Clean Claims. Providers shall prepare and submit Clean Claims to Health Plan within 180 days or such other time period required by Laws or Program Requirements, of the date of a Covered Service or the date of discharge from an inpatient facility, as the case may be. Unless prohibited by Laws and Program Requirements, Health Plan may deny payment for any claims that fail to meet Health Plan’s submission requirements for Clean Claims or that are received after the time limit in this Agreement for filing Clean Claims.
Appears in 4 contracts
Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement
Clean Claims. Providers shall electronically prepare and submit Clean Claims to Health Plan within 180 days one year or such other time period required by Laws or Program Requirements, of the date of a Covered Service or the date of discharge from an inpatient facility, as the case may be. Unless prohibited by Laws and Program Requirements, Health Plan may deny payment for any claims that fail to meet Health Plan’s submission requirements for Clean Claims or that are received after the time limit in this Agreement for filing Clean Claims.
Appears in 2 contracts
Samples: Participating Provider Agreement, Participating Provider Agreement
Clean Claims. Providers shall prepare and submit Clean Claims to Health Plan within 180 365 days or such other time period required by Laws or Program Requirements, of the date of a Covered Service or the date of discharge from an inpatient facility, as the case may be. Unless prohibited by Laws and Program Requirements, Health Plan may deny payment for any claims that fail to meet Health Plan’s submission requirements for Clean Claims or that are received after the time limit in this Agreement for filing Clean Claims.
Appears in 1 contract
Samples: Participating Provider Agreement
Clean Claims. Providers shall electronically prepare and submit Clean Claims to Health Plan within 180 days or such other time period required by Laws or Program Requirements, of the date of a Covered Service or the date of discharge from an inpatient facility, as the case may be. Unless prohibited by Laws and Program Requirements, Health Plan may deny payment for any claims that fail to meet Health Plan’s submission requirements for Clean Claims or that are received after the time limit in this Agreement for filing Clean Claims.
Appears in 1 contract
Samples: Participating Provider Agreement