Common use of For Payment Clause in Contracts

For Payment. We may use and disclose your health information to obtain payment for services we provide to you as delineated in the “Contract, Office Procedure, and Financial Agreement” form. For example, we may need to give insurance companies or other agencies the minimum necessary information in order for them to pay us for the service we have provided to you.

Appears in 1 contract

Sources: Financial Agreement

For Payment. We may use and disclose your health information to obtain payment for services we provide to you as delineated in the “Contract, Office Procedure, and Financial Service Agreement” form. For example, we may need to give insurance companies or other agencies the minimum necessary information in order for them to pay us for the service we have provided to you.

Appears in 1 contract

Sources: Service Agreement

For Payment. We may use and disclose your health information to verify insurance and coverage, process claims and obtain payment for services we provide to you as delineated in the “Contract, Office Procedure, and Financial Agreement” form. For example, we may need to give insurance companies or other agencies the minimum necessary information in order for them to pay us for the service we have provided to you.

Appears in 1 contract

Sources: Financial Agreement