Aid Requests: SCDHHS and IDEA/Part C will utilize the SCDHEC Hearing Program guidelines and fee schedule for coverage of initial and replacement hearing aids. Children who have Medicaid or are below 250% of the federal poverty level and have a hearing loss that requires amplification are eligible for the SCDHEC Hearing Program. SCDHEC will provide hearing aids for eligible children, and cover ear molds, hearing aid kits, replacement batteries, etc., up to allowable program limits. If the child is not eligible for Medicaid, the Service Coordinator is required to determine if the child meets income requirements for the SCDHEC Hearing Program as payor of first resort prior to requesting IDEA/Part C funds for hearing aids. SCDHEC Hearing Program Guidelines (includes link to family income requirements): xxxxx://xxx.xxxxxx.xxx/health/child-teen-health/services-children-special-health-care-needs/hearing-program SCDHEC Hearing Program Equipment and Fee Schedule: xxxxx://xxx.xxxxxx.xxx/sites/default/files/docs/Health/docs/SNC-HearingFee.pdf If the request is for purchase of hearing aids, the AT purchase request must include: • Documentation from an audiologist that hearing loss meets IDEA/Part C criteria, and hearing aid use is recommended; or • The family has obtained a prescription for hearing aids from an ENT. Replacement Ear Molds and New Ear Impressions: • A new AT Purchase request for replacement earmolds and new ear impressions is not needed if the hearing aid(s) have been previously approved. • If the hearing aids were purchased without prior approval from the IDEA/Part C State Office, the cost of replacement earmolds and new ear impressions will not be reimbursed by IDEA/Part C. • If the child had hearing aids prior to receiving BabyNet services and/or the hearing aids were provided by private insurance, but new ear molds and ear impressions are needed, a new AT request packet must be submitted for BabyNet to provide reimbursement. The hearing aid request does not have to include: • Specific IFSP outcome to address the use of hearing aids. • Participation of all IFSP team members in the IFSP change review meeting (Service Coordinator and parent may complete the meeting and notify the othe...
Sample 1

Examples of Payor Source in a sentence

  • Part J : Patient Revenue by Payor Source for Non-Medicaid Providers 1.

  • Hospital and non-hospital applicants shall provide Medicaid information in a manner consistent with the information reported each year to the Illinois Department of Public Health regarding "Inpatients and Outpatients Served by Payor Source" and "Inpatient and Outpatient Net Revenue by Payor Source" as required by the Board under Section 13 of this Act and published in the Annual Hospital Profile.

  • Hospital and non-hospital applicants shall provide Medicaid information consistent with data reported in IDPH's Inpatients and Outpatients Served by Payor Source and Inpatient and Outpatient Revenue by Payor Source.

  • Borrowed from the business literature, the term “innovation” also seems to carry the connotation of enhancement, but it is often stressed that innovation is rarely focused on cost reduc- tion, but rather on finding new markets (niches), and is often costly, but necessary for survival of an enter- prise [33].

  • We now identify several areas where further work can be done.• Human factors analysis: The usual assumption is that better performance by the computer system is preferred by humans using the system.

  • As neither of these requirements seems at all likely to be met, the entrant would not be capable of promoting competition in the rail haulage market, if such a market is properly defined and separate from the rail infrastructure market.

  • Total Patient Days by Payor Source: CON application #10317, Schedule 7A-AssumptionsNOTES: * The reviewer notes that this arithmetic total is 5,276.

  • Specify Units by Payor Source in Row 61 – 67.Note: Do not include special program (special rate) expenditures in this column.

  • Insurance Primary Payor Source Attachment A Purpose Criteria Lake Charles Memorial Hospital has contracted with multiple commercial insurance companies and has agreed to bill patients for amounts due regarding co-insurance, deductibles, and co-pays as determined by their coverage.

  • Primary Payor Source at AdmissionIn-center Dialysis# of Patients% of TotalSelf-Pay1.81.6%Insurance *8.47.7%Medicare *83.776.8%Medicaid *10.09.2%Other (VA and Misc.)5.14.7%Total109.0100.0%*Including any managed care plans In Section L, page 65, the applicant provides the following comparison.

Related to Payor Source

  • Minor source means any sta- tionary source that does not meet the definition of major stationary source in paragraph (b)(1) of this section for any pollutant at the time the PAL is issued.

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

  • 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.

  • Third Party Provider means licensors, subcontractors and suppliers of BNYM furnishing the Third Party Products.

  • Major source means any stationary source (or any group of stationary sources that are located on one or more contiguous or adjacent properties, and are under common control of the same person [or persons under common control]) belonging to a single major industrial grouping and that are described in subsection (A), (B), or (C) of this definition. For the purposes of defining “major source,” a stationary source or group of stationary sources shall be considered part of a single industrial grouping if all of the pollutant emitting activities at such source or group of sources on contiguous or adjacent properties belong to the same Major Group (i.e., all have the same two-digit code) as described in the Standard Industrial Classification Manual, 1987.

  • Third Party Manufacturer means (i) a Third Party whose primary business is contract manufacturing, or (ii) a Third Party who has a contractual arrangement with Licensee or with a sublicensee of Licensee that includes manufacturing of Client Product and/or Drug Product by such Third Party for Licensee or such sublicensee.

  • Third Party Vendor means any person or entity that provides SaaS, third party software and/or related intellectual property. “Work” means any additional work the Customer requests Singtel to perform in relation to the Service.

  • Third Party Product means a product (whether hardware, software or services) supplied to you by a third party;

  • Approved Source means Cisco or a Cisco authorized reseller, distributor or systems integrator.

  • Third Party Products means the Third Party Software and Third Party Hardware.

  • Third Party means a provider of digital educational software or services, including cloud- based services, for the digital storage, management, and retrieval of Education Records and/or Student Data, as that term is used in some state statutes. However, for the purpose of this DPA, the term “Third Party” when used to indicate the provider of digital educational software or services is replaced by the term “Provider.” EXHIBIT “D” DIRECTIVE FOR DISPOSITION OF DATA Provider to dispose of data obtained by Provider pursuant to the terms of the Service Agreement between LEA and Provider. The terms of the Disposition are set forth below:

  • Primary Source means the Screen Page specified as such in the applicable Pricing Supplement and (in the case of any Screen Page provided by any information service other than the Reuters Monitor Money Rates Service (“Reuters”)) agreed to by the Agent Bank;

  • Third Party Data has the meaning set forth in Section 9.3(a).

  • Area source means any stationary source of hazardous air pollutants that is not a major source as defined in rule 567—22.100(455B).

  • Third Party Materials means any materials and information, including documents, data, know-how, ideas, methodologies, specifications, software, content, and technology, in any form or media, in which any Person other than the State or Contractor owns any Intellectual Property Right, but excluding Open-Source Components.

  • Third Party IPR means any Intellectual Property Rights not belonging to either party to this Agreement but used by the Supplier in the creation of the Deliverables and/or in the course of or in connection with the Project.

  • Third Party(ies) means a person or entity who or which is neither a Party nor an Affiliate of a Party.

  • Third Party Providers or “TPPs” means any payment service provider that provides payment services to you or someone else that concerns the Account, for example, an AISP (described in Clause 1(c) below).

  • Sublicensee means a third party to whom LICENSEE grants a sublicense of certain rights granted to LICENSEE under this Agreement.

  • Third Party Material means software, software development tools, methodologies, ideas, methods, processes, concepts and techniques owned by, or licensed to a third party and used by the Service Provider in the performance of the Services;

  • Third Party Licensor means the relevant licensor of any Third Party Data or any Third Party Trade Xxxx;

  • Third Party IP means the Intellectual Property Rights of any third party that is not a party to this Contract, and that is not a Subcontractor.

  • Subrecipient means an entity that:

  • Third Party License means licenses from third parties governing third party software embedded or used in the Trading Platform.

  • 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.

  • 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.