Sample Billing Agreement

A contract is very important for a medical billing entity to define the roles and responsibilities of both parties, as well as to define services, prices, conditions, etc. It should also clearly describe the responsibilities of the client and the medical billing service. 17. This medical settlement contract binds and benefits the heirs, legatees, successors and addressees of each of the parties. CONSIDERING that the Customer wishes to instruct ACME to provide IT with billing rights and services, with ACME submitting insurance rights to government and commercial enterprises electronically and by paper on behalf of the Customer; [In addition to other permitted purposes, parties should indicate whether the settlement medical counterparty has the right to use protected health information to identify the information referred to in 45 CFR 164.514(a)–(c). The parties may also wish to indicate how the counterparty will anonymize the information and the uses and disclosures of anonymous information authorized by the counterparty.] [Option 2 – Refer to an underlying service contract, for example.B. « to the extent necessary to provide the services defined in the service agreement. »] 6. Well-prepared medical billing contracts clearly define the cost of the services for which you will charge your clients an additional fee (late payment fee, overage fee, detailed reporting fee, fee for any services requested that go beyond the services you have agreed, etc.). Copy another person`s contract or agreement!!! While Doctor is a voluntary and qualified specialist who wants the billing and pick-up services of the professional services provided by the doctor to be provided by MBA. (f) [Optional] The counterparty may disclose protected health information for the proper management and management of the counterparty or to fulfil the counterparty`s legal obligations, provided that the disclosures are required by law or that the counterparty receives reasonable assurances from the person to whom the information is disclosed that the information remains confidential and that it is only used at that time or shall be communicated to the person for the purposes for which they were used and the person shall inform the counterparty of the medical billing of all cases of which he is aware and in which the confidentiality of the information has been breached.


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