THIRD PARTY PAYERS Sample Clauses
The 'Third Party Payers' clause defines the terms under which payments may be made by entities other than the primary contracting parties. It typically outlines the conditions that must be met for a third party, such as an insurer or a parent company, to fulfill payment obligations on behalf of one of the parties. This clause ensures that all parties are aware of and agree to the involvement of third-party payers, thereby clarifying payment responsibilities and reducing the risk of disputes over who is authorized to make payments under the contract.
POPULAR SAMPLE Copied 1 times
THIRD PARTY PAYERS. 3.23.1 Except as set forth on Schedule 3.23.1, the Company holds any and all Permits for participation in, and is a party to a valid provider agreement for payment by applicable social service payers, school districts, schools or applicable Government Programs for the provision of tutoring services, social services or other services provided as part of the Business. Without in any way limiting the prior sentence, each service location of the Company is eligible to receive payments pursuant to an applicable Government Program. The Company is in compliance in all material respects with all conditions of participation in and eligibility requirements for applicable Government Programs. The Company has timely filed with each governmental agency all cost reports or similar filings required to be filed by it under federal and state law in connection with its operations, and all such cost reports or similar filings comply in all material respects with applicable legal requirements. The Company has not received any notice of pending or possible investigations by, or loss of participation in, any of the Government Programs. All billing practices by the Company to all third party payers, including the Government Programs and private insurance Company, have been true, fair and correct and in material compliance with all applicable laws, regulations and policies of all such third party payers, and the Company has not billed for or received any payment or reimbursement in excess of amounts allowed by Laws. Except as set forth on Schedule 3.23.1, neither Seller nor the Company has knowledge of (i) any statutory or regulatory changes or any administrative rulings which would adversely affect the Business, (ii) any retroactive and/or prospective rate adjustments or pending, or threatened, recapture, offset, recoupment or withholding of payments which would affect the level of program payments received by the Company, and/or (iii) any freezes and/or funding reductions related to payments received by the Company (in connection with services rendered by the Company) from any Government Programs or other third party payors and/or (iv) any currently pending or threatened investigations of the Company by, or loss or suspension of participation in, any Government Programs. The Company has not exceeded any cap or ceiling applicable to payments which may be received from any Government Programs during any period. The Company has no obligation to return or refund to any Government P...
THIRD PARTY PAYERS. In accordance with California State law, for students receiving tuition assistance, any tuition refunds will be made first to any lender up to the amount of such disbursement; any additional refunds will next be made to other funding sources accounts or any other sponsoring source up to the amount of such disbursement; any additional refunds due will be made to the Student or sponsor. Any overpayment of monies disbursed for non-tuition educational expenses will be based on the hours completed over the total time in that payment period. The Student will be responsible for the repayment of any such overpayment. The refund for non-tuition educational expenses, if any, will be made to the appropriate agency account or individual. Student’s initials/date:
THIRD PARTY PAYERS. Other third-party payers may or may not have a bed hold policy. We will discuss this if it applies to you.
THIRD PARTY PAYERS. (a) The Company and any of its Subsidiaries that provide services that are reimbursed by Medicaid, Medicare or any other federal, state or other health care program sponsored, mandated or maintained by any Governmental Entity (“Government Programs”) are party to a valid provider Contract for payment by such Government Programs for the services provided by the Company and its Subsidiaries. The Company and its Subsidiaries have timely filed with each Governmental Program all cost reports, including any interim cost reports, and any similar filings required to be filed by it under applicable Laws in connection with its operations, and all such cost reports or similar filings comply in all material respects with such Laws. Neither the Company nor any of its Subsidiaries has received any notice of any pending or possible investigation of, or loss of participation in any Government Program by the Company or any of its Subsidiaries. All billing practices by the Company and its Subsidiaries to all third party payers, including the Government Programs and private insurance companies, have been true, fair and correct in all material respects and in material compliance with all applicable Laws, regulations and policies of all such third party payers.
(b) The Company and its Subsidiaries have no material liabilities to any third party fiscal intermediary or carrier administering any Government Program, directly to the Government Programs or any Governmental Entity or to any other third party payer for the recoupment of any amounts previously paid to the Company or any Subsidiary by any such third party fiscal intermediary, carrier, Government Program or other third party payer. To the knowledge of the Company, there is no pending or threatened actions by any third party fiscal intermediary, carrier, Government Program or other third party payer to suspend payments to the Company or any Subsidiary.
THIRD PARTY PAYERS. In accordance with California State law, for students receiving tuition assistance, any tuition refunds will be made first to any lender up to the amount of such disbursement; any additional refunds will next be made to other funding sources accounts or any other sponsoring source up to the amount of such disbursement; any additional refunds due will be made to the Student or sponsor. The Student will be responsible for the repayment of any such overpayment. The refund for non-tuition educational expenses, if any, will be made to the appropriate agency account or individual.
THIRD PARTY PAYERS. Caregiver may arrange with a third party for the third party to pay Caregiver’s financial obligations under this Agreement. In such case, SafetyNet shall invoice/charge the third party payer for applicable fees including, but not limited to, the various and pertinent fees described in #13 above. SafetyNet shall send written notice to the Caregiver if the third party payer fails to pay any fees due and Caregiver shall pay any such fees within 30 days of SafetyNet sending such notice to Caregiver.
THIRD PARTY PAYERS. You must provide a letter of intent to pay from your employer, city or township, in order to register for the class. Letters must include a contact, mailing address, email, and phone number. Email letters to ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇ or mail them to SSU Career Services, ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇. You may also bring letters in person to the SSU Career Services office in Massie 124.
THIRD PARTY PAYERS. 3.23.1 Except as set forth on Schedule 3.23.1, CBH holds all Permits (and such Permits are listed on Schedule 3.5) are all that are necessary for participation in, and are a party to a valid provider agreement for payment by applicable social service payers or applicable Government Programs for the provision of behavioral health rehabilitation services, partial hospitalization services, social services or other services applicable to the Business (the “Applicable Governmental Programs”). Without in any way limiting the prior sentence, each service location of each Company is eligible to receive payments pursuant to a Applicable Government Program. Each Company is in compliance in all material respects with all conditions of participation in and eligibility requirements for Applicable Government Programs. Neither Company has an obligation with an Applicable Government Body or Law to file cost reports or similar filings. Neither Company (but only related to the Business as to NDTC) has received any notice of pending or possible investigations by, or loss of participation in, any of the Applicable Government Programs. All billing practices of each Company related to the Business with respect to all third party payers, including the Applicable Government Programs and private insurance companies, have been true, fair and correct and in material compliance with all applicable Laws and policies of all such third party payers, and neither Company has billed for or received any payment or reimbursement in excess of amounts allowed by applicable Laws. Except for as set forth on Schedule 3.23.1, neither of the Companies nor the Shareholder have knowledge of (i) any statutory or regulatory changes or any administrative rulings which would adversely affect the Business, (ii) any retroactive and/or prospective rate adjustments or pending, or threatened, recapture, offset, recoupment or withholding of payments which would affect the level of program payments received by either Company, and/or (iii) any freezes and/or funding reductions related to payments received by either Company (in connection with services rendered by either Company) from any Government Programs applicable to the Business or other third party payors and/or (iv) any currently pending or threatened investigations of either Company by, or loss or suspension of participation in, any Applicable Government Programs. There are, and there have been, no caps or ceilings applicable to payments related to the B...
THIRD PARTY PAYERS. Carrier agrees to accept third party payments on behalf of Qualified Individuals from third parties as set forth in 45 CFR § 156.1250.
a. Carrier agrees to coordinate with the MHBE and other state agencies as applicable to streamline acceptance of third party payments from state agencies, including but not limited to payments for individuals participating in the Maryland AIDS Drug Assistance Program pursuant to COMAR Title 10 Subtitle 18.
THIRD PARTY PAYERS. The participant is required to pay all course fees in full prior to the course start date by credit card, check or by bank transfer to NationGlobe Tech or a designated account as agreed during enrollment. If payment cannot be made in full by third party payer, a payment arrangement with a third party Payer can be made, an initial payment of half the cost and a written agreement with the third party Payer stating commitment to complete balance on or before date of student’s completion of course is required.