Off-Cycle Updates Sample Clauses

Off-Cycle Updates. Guarantee: Preferred Provider guarantees that 100% of eligibility updates (defined as the number of electronic eligibility files updated) will be processed within 24 hours of receipt of complete and accurate data (if a file requires adjustments, the customer will be notified by email as soon as the need is identified). Definition: Complete enrollment/eligibility data is defined as employee name, address, provider selection, DOB, SSN, and covered dependent information if applicable, as well as mutually agreed upon eligibility specifications. The guarantee is contingent upon the file being transmitted successfully to Preferred Provider (files received after 12:00 Noon EST will be considered as having been received on the next business day). Any eligibility file received which must be adjusted by Preferred Provider using a file fix will not be included in the reconciliation. The Electronic Report (ELR) will be used to determine the completeness of the data provided by Group. Some data transfers may be done via Excel spreadsheet or by email to enroll less than six new members. Measurement and Penalty: Preferred Provider shall pay Group $ for each quarter in which the standard is not met, following receipt of a complete and accurate file, to an annual maximum amount of $ annually. Preferred Provider’s results will be used to determine whether the terms of the guarantee have been met.