Provider Payment. The Contract must include a provider payment provision that describes the methodology to be used as a basis for payment to the provider. However, the agreement shall not include a rate methodology that provides for an automatic increase in rates. This provision shall be consistent with the Reimbursement Policy required under G.S. 58-3-227(a)(5).
Appears in 5 contracts
Sources: Prepaid Health Plan Services Contract, Prepaid Health Plan Services Contract, Prepaid Health Plan Services Contract
Provider Payment. The Contract must include a provider payment provision that describes the methodology to be used as a basis for payment to the providerProvider. However, the agreement Contract shall not include a rate methodology that provides for an automatic increase in rates. This provision shall be consistent with the Reimbursement Policy required under G.S. 58-3-227(a)(5). Provider agrees to send 837 HIPAA compliant transactions and to receive 835 Remittances or to participate in Alliance’s web-based billing process.
Appears in 2 contracts
Sources: Network Participating Provider Contract, Medicaid Network Participating Provider Contract
Provider Payment. The Contract must include a provider payment provision that describes the methodology to be used as a basis for payment to the provider. However, the agreement shall not include a rate methodology that provides for an automatic increase in rates. This provision shall be consistent with the Reimbursement Policy required under G.S. 58-3-3- 227(a)(5).
Appears in 1 contract