On-Line Claims Processing System and Paper Claims Sample Clauses

On-Line Claims Processing System and Paper Claims. As part of the Administrator Systems, Administrator shall operate and support an on-line claims processing system that operates in real-time, effecting point-of-sale (“POS”) communications with Network Pharmacies to ensure accurate and timely adjudication and payment of all Prescription Claims submitted by a Network Pharmacy on behalf of Members. Administrator shall ensure that its claims processing system shall meet or exceed the Service Level Standards set forth on Exhibit G and the requirements of applicable Laws and Regulations. Administrator shall establish and operate a system for processing (which may include paying, partially paying, or denying in accordance with the Network Pharmacy Agreement and applicable Laws and Regulations) paper Prescription Claims at the amounts established by the Benefit Plans and within the timeframes established by this Agreement and applicable Laws and Regulations.
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