Claims Processing. PacifiCare shall establish and maintain standards, policies and procedures for the timely and accurate processing and payment of claims for Covered Services provided to Members (“Claims Processing Guidelines”). The Claims Processing Guidelines shall be maintained in accordance with the requirements of State and Federal Law and the Managed Care Plans.
Appears in 5 contracts
Samples: Ipa Services Agreement (Prospect Medical Holdings Inc), Services Agreement (Prospect Medical Holdings Inc), Ipa Services Agreement (Prospect Medical Holdings Inc)
Claims Processing. PacifiCare shall establish and maintain standards, policies and procedures for the timely and accurate processing and payment of claims for Covered Services provided to Members (“Claims Processing Guidelines”). ) The Claims Processing Guidelines shall be maintained in accordance with the requirements of State and Federal Law and the Managed Care Plans.
Appears in 1 contract
Samples: Ipa Services Agreement (Prospect Medical Holdings Inc)
Claims Processing. PacifiCare shall establish and maintain standards, policies and procedures for the timely and accurate processing and payment of claims for Covered Services provided to Members (“"Claims Processing Guidelines”"). The Claims Processing Guidelines shall be maintained in accordance with the requirements of State and Federal Law and the Managed Care Plans. Medical Group and its Participating Providers shall comply with PacifiCare's Claims Processing Guidelines.
Appears in 1 contract
Samples: Ipa Services Agreement (Prospect Medical Holdings Inc)