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 the OHCA Provider Manual. (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 by the billing service. (c) PROVIDER shall not use the billing service or any other entity as a factor, as defined by 42 C.F.R. § 447.10. (d) PROVIDER is responsible for verifying a patient’s appropriate eligibility for services by contacting OHCA's Eligibility Verification System (EVS).

Appears in 4 contracts

Sources: Reimbursement Agreement, Reimbursement Agreement, Reimbursement Agreement

Billing Procedures. (a) PROVIDER agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with the OHCA Provider Manualregulations. (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 by the billing service. (c) PROVIDER shall not use the billing service or any other entity as a factor, as defined by 42 C.F.R. CFR § 447.10. (d) PROVIDER is responsible for verifying determining a patientMedicaid recipient’s appropriate eligibility for services by contacting OHCA's ’s Eligibility Verification System (EVS).

Appears in 2 contracts

Sources: Home Health Agency Agreement, Home Health Agency Agreement

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

Appears in 1 contract

Sources: Reimbursement Agreement

Billing Procedures. (a) PROVIDER agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with the OHCA Provider Manual. (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 ’S behalf by the billing service. (c) PROVIDER shall not use the billing service or any other entity as a factor, as defined by 42 C.F.R. § 447.10. (d) PROVIDER is responsible for verifying a patient’s appropriate eligibility for services by contacting OHCA's Eligibility Verification System (EVS).

Appears in 1 contract

Sources: Reimbursement Agreement

Billing Procedures. (a) PROVIDER agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with the OHCA Provider Manualregulations. 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 PROVIDER’s behalf by the billing service. (c) PROVIDER shall not use the billing service or any other entity as a factor, as defined by 42 C.F.R. CFR § 447.10. (d) PROVIDER is responsible for verifying a patientMember’s appropriate eligibility for services by contacting OHCA's ▇▇▇▇’s Eligibility Verification System (EVS).

Appears in 1 contract

Sources: Soonercare Provider Agreement Renewal

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

Appears in 1 contract

Sources: Pharmacy Reimbursement Agreement

Billing Procedures. (a) PROVIDER agrees all claims shall be submitted to OHCA in a format acceptable to OHCA and in accordance with the OHCA Provider Manualregulations. 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 PROVIDER’s behalf by the billing service. (c) PROVIDER shall not use the billing service or any other entity as a factor, as defined by 42 C.F.R. CFR § 447.10. (d) PROVIDER is responsible for verifying a patientmember’s appropriate eligibility for services by contacting OHCA's ▇▇▇▇’s Eligibility Verification System (EVS).

Appears in 1 contract

Sources: Provider Agreement

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

Appears in 1 contract

Sources: Reimbursement Agreement

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

Appears in 1 contract

Sources: Reimbursement Agreement

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

Appears in 1 contract

Sources: Reimbursement Agreement