Complete. A Health Plan submitting encounters that represent at least 95% of the Covered Services provided by the Health Plan’s Providers and non-participating providers. It is expected that the Health Plan will strive to make every effort to achieve a 100% complete submission rate.
Appears in 6 contracts
Samples: Ahca Contract, Ahca Contract, Medicaid Reform Hmo Contract (Wellcare Health Plans, Inc.)
Complete. A Health Plan submitting encounters that represent at least ninety-five (95% %) of the Covered Services covered services provided by the Health Plan’s Providers Plan providers and non-participating providers. It is expected that the The Health Plan will shall strive to make every effort to achieve a one-hundred percent (100% %) complete submission rate.
Appears in 3 contracts
Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Amerigroup Corp)