Claims Submission. Participant and Preferred Provider will submit claims to CMS or ACO’s delegate for processing in accordance with Medicare’s applicable policies, including Medicare’s timely filing requirements, but may receive reimbursement from ACO, as outlined in this Section 2.0.
Appears in 3 contracts
Sources: Onecare Provider Agreement, Risk Bearing Participant & Preferred Provider Agreement, Risk Bearing Participant & Preferred Provider Agreement
Claims Submission. Participant Participants and Preferred Provider Affiliates will submit claims to CMS or ACO’s delegate for processing in accordance with Medicare’s applicable policies, including Medicare’s timely filing requirements, but may will receive reimbursement from ACO, as outlined in this Section 2.0.
Appears in 2 contracts
Sources: Risk Bearing Participant & Affiliate Agreement, Risk Bearing Participant & Affiliate Agreement