Adjustment Processing Sample Clauses

Adjustment Processing. The MIS adjustment processing function must have the capabilities to: 1. Maintain complete audit trails of adjustment processing activities on the claims history files. 2. Update provider payment history and recipient claims history with all appropriate financial information and reflect adjustments in subsequent reporting, including claim-specific and non- claim-specific recoveries. 3. Maintain the original claim and the results of all adjustment transactions in claims history; link all claims and subsequent adjustments by control number, providing for identification of previous adjustment and original claim number. 4. Reverse the amount previously paid/recovered and then processes the adjustment so that the adjustment can be easily identified.

Adjustment Processing. The Participant Accounts will be adjusted with Shares, or Shares shall be reversed and re-entered, as instructed by the Plan Sponsor and as permitted by Pioneer. The foregoing shall not apply with respect to adjustments for Uni-K Plan Accounts where Outside Fund shares are processed through ML Connect as any such adjustments are subject to the procedures set forth on Schedule D-1 (ML Connect Uni-K Transaction Error Processing Procedures).

Adjustment Processing i. Check for leak to confirm repairs for leak adjustment ii. Get read to identify trend or close leak period

Adjustment Processing. The MIS adjustment processing function must have the capabilities to: 1. Maintain complete audit trails of adjustment processing activities on the claims history files. 2. Update provider payment history and recipient claims history with all appropriate financial information and reflect adjustments in subsequent reporting, including claim-specific and non claim-specific recoveries. 3. Maintain the original claim and the results of all adjustment transactions in claims history; link all claims and subsequent adjustments by control number, providing for identification of previous adjustment and original claim number. 4. Reverse the amount previously paid/recovered and then processes the adjustment so that the adjustment can be easily identified. 5. Re-edit, re-price, and re-audit each adjustment including checking for duplication against other regular and adjustment claims, in history and in process. 6. Maintain adjustment information which indicates who initiated the adjustment, the reason for the adjustment, and the disposition of the claim (additional payment, recovery, history only, etc.) for use in reporting the adjustment. 7. Maintain an adjustment function to re-price claims, within the same adjudication cycle, for retroactive pricing changes, Member liability changes, Member or provider eligibility changes, and other changes necessitating reprocessing of multiple claims. 8. Maintain a retroactive rate adjustment capability which will automatically identify all Claims affected by the adjustment, create adjustment records for them, reprocess them, and maintain a link between the original and adjusted Claim.