Common use of Claim Disputes Clause in Contracts

Claim Disputes. Provider may, for a period of ninety (90) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall reimburse Provider the amount of the underpayment within thirty (30) days provided documentation substantiates the payment error. After the ninety (90) day period has expired, payment of that claim is final and may not be disputed for any reason.

Appears in 10 contracts

Samples: Health Care Service Provider Agreement, Health Care Service Provider Agreement, Health Care Service Provider Agreement

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Claim Disputes. Provider Facility may, for a period of ninety 90 (90ninety) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall reimburse Provider Facility the amount of the underpayment within thirty 30 (30thirty) days provided documentation substantiates the payment error. After the ninety 90 (90ninety) day period has expired, payment of that claim is final and may not be disputed for any reason.

Appears in 7 contracts

Samples: Health Care Service Ancillary Agreement, Health Care Service Ancillary Agreement, Health Care Service Ancillary Agreement

Claim Disputes. Member Provider may, for a period of ninety 90 (90ninety) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall reimburse Member Provider the amount of the underpayment within thirty 30 (30thirty) days provided documentation substantiates the payment error. After the ninety 90 (90ninety) day period has expired, payment of that claim is final and may not be disputed for any reason.

Appears in 3 contracts

Samples: Health Care Service Provider Agreement, Health Care Service Provider Agreement, Health Care Service Provider Agreement

Claim Disputes. Member Provider may, for a period pe1iod of ninety 90 (90ninety) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall reimburse Member Provider the amount of the underpayment within thirty 30 (30thirty) days provided documentation substantiates the payment error. After the ninety 90 (90ninety) day period has expired, payment of that claim is final and may not be disputed for any reason.

Appears in 1 contract

Samples: Health Care Service Provider Agreement

Claim Disputes. Member Provider may, for a period of ninety 90 (90ninety) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall reimburse reimbtu-se Member Provider the amount of the underpayment within thirty 30 (30thirty) days provided documentation substantiates the payment error. After the ninety 90 (90ninety) day period has expired, payment of that ofthat claim is final and may not be disputed for any reason.

Appears in 1 contract

Samples: Health Care Service Provider Agreement

Claim Disputes. Provider may, for a period of ninety 90 (90ninety) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall will reimburse Provider the amount of the underpayment within thirty 30 (30thirty) days provided documentation substantiates the payment error. After the ninety 90 (90ninety) day period has expired, payment of that claim is final and may not be disputed for any reason.

Appears in 1 contract

Samples: Health Care Service Provider Agreement

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Claim Disputes. Provider may, for a period of ninety (90) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall will reimburse Provider the amount of the underpayment within thirty (30) days provided documentation substantiates the payment error. After the ninety (90) day period has expired, payment of that claim is final and may not be disputed for any reason.

Appears in 1 contract

Samples: Health Care Service Provider Agreement

Claim Disputes. Provider may, for a period of ninety (90) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall reimburse Provider the amount of the underpayment within thirty (30) days provided documentation substantiates the payment erroretrnr. After the ninety (90) day period petiod has expired, payment of that claim is final and may not be disputed for any reason.

Appears in 1 contract

Samples: Health Care Service Provider Agreement

Claim Disputes. Member Provider may, for a period of ninety 90 (90ninety) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall will reimburse Member Provider the amount of the underpayment within thirty 30 (30thirty) days provided documentation substantiates the payment error. After the ninety 90 (90ninety) day period has expired, payment of that claim is final and may not be disputed for any reason.

Appears in 1 contract

Samples: Health Care Service Provider Agreement

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