CLIENT ONGOING VALIDATION AUDIT (COVA) Sample Clauses

CLIENT ONGOING VALIDATION AUDIT (COVA). The CLIENT and TriZetto will jointly conduct a periodic audit of the claims systems configuration, which are part of the Transaction Services. This audit is referred to as COVA and is performed by selecting specific paid claims that are designed to test the interaction of the claims system's benefit plan, provider file and provider fee configurations. As a part of the COVA process the CLIENT is asked to review a sample of their claims in order to insure that the claims system is producing the payment results anticipated by the CLIENT. The CLIENT and TriZetto will mutually agree upon the frequency with which these COVA reviews will take place and the specific configuration components that will be tested through each review.