Common use of Billing Procedures Clause in Contracts

Billing Procedures. a) Provider agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with OHCA regulations. Electronic and/or Internet submitted claims may receive priority handling. b) If Provider enters into a billing service agreement, Provider shall be responsible for the accuracy and integrity of all claims submitted on behalf of Provider by the billing service. c) Provider shall not use the billing service or any other entity as a factor, as defined by 42 CFR 447.10. d) Provider is responsible for verifying appropriate eligibility of a member by contacting the OHCA Eligibility Verification System (EVS).

Billing Procedures. a) a. Provider agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with OHCA regulations. Electronic and/or Internet submitted claims may receive priority handling. b) b. If Provider enters into a billing service agreementAgreement, Provider shall be responsible for the accuracy and integrity of all claims submitted on Provider’s behalf of Provider by the billing service. c) c. Provider shall not use the a billing service or any other entity as a factor, as defined by factor pursuant to 42 CFR C.F.R. § 447.10. d) d. Provider is responsible for verifying a patient’s appropriate eligibility of a member by contacting the OHCA through OHCA’s Eligibility Verification System (EVS).

Billing Procedures. a) Provider agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with OHCA regulations. Electronic and/or Internet submitted claims may receive priority handling. b) If Provider enters into a billing service agreementAgreement, Provider shall be responsible for the accuracy and integrity of all claims submitted on Provider’s behalf of Provider by the billing service. c) Provider shall not use the billing service or any other entity as a factor, factor as defined by 42 CFR C.F.R. 447.10. d) Provider is responsible for verifying a patient’s appropriate eligibility of a member by contacting the OHCA OHCA’s Eligibility Verification System (EVS).

Billing Procedures. a) Provider PROVIDER agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with OHCA regulations. Electronic and/or Internet submitted claims may receive priority handling. b) If Provider PROVIDER enters into a billing service agreement, Provider PROVIDER shall be responsible for the accuracy and integrity of all claims submitted on behalf of Provider PROVIDER by the billing service. c) Provider PROVIDER shall not use the billing service or any other entity as a factor, as defined by 42 CFR 447.10. d) Provider PROVIDER is responsible for verifying appropriate eligibility of a member Member by contacting the OHCA Eligibility Verification System (EVS).

Billing Procedures. (a) Provider GROUP agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with OHCA regulations. Electronic and/or Internet submitted claims may receive priority handling. (b) If Provider GROUP enters into a billing service agreement, Provider GROUP shall be responsible for the accuracy and integrity of all claims submitted on GROUP’s behalf of Provider by the billing service. (c) Provider GROUP shall not use the billing service or any other entity as a factor, as defined by 42 CFR § 447.10. (d) Provider GROUP is responsible for verifying determining a member’s appropriate eligibility of a member by contacting the OHCA OHCA’s Eligibility Verification System (EVS).

Billing Procedures. a) a. Provider agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with OHCA regulationsProvider Manual. Electronic and/or Internet submitted claims may receive priority handling. b) b. If Provider enters into a billing service agreement, Provider shall be responsible for the accuracy and integrity of all claims submitted on Provider’s behalf of Provider by the billing service. c) c. Provider shall not use the a billing service or any other entity as a factor, as defined by factor pursuant to 42 CFR C.F.R. § 447.10. d) d. Provider is responsible for verifying a patient’s appropriate eligibility of a member by contacting the OHCA for services through OHCA’s Eligibility Verification System (EVS).

Billing Procedures. a) a. Provider agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with OHCA regulationsProvider Manual. Electronic and/or Internet submitted claims may receive priority handling. b) b. If Provider enters into a billing service agreement, Provider shall be responsible for the accuracy and integrity of all claims submitted on Provider’s behalf of Provider by the billing service. c) c. Provider shall not use the a billing service or any other entity as a factor, as defined by factor pursuant to 42 CFR C.F.R. § 447.10. d) d. Provider is responsible for verifying appropriate a patient’s eligibility of a member by contacting the OHCA for services through OHCA’s Eligibility Verification System (EVS).

Billing Procedures. a) a. Provider agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with OHCA regulationsProvider Manual. Electronic and/or Internet submitted claims may receive priority handling. b) b. If Provider enters into a billing service agreementAgreement, Provider shall be responsible for the accuracy and integrity of all claims submitted on Provider’s behalf of Provider by the billing service. c) c. Provider shall not use the a billing service or any other entity as a factor, as defined by factor pursuant to 42 CFR C.F.R. § 447.10. d) d. Provider is responsible for verifying a patient’s appropriate eligibility of a member by contacting the OHCA through OHCA’s Eligibility Verification System (EVS).