Claims and Payment Sample Clauses

Claims and Payment. 9.1 The process of claiming service remuneration should be as simple as possible and electronic where practicable. 9.2 Local arrangements will specify dates for submission of claims, procedures for dealing with late claims, payment verification processes, details of any appeal procedures and identification of key contacts for financial issues to be raised with.

Claims and Payment. On each occasion that any Company Indemnified Party will be entitled to indemnification under this Article IX, the Insurer will, at each such time, pay the amount of such indemnification within ten Business Days following receipt of an invoice for out-of- pocket expense, fees or other amounts for which it is liable under this Article IX.

Claims and Payment. 8.1 Provision of all appropriate bins and disposal of all waste is undertaken and paid for by NHS Lothian. 8.2 A payment of £250 will be paid to contractors providing a signed contract agreement covering the period April 2022 to March 2023. 8.3 This provision will be reviewed in March 2023.

Claims and Payment. 7.1 Neo360® is the current approved IT system for IEP services on which all needle exchange transactions must be recorded at point of exchange. NHSG PCCT generate an invoice for each contractor from neo360® on the 7th of the following month. The service provider (community pharmacy) must ensure that data is accurate prior to this date. To do this: Login to neo360 on pharmacy manager account Select “reports” Select “monthly transactions” in needle exchange section Ensure date displayed is 1st of the month you are looking to review Tick “client reference code” Click on “generate” 7.2 Any errors should be reported to the Pharmaceutical Care Services (▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇.▇▇▇▇) to amend. There is no requirement for contractors to submit a paper claim. 7.3 Participating pharmacies will receive a monthly retainer fee of £62.85 and will be paid £2.70 per client transaction 7.4 Pharmacies should monitor the reimbursement they have received for the service and raise any concerns within 3 months of when payment should have been received. Any claim queries raised after this time will be deemed as an historical claim and will only be considered by the Pharmacy Performance and Governance Group for payment if information detailing why the issue wasn’t raised earlier is supplied.

Claims and Payment. The fee structure for this service is detailed in Appendix 1 to this document and is subject to annual review. Fees will be paid to each contractor directly from Practitioner Services Department (PSD) in response to accurately endorsed prescription submission for each client for whom substance misuse service is provided, regardless of substance (methadone or buprenorphine) or provision type (i.e. to take home or consume on the premises). Active Patient Clinical Care Records will be used as a measure of quality of activity. These records will be inspected for monitoring and payment verification purposes.

Claims and Payment. 7.1 Community pharmacy contractors will receive a quarterly service participation fee- this will be made in advance. 7.2 Community pharmacy contractors will receive a quarterly on call payment- this will be made in advance. 7.3 Community pharmacy contractors will receive a call out payment depending on time taken to complete the call out. 7.4 Community pharmacy contractors will receive a public holiday payment. 7.5 Community pharmacy contractors will receive a payment to cover locum fees to allow attendance at Network training sessions. 7.6 Payments for Network meeting attendance, mileage claims, call out payment and public holiday payment will be made on receipt of a claim form. 7.7 All fees are agreed locally with Community Pharmacy Lothian and are detailed below. 7.8 Each Network pharmacy is to order the drugs and quantities as listed on the agreed Palliative Care Medicine Stock List from their usual suppliers. An initial minimum shelf life of 12 months is recommended. Costs will be reimbursed by NHS Lothian on receipt of invoices. Annex 1 lists the stock drugs. 7.9 Reimbursement for the replacement of expired stock list medicines and for the purchase of any new drugs should any changes be made to the stock list drugs stocked will be made on receipt of a copy of the purchase invoice. Claims for stock costing less than £10 cannot be processed individually but items can be submitted together during the financial year to bring the total to £10 or more. 7.10 Claims for expenses must be submitted using the forms provided at the end of each calendar month and will not be honoured beyond 3 months. Lothian Palliative Care Community Pharmacy Network Out of Hours Payments Payment Frequency of payment Network participation fee £210 Quarterly Network on call payment £800 Quarterly Call out payment £100 for 1st hour then £12.50 for each additional 15mins Paid on receipt of claim form after each call out Public Holiday payment £300 Paid on receipt of claim form Attendance at network meeting £190 On attendance. Paid on receipt of claim form Lothian Palliative Care Community Pharmacy Networks Out of Hours Costs Payment Frequency of payment Mileage £0.45/mile Paid on receipt of claim form Expired stock drugs Invoice price Paid on receipt of invoice. Costs of less than £10 will not be reimbursed Set up fee* £600 approximate ly One off payment covering stock list drugs *Each network pharmacy is to stock the drugs and quantities as listed on the agreed Palliative Care Medi...

Claims and Payment. 8.1 Fees will be paid for the service as defined by NHS Grampian. 8.2 The cost of the eligible vaccines for the NHS Grampian Travel Health Service will be paid via local services UCF submission. 8.3 Payment for vaccination administration will be via VMT 8.4 Payment for consultations will be via PCCT monthly claims workbook 8.5 Fees will be paid as per the following schedule: Risk assessment and consultation fee: £25 / patient. A maximum of £75 will be paid for any family consultations. Vaccination administration fee: £8.75 / vaccination

Claims and Payment. 3.1 A payment to be made by the Seller under paragraph 2 of this Part shall be made in cleared and immediately available funds within ten Business Days from the date the Purchaser notifies the Seller that such payment is due. 3.2 If the Seller defaults in making any payment when due of any sum payable under this Schedule 7, it shall pay simple interest on that sum at a rate of LIBOR plus two per cent (2%) per annum computed based on a 365‑day year, from and including the date on which payment is due, to, but excluding, the date of actual payment (after as well as before judgment).

Claims and Payment. 12.1 Hospital shall promptly submit all information needed for Humana to make payment for authorized items, services, or procedures under Member’s Oklahoma health benefit plan. 12.2 Hospital shall submit timely, complete, and accurate encounter claims in accordance with the Contract and Regulatory Rules. 12.3 Hospital shall submit all claims that do not involved a third-party payer for services rendered to Humana’s Members within one hundred and eighty (180) days or less from the date of service. Resubmitted claims, when applicable, shall be submitted within an additional one hundred and eighty (180) days from the date of service. 12.4 Humana shall make timely payment to the Hospital for Covered Services upon approval of a clean claim properly submitted by the Hospital within the required timeframes. Humana shall only accept uniform claim forms submitted by Hospital that have been approved by the Administration and completed according to Administration guidelines. 12.5 Hospital shall accept payment from Humana as payment for services performed and cannot request payment from the Administration or the Member, unless the Member is required to pay a Copayment for the service rendered. 12.6 Humana will provide at least thirty (30) days written notice to Hospital prior to any change in payment structure or reimbursement amount, unless mandated otherwise by OHCA upon which Humana will notify Hospital of the effective date of change. The written notice will contain clear and detailed information about the change and will not be retroactive, unless mandated by Administration. 12.7 Hospital shall adhere to the responsibilities and prohibited activities regarding SoonerSelect program cost sharing. When the covered service provided requires a copayment, as allowed by Humana, the Hospital may charge the Member only the amount of the allowed copayment, which cannot exceed the copayment amount allowed by OHCA. Hospital shall accept payment made by Humana as payment in full for Covered Services, and the Hospital shall not solicit or accept any surety or guarantee of payment from the Member, OHCA or the State. 12.8 Hospital shall be obligated to identify Member third party liability coverage, including Medicare and long-term care insurance as applicable; and except as otherwise required, the Hospital shall seek such third party liability payment before submitting claims to Humana by making all reasonable attempts, but no less than three good faith, documented attempts to ...