Common use of Reimbursement and Billing Procedures Clause in Contracts

Reimbursement and Billing Procedures. Physician agrees to comply with the reimbursement and billing procedures required by IPA or Payer. Physician will submit a Clean Claim for Covered Services rendered to Covered Persons to the applicable Payor or its designated representative as required in the Payer Agreement. Payers will be expected to comply with the Clean Claims requirements of Articles 3.70-3C 3A and 20A.18B, Texas Insurance Code, and the rules promulgated, thereunder and with current Texas State Law pertaining to prompt payment of claims, currently SB 418, or any successor legislation. Physician agrees to comply with the Texas Civil Practice and Remedies Code, Chapter 146, regarding timely billing.

Reimbursement and Billing Procedures. Physician Provider agrees to comply with the reimbursement and billing procedures required by IPA or Payer. Physician Provider will submit a Clean Claim for Covered Services rendered to Covered Persons to the applicable Payor or its designated representative as required in the Payer Agreement. Payers will be expected to comply with the Clean Claims requirements of Articles 3.70-3C 3A and 20A.18B, Texas Insurance Code, and the rules promulgated, thereunder and with current Texas State Law pertaining to prompt payment of claims, currently SB 418, or any successor legislation. Physician Provider agrees to comply with the Texas Civil Practice and Remedies Code, Chapter 146, regarding timely billing.