PENALTIES FOR DEFICIENT ENCOUNTER DATA Sample Clauses

PENALTIES FOR DEFICIENT ENCOUNTER DATA. SUBMISSION If minimum submission requirements are not met, as defined in the Provider Manual, and are not corrected within a thirty (30) day notice period, Group shall be subject to a penalty of three percent (3%) of the Group’s commercial capitation payment and, if applicable, NA percent (NA%) of the Group’s Blue Shield 65 Plus capitation payment for the period(s) in question from the monthly capitation payments until the deficiency is corrected. *** EXHIBIT C-1.1 HMO IPA/Medical Group Agreement Capitation Rates for NorthWest Orange County Medical Group Effective Date: 02/01/2004 As of 02/01/2004, the effective net yield (which includes the deduction for Stop Loss, if applicable) for the following PMPMs and factors are *** for the HMO Group, *** for HMO IFP, *** for POS, *** for the PERS Group, and *** pmpm in aggregate, based on the 07/01/2002 membership. The actual capitation payment for each month will be calculated based on the actual member mix for each age/sex/copay level category.
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PENALTIES FOR DEFICIENT ENCOUNTER DATA. SUBMISSION If minimum submission requirements are not met, as defined in the Provider Manual, and are not corrected within a thirty (30) day notice period, Group shall be subject to a penalty of three percent (3%) of the Group’s commercial capitation payment and, if applicable, NA percent (NA) of the Group’s Blue Shield 65 Plus capitation payment for the period(s) in question from the monthly capitation payments until the deficiency is corrected. *** Exhibit D HMO IPA/Medical Group Agreement SHARED SAVINGS PROGRAMS NORTHWEST ORANGE COUNTY MEDICAL GROUP EFFECTIVE DATE: FEBRUARY 1, 2003
Sample 1
PENALTIES FOR DEFICIENT ENCOUNTER DATA. SUBMISSION If minimum submission requirements are not met, as defined in the Provider Manual, and are not corrected within a thirty (30) day notice period, Group shall be subject to a penalty of three percent (3%) of the Group’s commercial capitation payment and, if applicable, one percent (1%) of the Group’s Blue Shield 65 Plus capitation payment for the period(s) in question from the monthly capitation payments until the deficiency is corrected. ### Exhibit D HMO IPA/Medical Group Agreement SHARED SAVINGS PROGRAMS Gateway Medical Group, Inc. Effective Date: January 1, 2002
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