Common use of Claims and Denial of Payment Clause in Contracts

Claims and Denial of Payment. Payment to Vendors 1. The State Agency shall ensure that Vendors, are paid promptly. Payment must be made in accordance with the established Operating Rules and technical requirements after the Vendor, has submitted a valid electronic claim for payment. a. Food items’ prices requested for payment by the Vendor that exceed the maximum New Jersey WIC Program’s amount for the Vendor’s peer group will be paid at the Vendor’s maximum allowable reimbursement amount. 2. The State Agency shall maintain an account for payment to the Vendor of validly redeemed WIC transactions. 3. The State Agency assumes no liability for costs incurred by the Vendor for any banking fees associated with eWIC transactions. 4. The Vendor shall accept as payment in full for each WIC approved food redeemed the lesser of the shelf price requested for the product or the New Jersey WIC calculated maximum allowable reimbursement rate price for that product within the store's assigned peer group. 5. The State Agency will provide the Vendor with an opportunity to justify potential settlement errors. 6. The State Agency shall determine the maximum allowable reimbursement amount for the WIC authorized food items.

Claims and Denial of Payment. Payment to Vendors 1. The State Agency shall ensure that Vendorsvendors, are paid promptly. Payment must be made in accordance with the established Operating Rules and technical requirements after the Vendorvendor, has submitted a valid electronic claim for payment. a. Food items’ prices requested for payment by the Vendor that exceed the maximum New Jersey WIC Program’s amount for the Vendorvendor’s peer group will be paid at the Vendorvendor’s maximum allowable reimbursement amount. 2. The State Agency shall maintain an account for payment to the Vendor of validly redeemed WIC transactions. 3. The State Agency assumes no liability for costs incurred by the Vendor for any banking fees associated with eWIC transactions. 4. The Vendor shall accept as payment in full for each WIC approved food redeemed the lesser of the shelf price requested for the product or the New Jersey WIC calculated maximum allowable reimbursement rate price for that product within the store's assigned peer group. 5. The State Agency will provide the Vendor with an opportunity to justify potential settlement errors. 6. The State Agency shall determine the maximum allowable reimbursement amount for the WIC authorized food items.