Preclusion List Sample Clauses
A Preclusion List clause defines specific items, actions, or circumstances that are expressly excluded from the scope of an agreement or contract. In practice, this clause might list certain products, services, or liabilities that the parties agree will not be covered or addressed by the contract. By clearly identifying these exclusions, the clause helps prevent misunderstandings and disputes by ensuring all parties are aware of what is not included, thereby providing clarity and managing expectations.
Preclusion List. Group agrees, for all services performed on or after January 1, 2020:
Preclusion List. To the extent applicable, Contractor shall ensure payments are not made to individuals and entities included on the preclusion list as defined in 42 CFR 422.2. (42 CFR 422.504(i)(2)(v).)
Preclusion List. In accordance with CMS-4185-F, precluded providers, after the expiration of the 60-day period specified in 42 CFR 422.222 will no longer be eligible for payment from the Plan and will be prohibited from pursuing payment from the beneficiary. As the provider will have received notification of the preclusion, the provider will hold financial liability for services, items, and drugs that are furnished, ordered, or prescribed after this 60-day period. HMO/PPO PLAN PRODUCT SCHEDULE REIMBURSEMENT METHODOLOGY This Exhibit I HMO/PPO Plan Product Schedule is made and entered into, pursuant and subject to, the terms and conditions of this Group Participation Agreement and it describes the reimbursement methodology that Priority Health will use in order to define and determine payment Group Participating Providers will receive or is eligible to receive) pursuant to this Agreement. Capitalized terms when used in this Exhibit 1 shall have the meanings as defined in the Agreement, any additional capitalized terms shall have the meanings as defined below, as applicable.
Preclusion List. In accordance with CMS-4185-F, precluded providers, after the expiration of the 60-day period specified in 42 CFR 422.222 will no longer be eligible for payment from the Plan and will be prohibited from pursuing payment from the beneficiary. As the provider will have received notification of the preclusion, the provider will hold financial liability for services, items, and drugs that are furnished, ordered, or prescribed after this 60-day period.