Reimbursement Methodology definition

Reimbursement Methodology means the methodology by which BCBSM determines the amount of payment due Provider for Covered Services.
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Reimbursement Methodology means the prospective Medicaid payment rate system for intermediate care facilities for the mentally retarded.
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Examples of Reimbursement Methodology in a sentence

  • BCBSM will pay Provider for Covered Services in accordance with the Reimbursement Methodology set forth in Addendum C.

  • BCBSM will timely process acceptable claims submitted by Provider and will make payment directly to Provider for Covered Services in accordance with the Reimbursement Methodology set forth in Addendum C.

  • BCBSM will give Provider not less than 90 days prior written notice of any material change to the Reimbursement Methodology set forth in this Addendum.

  • BCBSM will timely process Clean Claims submitted by Provider and will make payment directly to Provider for Covered Services in accordance with the Reimbursement Methodology set forth in Addendum C.

  • BCBSM will timely process Clean Claims submitted by Facility and will make payment directly to Facility for Covered Services in accordance with the Reimbursement Methodology set forth in Addendum C.

  • Any material change to the Reimbursement Methodology will be in accordance with Section 6.6 of this Agreement.

  • BCBSM will give Provider not less than 90 days prior written notice of any material change to the Reimbursement Methodology.

  • BCBSM will pay for Covered Services in accordance with the Reimbursement Methodology set forth in Addendum B.

  • BCBSM will timely process Clean Claims submitted by Povider and will make payment directly to Provider for Covered Services in accordance with the Reimbursement Methodology set forth in Addendum C.

  • For mental health services claimed and billed through the County’s claims processing information system, and except as further limited elsewhere in this Agreement, Contractor may elect to request provisional rates based on either 1) a Cost Reimbursement Methodology or 2) a Negotiated Rate Methodology.

Related to Reimbursement Methodology

  • Reimbursement Amounts As defined in Section 3.22.

  • Reimbursement Date as defined in Section 2.4(d).

  • Reimbursement Amount As defined in Section 2.04.

  • Reimbursement Rate shall have the meaning assigned to such term or the term “Advance Rate” or an analogous term in the Servicing Agreement.

  • Medical Reimbursement Programs means a collective reference to the Medicare, Medicaid and TRICARE programs and any other health care program operated by or financed in whole or in part by any foreign or domestic federal, state or local government.

  • Reimbursement Payment shall have the meaning given to that term in Subparagraph 2.02(c).

  • Provider fee means the consideration paid for a service contract.

  • Program Expenses means all UHC’s expenses of administering the Program under the Indenture and the Act and shall include without limiting the generality of the foregoing; salaries, supplies, utilities, labor, materials, office rent, maintenance, furnishings, equipment, machinery and apparatus, including information processing equipment; software, insurance premiums, credit enhancement fees, legal, accounting, management, consulting and banking services and expenses; Fiduciary Expenses; remarketing fees; Costs of Issuance not paid from proceeds of Bonds; and payments to pension, retirement, health and hospitalization funds; and any other expenses required or permitted to be paid by UHC.

  • Cost Reimbursement means a contract which provides for a fee other than a fee based on a percentage of cost and under which a contractor is reimbursed for costs which are allowable and allocable in accordance with the contract terms.

  • Capitalization Reimbursement Amount As to any Distribution Date, the amount of Advances or Servicing Advances that were added to the Stated Principal Balance of the related Mortgage Loans during the prior calendar month and reimbursed to the Master Servicer or Subservicer on or prior to such Distribution Date pursuant to Section 3.10(a)(vii), plus the Capitalization Reimbursement Shortfall Amount remaining unreimbursed from any prior Distribution Date and reimbursed to the Master Servicer or Subservicer on or prior to such Distribution Date.

  • Expense Reimbursement has the meaning set forth in Section 8.2(c).

  • Processing Fees means all routine, generally applicable City-wide fees required by the City for processing applications and permits including, but not limited to, fees for land use applications, building applications, building permits, and certificates of occupancy.

  • Advance Reimbursement Amounts As defined in Section 3.29 hereof.

  • Special Reimbursement Date means, the special payment date established in connection with a Reimbursement under Special Circumstances as described hereunder “Extraordinary Events and Special Circumstances – Reimbursement Under Special Circumstances and Payment”.

  • Program Fee As defined in the Fee Letter.

  • Services Fees means the agreed upon fees in an Order for the Services Offerings.

  • Minimum Disbursement Amount means Twenty-Five Thousand and No/100 Dollars ($25,000).

  • Cost-plus-a-percentage-of-cost contract means a contract under which the contractor is paid a percentage of the total actual expenses or costs in addition to the contractor's actual expenses or costs.

  • Applicable ABR Margin means, at any date:

  • Workout-Delayed Reimbursement Amounts With respect to any Mortgage Loan or Serviced Loan Combination, the amount of any Advance made with respect to such Mortgage Loan or Serviced Loan Combination on or before the date such Mortgage Loan or Serviced Loan Combination becomes (or, but for the making of three monthly payments under its modified terms, would then constitute) a Corrected Loan, together with (to the extent accrued and unpaid) interest on such Advances, to the extent that (i) such Advance is not reimbursed to the Person who made such Advance on or before the date, if any, on which such Mortgage Loan or Serviced Loan Combination becomes a Corrected Loan and (ii) the amount of such Advance becomes a future obligation of the Mortgagor to pay under the terms of modified Loan Documents. That any amount constitutes all or a portion of any Workout-Delayed Reimbursement Amount shall not in any manner limit the right of any Person hereunder to determine in the future that such amount instead constitutes a Nonrecoverable Advance.

  • User fees or "tolls" means the rates, tolls, fees, or

  • License Fees means the license fees, including all taxes thereon, paid or required to be paid by Licensee for the license granted under this Agreement.

  • Assigned Annual Special Tax means the Special Tax of that name described in Section D.