Claims Reconciliation Sample Clauses

Claims Reconciliation. Year-end claims reconciliation conducted by Xxxxxxx with CMS for RDS claims. Aggregate cost and rebate reconciliation information (including actual rebate amount attributable to the gross drug costs for subsidy reimbursement) will be provided to CMS. These services include complete reconciliation of this data with CMS.
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Claims Reconciliation. (i) The Debtors shall undertake reasonable good faith efforts to address and reconcile, to the extent practicable, the Trade Committee MembersOperating Company Trade Claims as soon as reasonably possible under the circumstances. In the event that, notwithstanding such good faith efforts, a Trade Committee Member’s Operating Company Trade Claims have not been resolved prior to the Effective Date, the Reorganized Debtors and the Plan Administrator, as applicable, shall be obligated to undertake the same efforts as the Debtors were obliged (before the Effective Date). The Trade Committee shall have the right to seek Bankruptcy Court enforcement of the obligations of the Debtors, Reorganized Debtors and the Plan Administrator in this Paragraph 7 and to have its reasonable fees and expenses incurred in doing so reimbursed.
Claims Reconciliation. To coordinate an effi- cient and transparent claims process.
Claims Reconciliation. The CONTRACTOR must submit a claims invoice reconciliation report each month for the prior month. The report will reconcile the weekly claims invoice into a monthly report that will match the claims data reported each month to the DEPARTMENT. The weekly claims invoice must show claims by the benefit period in which they were incurred.

Related to Claims Reconciliation

  • Reconciliation In the event that the Corporate Taxpayer and a Member are unable to resolve a disagreement with respect to the matters governed by Sections 2.03, 3.01(b), 4.02 and 6.02 within the relevant period designated in this Agreement (“Reconciliation Dispute”), the Reconciliation Dispute shall be submitted for determination to a nationally recognized expert (the “Expert”) in the particular area of disagreement mutually acceptable to both parties. The Expert shall be a partner or principal in a nationally recognized accounting or law firm, and unless the Corporate Taxpayer and such Member agree otherwise, the Expert shall not, and the firm that employs the Expert shall not, have any material relationship with the Corporate Taxpayer or such Member or other actual or potential conflict of interest. If the parties are unable to agree on an Expert within fifteen (15) calendar days of receipt by the respondent(s) of written notice of a Reconciliation Dispute, the Expert shall be appointed by the International Chamber of Commerce Centre for Expertise. The Expert shall resolve any matter relating to the Exchange Basis Schedule or an amendment thereto or the Early Termination Schedule or an amendment thereto within thirty (30) calendar days and shall resolve any matter relating to a Tax Benefit Schedule or an amendment thereto within fifteen (15) calendar days or as soon thereafter as is reasonably practicable, in each case after the matter has been submitted to the Expert for resolution. Notwithstanding the preceding sentence, if the matter is not resolved before any payment that is the subject of a disagreement would be due (in the absence of such disagreement) or any Tax Return reflecting the subject of a disagreement is due, the undisputed amount shall be paid on the date prescribed by this Agreement and such Tax Return may be filed as prepared by the Corporate Taxpayer, subject to adjustment or amendment upon resolution. The costs and expenses relating to the engagement of such Expert or amending any Tax Return shall be borne by the Corporate Taxpayer, except as provided in the next sentence. The Corporate Taxpayer and such Member shall bear their own costs and expenses of such proceeding, unless (i) the Expert substantially adopts such Member’s position, in which case the Corporate Taxpayer shall reimburse such Member for any reasonable out-of-pocket costs and expenses in such proceeding, or (ii) the Expert substantially adopts the Corporate Taxpayer’s position, in which case such Member shall reimburse the Corporate Taxpayer for any reasonable out-of-pocket costs and expenses in such proceeding. Any dispute as to whether a dispute is a Reconciliation Dispute within the meaning of this Section 7.09 shall be decided by the Expert. The Expert shall finally determine any Reconciliation Dispute and the determinations of the Expert pursuant to this Section 7.09 shall be binding on the Corporate Taxpayer and such Member and may be entered and enforced in any court having jurisdiction.

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