Claims Processing Reports Sample Clauses

Claims Processing Reports. ‌ The PH-MCO must provide the Department with monthly Claims processing reports with content and in a format specified by the Department by the fifth (5th) calendar day of the second (2nd) subsequent month. Claims returned by a web-based clearinghouse (example- WebMD Envoy) are not considered as claims received and would be excluded from claims reports. If the PH-MCO fails to submit a timely, accurate fully compliant Claims processing report, The Department may impose the following assessments: up to $200 per calendar day for the first ten (10) calendar days from the date that the report is due and up to $1,000 per day for each calendar day thereafter.
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Claims Processing Reports. 129 G. Presentation of Findings ............................................
Claims Processing Reports. The Contractor shall provide the Department with monthly claims processing reports with content and in a format specified by DPW. The reports are due on the 5th calendar day of the second subsequent month. Failure to submit a claims processing report timely that is accurate and fully compliant with the reporting requirements shall result in the following penalties: $200 per day for the first 10 calendar days from the date that the report is due and $1,000 per day for each calendar day thereafter.
Claims Processing Reports. ‌ The CHC-MCO must provide the Department with monthly Claims processing reports with content and in a format specified by the Department. The reports are due on the fifth (5th) calendar day of the second (2nd) subsequent month. Claims returned by a web-based clearinghouse (e.g., WebMD Envoy) are not considered as claims received and would be excluded from claims reports. The Department may impose the following sanction for the CHC-MCO’s failure to submit a timely Claims processing report that is accurate and fully compliant with the reporting requirements: Two Hundred Dollars ($200.00) per day for the first ten (10) calendar days from the date that the report is due, and One Thousand Dollars ($1,000.00) per day for each calendar day thereafter.
Claims Processing Reports. Supplier shall produce reports for PacifiCare relating to Claims Processing.

Related to Claims Processing Reports

  • Payment; Reports 5 4.2 Exchange Rate; Manner and Place of Payment.................................... 5 4.3

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

  • Access to Certain Documentation and Information Regarding Receivables The Servicer shall provide to representatives of the Trustee, the Owner Trustee and the Trust Collateral Agent reasonable access to the documentation regarding the Receivables. In each case, such access shall be afforded without charge but only upon reasonable request and during normal business hours. Nothing in this Section shall affect the obligation of the Servicer to observe any applicable law prohibiting disclosure of information regarding the Obligors, and the failure of the Servicer to provide access as provided in this Section as a result of such obligation shall not constitute a breach of this Section.

  • Required Reports (1) As required in Attachment H, Disadvantaged Business Enterprise or Historically Underutilized Business Program Requirements, the Engineer shall submit Progress Assessment Reports to report actual payments made to Disadvantaged Business Enterprises or Historically Underutilized Businesses. One copy shall be submitted with each billing statement and one copy shall be submitted to the address included in Attachment H, Disadvantaged Business Enterprise or Historically Underutilized Business Program Requirements.

  • Project Reports 1. The Borrower shall monitor and evaluate the progress of the Project and prepare Project Reports in accordance with the provisions of Section 5.08 of the General Conditions and on the basis of the indicators agreed with the Bank. Each Project Report shall cover the period of one calendar semester, and shall be furnished to the Bank not later than one month after the end of the period covered by such report.

  • Financial Statements; Accountants’ Reports; Other Information The Guarantor shall keep and maintain at all times complete and accurate books of accounts and records in sufficient detail to correctly reflect all of the Guarantor’s financial transactions and assets. In addition, the Guarantor shall furnish, or cause to be furnished, to the Lender the following:

  • Progress Reports The Recipient shall submit to the OPWC, at the OPWC's request, summary reports detailing the progress of the Project pursuant to this Agreement and any additional reports containing such information as the OPWC may reasonably require.

  • Progress Reports and Invoices The goals of this subtask are to: (1) periodically verify that satisfactory and continued progress is made towards achieving the project objectives of this Agreement; and (2) ensure that invoices contain all required information and are submitted in the appropriate format. The Recipient shall: • Submit a monthly Progress Report to the CAM. Each progress report must: o Summarize progress made on all Agreement activities as specified in the scope of work for the preceding month, including accomplishments, problems, milestones, products, schedule, fiscal status, and an assessment of the ability to complete the Agreement within the current budget and any anticipated cost overruns. See the Progress Report Format Attachment for the recommended specifications. • Submit a monthly or quarterly Invoice that follows the instructions in the “Payment of Funds” section of the terms and conditions, including a financial report on Match Fund and in-state expenditures. Products: • Progress Reports • Invoices

  • Engineering Reports 45 Section 8.08

  • Records Reports To maintain records and to prepare and file reports required by law to be filed by the Trustee or required by agreement with the Company;

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