Claims Inventory Summary Report Sample Clauses

Claims Inventory Summary Report. 1. The Health Plan shall file an Aging Claims Summary Report quarterly, noting paid, denied and unpaid claims by provider type. The Health Plan will submit this report using the template supplied by the Agency and presented in Tables 7, 7-A, 7-B, 7-C and 7-D. This file is an Excel spreadsheet and must be submitted to the following email address: xxxxxxx@xxxx.xxxxxxxxx.xxx. Table 7 Total Claims Aging By Provider Type 00/00/00 NOTE: List ALL claims including those contained in the beginning inventory on this page. days days days days days TOTAL PROVIDER 1-30 % 31-60 % 61-90 % 91-120 % 120+ % CLAIMS PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 HOSPITALS: 0% 0% 0% 0% 0% 0 0% 0% 0% 0% 0% 0 0% 0% 0% 0% 0% 0 0% 0% 0% 0% 0% 0 REMAINDER OF PAGE LEFT INTENTIONALLY BLANK Table 7-A Paid Claims Aging by Provider Type Report 00/00/00 days days days days days TOTAL PROVIDER 1-30 % 31-60 % 61-90 % 91-120 % 120+ % CLAIMS PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 HOSPITALS: 0% 0% 0% 0% 0% 0 0% 0% 0% 0% 0% 0 0% 0% 0% 0% 0% 0 Table 7-B Denied Claims Aging By Provider Type 00/00/00 days days days days days TOTAL PROVIDER 1-30 % 31-60 % 61-90 % 91-120 % 120+ % CLAIMS PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 HOSPITALS: 0% 0% 0% 0% 0% 0 0% 0% 0% 0% 0% 0 0% 0% 0% 0% 0% 0 REMAINDER OF PAGE LEFT INTENTIONALLY BLANK Table 7-C Unpaid Claims Aging by Provider Type Report 00/00/00 days days days days days TOTAL PROVIDER 1-30 % 31-60 % 61-90 % 91-120 % 120+ % CLAIMS PRIMARY CARE 0 0% 0 0% 0 0% 0 0% 0 0% 0 SPECIALTY 0 0% 0 0% 0 0% 0 0% 0 0% 0 OTHER 0 0% 0 0% 0 0% 0 0% 0 0% 0 HOSPITALS: 0 0% 0 0% 0 0% 0 0% 0 0% 0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0 0% 0 0% 0 0% 0 0% 0 0% 0 Table 7-D Claims Inventory by Provider Type 00/00/00 Inventory (Ending Inventory from Previous quarter) Beginning Claims Ending PROVIDER Inventory Received Claims Paid Claims Denied Inventory PRIMARY CARE 0 0 0 0 OTHER 0 0 0 0 HOSPITALS: REMAINDER OF PAGE LEFT INTENTIONALLY BLANK
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Claims Inventory Summary Report. 1. Beginning with the April 2008 quarter, the PSN shall file Aging Claims Summary Reports quarterly, by provider type, using Excel spreadsheet templates supplied by the Agency. Reports shall be submitted within 45 days after the end of the quarter being reported to the following email address: xxxxxxx@xxxx.xxxxxxxxx.xxx.

Related to Claims Inventory Summary Report

  • Progress Report 10.1 If required, you shall submit progress reports in connection with the Service (“Report”) on at least a monthly basis, or as we may require. The Report shall include a summary of the activities and accomplishments during the previous reporting period.

  • Management Report Promptly upon receipt thereof, copies of all detailed financial and management reports submitted to Borrower or any other Loan Party by independent auditors in connection with each annual or interim audit made by such auditors of the books of Borrower or any other Loan Party.

  • Closing Financial Statements At least eight Business Days prior to the Effective Time, Southwest shall provide Xxxxxxx with Southwest’s consolidated financial statements presenting the financial condition of Southwest and its Subsidiaries as of the close of business on the last day of the last month ended prior to the Effective Time and Southwest’s consolidated results of operations, cash flows, and shareholders’ equity for the period from January 1, 2016 through the close of business on the last day of the last month ended prior to the Effective Time (the “Closing Financial Statements”); provided, that if the Effective Time occurs on or before the 15th Business Day of the month, Southwest shall have provided consolidated financial statements as of and through the second month preceding the Effective Time. Concurrently with the delivery of the Closing Financial Statements, Southwest shall provide Xxxxxxx with a schedule (the “Transaction Fee Schedule”) setting forth in reasonable detail the fees and expenses incurred and paid as well as accrued and unpaid by the Southwest Entities in connection with the transactions contemplated by this Agreement. Such financial statements shall have been prepared in accordance with GAAP and regulatory accounting principles and other applicable legal and accounting requirements, and reflect all period-end accruals and other adjustments. Such Closing Financial Statements shall exclude as of their date fees and expenses and accruals for all fees and expenses incurred or expected to be incurred (whether or not doing so is in accordance with GAAP) in connection (directly or indirectly) with the transactions contemplated by this Agreement. The Closing Financial Statements shall include (a) the capital ratios set forth in Section 8.2(g) (but excluding from the calculation of such ratios the amounts set forth on the Transaction Fee Schedule) and (b) the asset quality metrics set forth in Section 8.2(e), and shall be accompanied by a certificate of Southwest’s chief financial officer, dated as of the Effective Time, to the effect that (i) such financial statements meet the requirements of this Section 7.17 and continue to reflect accurately, as of the date of such certificate, the consolidated financial condition, results of operations, cash flows and shareholders’ equity of Southwest in all material respects and (ii) the Transaction Fee Schedule accurately reflects, as of the same date, all fees and expenses incurred or accrued by the Southwest Entities in connection with the transactions contemplated by this Agreement.

  • Financial Statements, Reports Provide Bank with the following by submitting to the Financial Statement Repository or otherwise submitting to Bank:

  • Royalty Report The term “Royalty Report” shall have the meaning ascribed to such term as provided in Section 5.4.

  • BACKGROUND STATEMENT The Borrower has requested that the Lenders make available to the Borrower revolving credit facilities in the aggregate principal amount of $725,000,000. The Borrower will use the proceeds of these facilities as provided in Section 5.5. The Lenders are willing to make available to the Borrower the credit facilities described herein subject to and on the terms and conditions set forth in this Agreement.

  • Review of Financial Statements For a period of five (5) years after the date of this Agreement, the Company, at its expense, shall cause its regularly engaged independent registered public accounting firm to review (but not audit) the Company’s financial statements for each of the three fiscal quarters immediately preceding the announcement of any quarterly financial information.

  • Financial Statements, Reports, etc Furnish to the Administrative Agent (which will promptly furnish such information to the Lenders):

  • Borrowing Base Report The Agent shall have received from the Borrower the initial Borrowing Base Report dated as of the Closing Date.

  • Financial Statements; Financial Condition; Undisclosed Liabilities; Projections; etc (a) (i) The audited consolidated balance sheet of (x) the Company and its Subsidiaries for the fiscal year of the Company ended November 30, 2009 and the related consolidated statements of income, cash flows and shareholders’ equity of the Company and its Subsidiaries for such fiscal year, and (y) the Acquired Business and its Subsidiaries for the fiscal year of the Acquired Business ended December 31, 2009 and the related consolidated statements of income, cash flows and shareholders’ equity of the Acquired Business and its Subsidiaries for such fiscal year, and (ii) the unaudited consolidated balance sheet of (x) the Company and its Subsidiaries for the three fiscal quarters of the Company ended August 31, 2010 and the related consolidated statements of income and cash flows of the Company and its Subsidiaries for such fiscal quarters and (y) the Acquired Business and its Subsidiaries for the eight months of the Acquired Business ended August 31, 2010 and the related consolidated statements of income and cash flows of the Acquired Business and its Subsidiaries for such fiscal period, copies of which in each case have been furnished to the Administrative Agent and each Lender prior to the Restatement Effective Date, present fairly in all material respects the consolidated financial condition of the Company and its Subsidiaries or the Acquired Business and its Subsidiaries, as the case may be, at the dates of said financial statements and the results for the periods covered thereby, subject, in the case of the unaudited financial statements, to normal year-end adjustments. All such financial statements have been prepared in accordance with generally accepted accounting principles consistently applied, except to the extent provided in the notes to said financial statements.

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