Common use of Claims Adjudication Clause in Contracts

Claims Adjudication. The MCP shall have the capacity to electronically accept and adjudicate all claims to final status (payment or denial). Information on claims submission procedures shall be provided to non-contracting providers within 30 calendar days of a request. The MCP shall inform providers of its ability to electronically process and adjudicate claims and the process for submission. Such information shall be initiated by the MCP and not only in response to provider requests.

Appears in 13 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

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Claims Adjudication. The MCP shall have the capacity to electronically accept and adjudicate all claims to final status (payment or denial). Information on claims submission procedures shall be provided to non-contracting noncontracting providers within 30 calendar days of a request. The MCP shall inform providers of its ability to electronically process and adjudicate claims and the process for submission. Such information shall be initiated by the MCP and not only in response to provider requests.

Appears in 6 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

Claims Adjudication. The MCP shall have the capacity to electronically accept and adjudicate all claims to final status (payment or denial). Information on claims submission procedures shall be provided to non-contracting providers within 30 calendar days of a request. The MCP shall inform providers of its ability to electronically process and adjudicate claims and the process for submission. Such information shall be initiated by the MCP and not only in response to provider requests.

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

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Claims Adjudication. The MCP shall must have the capacity to electronically accept and adjudicate all claims to final status (payment or denial). Information on claims submission procedures shall must be provided to non-contracting providers within 30 calendar days of a request. The MCP shall must inform providers of its ability to electronically process and adjudicate claims and the process for submission. Such information shall must be initiated by the MCP and not only in response to provider requests.

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

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