Prompt Payment of Claims. ILS Community Network agrees to process and pay or deny claims for Covered Services within sixty (60) calendar days of receipt of such claims in accordance with the Agreement, except as such time frame may be modified by Mandates or reflected in the State Exhibit/Addenda hereto. [42 C.F.R. § 422.520(b).]
Prompt Payment of Claims. HWHN shall approve or deny clean claims within 30 days of receipt of the claim. If a clean claim is not paid in the required time frame, HWHN shall pay interest on the amount due the Practitioner at an annual rate of 10%.
Prompt Payment of Claims. (1) WHN shall either pay or deny a clean claim not later than the 30th day after receipt of a properly executed claim, and shall pay simple interest, at an annual rate of 12%, on claims not paid by WHN by the 31st day after receipt. WHN shall not deny a claim on the grounds of a specific policy provision, condition or exclusion unless the denial includes reference to the provision, condition or exclusion. Each claim denial shall be in writing, with either a copy or the capability of reproducing its text included in WHN’s claim file. Notwithstanding the foregoing, if a claim is made on a health insurance policy and the claim involves a coordination of benefits issue to which Sections 836- 020-0700 to 836-020-0765 of the Oregon Administrative Rules apply, then such 30 day time period may be extended by 14 days. WHN shall not fail to settle Practitioner claims within such 30 day period on the grounds that responsibility for payment should be assumed by others. State Law Addendum State of Colorado Kaiser Foundation of Colorado, Inc Notwithstanding any provision of the Agreement, the following additional provisions shall be applicable to practitioners practicing in and services provided to members in the State of Colorado.
Prompt Payment of Claims. (1) HWHN’s schedule for the prompt payment of amounts owed by HWHN to Chiropractor is set forth in the Chiropractor Provider Manual, and includes penalties for HWHN’s failure to abide by such schedule. At a minimum, with respect to services provided in the State of Washington, HWHN shall comply with the following minimum payment requirements.
Prompt Payment of Claims. First Tier Entity will process and pay or deny claims for Covered Services within the time frame set forth in the agreement between provider and First Tier Entity. [42 C.F.R. § 422.520(b).]
Prompt Payment of Claims. In accordance with 42 CFR 447.46, the Contractor shall comply with the timely claims payment requirements of 42 CFR 447.45. The Contractor shall implement Claims payment procedures that ensure 90% of all Provider Claims, including to I/T/Us, for which no further written information or substantiation is required in order to make payment are paid or denied within thirty (30) days of the date of receipt of such Claims and that 99% of all Claims are processed within ninety (90) days of the date of receipt of such Claims. In addition, the Contractor shall comply with the Prompt-Pay statute, codified within KRS 304.17A-700-730, as may be amended, and KRS 205.593, and KRS 304.14-135 and KRS 304.99-123, as may be amended. The date of receipt is the date the MCO receives the claim, as indicated by its date stamp on the claim or other notation as appropriate to the medium used to file a claim and the date of payment is the date of the check or other form of payment. The Contractor shall notify the requesting provider of any decision to deny a Claim or to authorize a service in an amount, duration, or scope that is less than requested. Any conflict between federal law and Commonwealth law will default to the federal law unless the Commonwealth requirements are stricter.
Prompt Payment of Claims. LIBERTY will process and pay or deny claims for services provided by Dental Office in accordance with the Provider Agreement and any and all applicable laws, including, but not limited to, any and all applicable prompt payment laws.
Prompt Payment of Claims. In accordance with the Balanced Budget Act (BBA) Section 4708, the Contractor shall implement Claims payment procedures that ensure 90% of all Provider Claims, including to I/T/Us, for which no further written information or substantiation is required in order to make payment are paid or denied within thirty (30) days of the date of receipt of such Claims and that 99% of all Claims are processed within ninety (90) days of the date of receipt of such Claims. In addition, the Contractor shall comply with the Prompt-Pay statute, codified within KRS 304.17A-700-730, as may be amended, and KRS 205.593, and KRS 304.14-135 and KRS 304.99-123, as may be amended. The date of receipt is the date the MCE receives the claim, as indicated by its date stamp on the claim or other notation as appropriate to the medium used to file a claim and the date of payment is the date of the check or other form of payment. The Contractor shall notify the requesting provider of any decision to deny a Claim or to authorize a service in an amount, duration, or scope that is less than requested. Any conflict between the BBA and Commonwealth law will default to the BBA unless the Commonwealth requirements are stricter.
Prompt Payment of Claims. BCBSTX or Payer shall pay Ancillary Provider for Covered Services rendered to Subscribers less any applicable Subscriber Copayment, Coinsurance or Deductible amounts: (a) as described in Exhibit B, Compensation, or (b) as described in Part IV, Section, Items Compensated on a Percentage of Eligible Charge Basis. Ancillary Provider shall accept such compensation as its only compensation for Covered Services. BCBSTX or Payer shall make such payment for services within forty-five (45) days of receipt of Clean Claims in a nonelectronic format or within thirty (30) days of receipt of Clean Claims that are electronically submitted, whenever the Health Plan is the primary insurer. Any dispute arising from such payment shall be resolved in accordance with Part X, General Provisions, Section G, Dispute Resolution.
Prompt Payment of Claims. DDMN agrees to the prompt payment of “clean claims” under this Agreement as provided in Minnesota Statute 62Q.75 and 42 C.F.R. 422.520.
