Common use of Complaint Response Clause in Contracts

Complaint Response. DEFINITION: < = 70% in 5 working days, and < = 80% in 30 calendar days; both in any three consecutive months or applicable state law. REPORTING CONSTITUTES: Percentage (including and numerator and denominator) that results from the following: Number of member complaints responded to within 5 working and 30 calendar days/ Total number of member complaints responded to within the month REPORTING DATE: Results reported monthly on due date of monthly, quarterly, or annual report.

Complaint Response. DEFINITION: < = 70% in 5 working days, days and < = 80% in 30 calendar days; both in any three consecutive months or applicable state law. REPORTING CONSTITUTES: Percentage (including and numerator and denominator) that results from the following: Number of member provider complaints responded to within 5 working and 30 calendar days/ Total number of member provider complaints responded to within the month REPORTING DATE: Results reported monthly on due date of monthly, quarterly, or annual report.