Common use of Claims Inventory Summary Report Clause in Contracts

Claims Inventory Summary Report. 1. The Health Plan shall file an Aging Claims Summary Report quarterly, noting paid, denied and unpaid claims by provider type. The Health Plan will submit this report using the template supplied by the Agency and presented in Tables 7, 7-A, 7-B, 7-C and 7-D. This file is an Excel spreadsheet and must be submitted to the following email address: xxxxxxx@xxxx.xxxxxxxxx.xxx. 00/00/00 NOTE: List ALL claims including those contained in the beginning inventory on this page. PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 HOSPITALS: PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 HOSPITALS: PRIMARY CARE 0 0% 0 0% 0 0% 0 0% 0 0% 0 SPECIALTY 0 0% 0 0% 0 0% 0 0% 0 0% 0 OTHER 0 0% 0 0% 0 0% 0 0% 0 0% 0 HOSPITALS: PRIMARY CARE 0 0 0 0 OTHER 0 0 0 0 HOSPITALS:

Claims Inventory Summary Report. 1. The Health Plan shall file an Aging Claims Summary Report quarterly, noting paid, denied and unpaid claims by provider type. The Health Plan will submit this report using the template CLAIMS AGING TEMPLATE.xls file supplied by the Agency and presented in Tables 76, 76-A, 76-B, 76-C and 76-D. This file is an Excel spreadsheet and must may be submitted to the following email address: xxxxxxx@xxxx.xxxxxxxxx.xxx. 00/00/00 NOTE: List ALL claims including those contained in the beginning inventory on this page. PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 HOSPITALS: PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 HOSPITALS: PRIMARY CARE 0 0% 0 0% 0 0% 0 0% 0 0% 0 SPECIALTY 0 0% 0 0% 0 0% 0 0% 0 0% 0 OTHER 0 0% 0 0% 0 0% 0 0% 0 0% 0 HOSPITALS: PRIMARY CARE 0 0 0 0 OTHER 0 0 0 0 HOSPITALS:

Claims Inventory Summary Report. 1. The Health Plan shall file an Aging Claims Summary Report quarterly, noting paid, denied and unpaid claims by provider type. The Health Plan will submit this report using the template CLAIMS AGING TEMPLATE.xls file supplied by the Agency and presented in Tables 76, 76-A, 76-B, 76-C and 76-D. This file is an Excel spreadsheet and must may be submitted to the following email address: xxxxxxx@xxxx.xxxxxxxxx.xxx. 00/00/00 NOTE: List ALL claims including those contained in the beginning inventory on this page. PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 HOSPITALS: PRIMARY CARE 0% 0% 0% 0% 0% 0 SPECIALTY 0% 0% 0% 0% 0% 0 OTHER 0% 0% 0% 0% 0% 0 HOSPITALS: PRIMARY CARE 0 0% 0 0% 0 0% 0 0% 0 0% 0 SPECIALTY 0 0% 0 0% 0 0% 0 0% 0 0% 0 OTHER 0 0% 0 0% 0 0% 0 0% 0 0% 0 HOSPITALS: PRIMARY CARE 0 0 0 0 OTHER 0 0 0 0 HOSPITALS: