Claims Turnaround. The Claims Turnaround is measured as the number of calendar days in which a claims processed to conclusion. The processing of a claim is considered completed on the date that a payment, an Explanation of Benefits form or a denial of claims has been forwarded to the person covered under the Plan or the provider of service. Results are provided quarterly. Penalty is based on an annual average.
Appears in 4 contracts
Samples: Administrative Services Agreement, Administrative Services Agreement, Administrative Services Agreement
Claims Turnaround. The Claims Turnaround is measured as the number of calendar days in which a claims processed to conclusion. The processing of a claim is considered completed on the date that a payment, an Explanation of Benefits form or a denial of claims has been forwarded to the person covered under the Plan or the provider of service. Results are provided quarterly. Penalty is based on an annual average.. Weighting of Performance Results AA.W.
Appears in 1 contract
Samples: Administrative Services Agreement
