Common use of For Pharmacy Claims Clause in Contracts

For Pharmacy Claims. 1. The [Company] shall within fourteen (14) Calendar Days of receiving a pharmacy claim pay or deny a clean pharmacy claim or notify the provider that more information is needed to process the claim. 2. A pharmacy pended claim shall be paid or denied within fourteen (14) Calendar Days of receipt of the requested additional information.

Appears in 4 contracts

Sources: Prepaid Health Plan Services Contract, Prepaid Health Plan Services Contract, Prepaid Health Plan Services Contract

For Pharmacy Claims. 1. The [Company] shall within fourteen (14) Calendar Days calendar days of receiving a pharmacy claim pay or deny a clean pharmacy claim or notify the provider that more information is needed to process the claim. 2. A pharmacy pended claim shall be paid or denied within fourteen (14) Calendar Days calendar days of receipt of the requested additional information.

Appears in 3 contracts

Sources: Prepaid Health Plan Services Contract, Prepaid Health Plan Services Contract, Prepaid Health Plan Services Contract