Eligibility Discrepancy Reports Sample Clauses

The Eligibility Discrepancy Reports clause requires parties to identify and document any inconsistencies or errors related to eligibility criteria within a given process or agreement. In practice, this means that if a party discovers that an individual or entity does not meet the stated eligibility requirements, or if there is conflicting information about eligibility status, they must formally report these findings, often within a specified timeframe and using a designated reporting method. This clause ensures that all parties are promptly informed of potential eligibility issues, allowing for timely resolution and reducing the risk of disputes or non-compliance.
Eligibility Discrepancy Reports i.) Duplicate records report ii.) Reject records report iii.) Address errors report a. Paid Claims Summary Report b. Capitation (if applicable)
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Eligibility Discrepancy Reports. Vendor shall deliver eligibility discrepancy reports based on the monthly eligibility file, indicating (where applicable) (i) duplicate records, (ii) reject records and (iii) address errors.
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Eligibility Discrepancy Reports. Contractor shall provide discrepancy reports to People First for any rejected records, duplicate records or similar eligibility file errors within five Business Days of receipt of the eligibility file.
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Eligibility Discrepancy Reports. Contractor shall provide discrepancy reports to People First for any rejected records, duplicate records or similar eligibility file errors within five Business Days of receipt of the eligibility file.
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Related to Eligibility Discrepancy Reports

  • Eligibility Verification (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s monthly enrollment file, in accordance with Section 3.02(b). (b) To verify Medicaid eligibility of an individual Member, HHSC agrees to provide the MA Dual SNP with real-time access to HHSC’s claims administrator’s Medicaid eligibility verification system.

  • Student Eligibility The LEA and POSTSECONDARY INSTITUTION shall qualify and advise candidates for dual credit from the pool of eligible high school students. A candidate for dual credit is eligible for consideration for fall, spring, and summer semesters if he or she: a. is enrolled during the fall and spring in a LEA in one-half or more of the minimum course requirements approved by PED for public school students under its jurisdiction or by being in physical attendance at a bureau of Indian education-funded high school at least three documented contact hours per day pursuant to 25 CFR 39.211(c); b. obtains permission from the LEA representative (in consultation with the student’s individualized education program team, as needed), the student’s parent or guardian if the student is under 18 years old, and POSTSECONDARY INSTITUTION representative prior to enrolling in a dual credit course; and c. meets POSTSECONDARY INSTITUTION requirements to enroll as a dual credit student.

  • Program Eligibility The COUNTY shall provide eligibility determination for those persons applying for home repair under this Agreement by using the following factors: 1. The applicant is a resident of the CITY; and 2. The total income for all members of the applicant’s household does not exceed 80% of the median income of the Kansas City metropolitan area, as determined by the Secretary of Housing and Urban Development; and 3. The applicant is the homeowner and must have occupied the property as a primary residence for at least six (6) months; 4. The property to be repaired is within the corporate limits of the CITY; and 5. When required, medical need will be substantiated and documented.

  • CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION

  • Monthly Reports No later than 10:00 a.m., Chicago, Illinois time, two Business Days prior to each Distribution Date, the Servicer shall deliver to the Trustees and each Rating Agency a Monthly Report.