Compensation for PPG Capitated Services. As compensation for rendering PPG Capitated Services as defined herein, HMO shall pay PPG Capitation at *** of Monthly Revenue as set forth below for each Medicare HMO Member eligible to receive such services from PPG during any particular month. Capitation shall be computed on the basis of the most current information available and shall be paid by HMO by wire transfer on or before the fifteenth (I5th) day of each month or the first business day following the fifteenth if the fifteenth is a holiday or on a weekend or within two (2) days of HCFA’s payment to HMO, whichever is later. Each Capitation payment shall be accompanied by a remittance summary. The remittance summary identifies the total Capitation payable and those Medicare HMO Members for whom Capitation is being paid. In the event of a Capitation error resulting in an over payment or underpayment to PPG, HMO shall adjust subsequent Capitation to offset such error.
Appears in 1 contract
Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc)
Compensation for PPG Capitated Services. As compensation for rendering PPG Capitated Services as defined herein, . HMO shall pay PPG Capitation at *** of Monthly Revenue as set forth below for each Medicare HMO Member eligible to receive such services from PPG during any particular month. Capitation shall be computed on the basis of the most current information available and shall be paid by HMO by wire transfer on or before the fifteenth (I5th15th) day of each month or the first business day following the fifteenth if the fifteenth is a holiday or on a weekend or within two (2) days of HCFACMS’s payment to HMO, whichever is later. Each Capitation payment shall be accompanied by a remittance summary. The remittance summary identifies the total Capitation payable and those Medicare HMO Members for whom Capitation is being paid. In the event of a Capitation error error, resulting in an over payment overpayment or underpayment to PPG, . HMO shall adjust subsequent Capitation to offset such error.
Appears in 1 contract
Compensation for PPG Capitated Services. As compensation for rendering PPG Capitated Services as defined herein, HMO shall pay PPG Capitation at *** of Monthly Revenue as set forth below for each Medicare HMO Member eligible to receive such services from PPG during any particular month. Capitation shall be computed on the basis of the most current information available and shall be paid by HMO by wire transfer on or before the fifteenth (I5th15th) day of each month or the first business day following the fifteenth if the fifteenth is a holiday or on a weekend or within two (2) days of HCFA’s payment to HMO, whichever is later. Each Capitation payment shall be accompanied by a remittance summary. The remittance summary identifies the total Capitation payable and those Medicare HMO Members for whom Capitation is being paid. In the event of a Capitation error error, resulting in an over payment overpayment or underpayment to PPG, . HMO shall adjust subsequent Capitation to offset such error.
Appears in 1 contract
Compensation for PPG Capitated Services. As compensation for rendering PPG Capitated Services as defined herein, . HMO shall pay PPG Capitation at *** of Monthly Revenue CMS Premium as set forth below for each Medicare Medicate HMO Member eligible to receive such services from PPG during any particular month. Capitation shall be computed on the basis of the most current information available and shall be paid by HMO by wire transfer on or before the fifteenth (I5th15th) day of each month or the first business day following the fifteenth if fifteenth. If the fifteenth is a holiday or on a weekend or within two (2) days of HCFACMS’s payment to HMO, whichever is later. Each Capitation payment shall be accompanied by a remittance summary. The remittance summary identifies the total Capitation payable and those Medicare HMO Members for whom Capitation is being paid. In the event of a Capitation error error, resulting in an over payment overpayment or underpayment to PPG, . HMO shall adjust subsequent Capitation to offset such error.
Appears in 1 contract
Samples: Participating Provider Services Agreement (Prospect Medical Holdings Inc)