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)
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.
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.
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.
