Eligibility Data. TennCare shall make all reasonable efforts to supply Medicaid eligibility information upon the receipt of the request from the Contractor using a “realtime” access method chosen from the options described below. The Contractor shall pay for access and use of this data, according to the option chosen in Section C, Payment Terms and Conditions: The choice of method shall be binding for the term of this Contract from signing by both parties, unless TennCare agrees to allow a mid-term change. Such agreement shall not be unreasonably withheld. In the event of such a change, the Contractor shall agree to abide by all timelines, testing procedures and any other requirements mandated by TennCare to make the changeover. Once data interface as specified in Section A.2.c.3. is tested and approved by TennCare for implementation, the Contractor shall no longer rely on TNAnytime for access to eligibility data. The data shall be submitted by TennCare and loaded by the Contractor.
Eligibility Data. Company may provide BetterUp with a list of its employees and contact details (“Eligibility Data”) to verify eligibility to use the BetterUp Platform through Company’s relationship with BetterUp. Company will retain all right, title and interest to such Eligibility Data.
Eligibility Data. (a) Participating Group, or Participating Group’s designee, at Participating Group’s sole expense, will provide Caremark all information concerning its Plan and Plan Participants needed to perform the Services, including any updates thereto (“Eligibility Information”). This Eligibility Information must be complete and accurate, provided timely, and in a format and media acceptable by Caremark.
(b) Caremark will maintain the Eligibility Information provided by Participating Group.
(c) Caremark, Plan Participants’ physicians and the Participating Pharmacies are entitled to rely on the accuracy and completeness of the Eligibility Information and updates thereto.
(d) Caremark is not liable for fraudulent Claims submitted by Plan Participants or by unauthorized persons using a Plan Participant’s identification card or number.
Eligibility Data. All Service Fees paid hereunder shall be sent with a file in a format acceptable to Health Advocate with sufficient and accurate data for Health Advocate to effectively and efficiently authenticate and track utilization of EAP Members. Client acknowledges that Health Advocate’s ability to perform Services hereunder, including but not limited to, user registration and utilization reporting, is directly related to the sufficiency, timeliness and accuracy of data provided by Client to Health Advocate.
Eligibility Data. C.12.2.1 The Contractor's enrollment system shall be capable of linking records for the same Enrollee that are associated with different Medicaid identification numbers, e.g., Enrollees who are re-enrolled and assigned new numbers.
C.12.2.2 A Contractor operating a District of Columbia DCHFP and a CASSIP shall have a method linking the records of an Enrollee who is disenrolled from the DCHFP and enrolled in the CASSIP or vice versa.
C.12.2.3 At the time of service, the Contractor or its subcontractors shall verify every Enrollee's eligibility through the Eligibility Verification System (EVS) operated by the District.
C.12.2.4 The Contractor shall update its eligibility database whenever Enrollees change names, phone numbers, and/or addresses, and shall notify the District of such changes. -------------------------------------------------------------------------------- CONTRACT NO.: P0HC-2002-D-0003 107 -------------------------------------------------------------------------------- --------------------------------------------------------------------------------
C.12.2.5 The Contractor shall notify the MAA of any Enrollees for whom accurate addresses or current locations cannot be determined and shall document the action that has been taken to locate the Enrollees. The Contractor shall notify the MAA of the known deaths of any Enrollees within two (2) business days.
Eligibility Data. CarePlus or its designated agent shall furnish Participating Provider with Enrollee eligibility data in an agreed upon electronic medium in the format requested by Participating Provider. CarePlus shall provide the initial test data tape forty-five (45) days prior to implementation of services for CarePlus and the initial full data tape seven (7) days prior to implementation for CarePlus. If CarePlus submits eligibility data in a format other than that requested by Participating Provider, CarePlus shall incur a programming fee at Participating Provider's then prevailing rate payable within ten (10) days of date of invoice. Thereafter, CarePlus shall furnish Participating Provider with eligibility updates on a daily or at least a weekly basis. Such data shall identify all Enrollees for that month, data on any changes, additions or terminations of Enrollees. CarePlus agrees that Participating Provider may rely upon the accuracy of all data received from CarePlus. CarePlus shall be responsible for notifying Participating Provider of an Enrollee's termination from coverage.
Eligibility Data. Plan Sponsor shall provide to ProAct all information concerning the Prescription Benefit Plan and Plan Participants necessary for ProAct to perform the Prescription Drug Services, including all updates thereto, on a daily basis and at least fourteen (14) days prior to the Implementation Date. Plan Sponsor shall be responsible for ensuring the accuracy of the Eligible Member List and Plan Sponsor shall be obligated to pay ProAct for Claims accepted by ProAct that are submitted by or on behalf of persons listed on any Plan Participants List. Plan Sponsor shall bear the entire risk of all fraudulent Claims submitted by Plan Participants or by unauthorized persons using a Plan Participant’s ID Card or identification number. The Plan Participant List shall contain the following minimum information: • Plan Participant's identification number; • Plan Participant’s full name (last, first, and middle initial); • Plan Participant’s date of birth; • Plan Participant’s address; • the names of dependents; • the dates of birth for dependents; • the date the Plan Participant’s participation in Prescription Drug Services under the Benefit Plan becomes effective; • the date the Plan Participant’s participation in Prescription Drug Services under the Benefit Plan is terminated; • the Benefit Plan group number Plan Sponsor agrees to indemnify ProAct for any damages related to Plan Sponsor’s failure to provide accurate and timely data described in this Section 4.1.
Eligibility Data. The State will provide Pharmacy Benefit Manager (either directly or through an authorized third party administrator) with a weekly eligibility file, in a format mutually agreed upon by the Parties. The State will provide timely eligibility updates (for example, additions, terminations, change of address or personal information, etc.) to ensure accurate determination of the eligibility status of Member. The State acknowledges that: (a) Pharmacy Benefit Manager provides such eligibility data to the Participating Pharmacies and understands that Pharmacy Benefit Manager and Participating Pharmacies will act in reliance upon the accuracy of data received from State; (b) Pharmacy Benefit Manager will continue to rely on the information provided by State until Pharmacy Benefit Manager receives notice that such information has changed; and (c) Pharmacy Benefit Manager will not be liable to the State for any Claims or expense resulting from the provision by the State (or its designees) of inaccurate, erroneous, or untimely information. In lieu of the eligibility file, the State may provide eligibility information by updating the claims adjudication system of Pharmacy Benefit Manager directly (except for the initial eligibility file, which must be provided to Pharmacy Benefit Manager during the initial implementation), provided the State continues to meet Pharmacy Benefit Manager’s conditions and specifications for direct eligibility updates.
Eligibility Data. You acknowledge that the account data contained in Exhibit H is complete and accurate and that US Solar may use the data for purposes of confirming your conformance with the applicable Eligibility Requirements. You agree to provide US Solar and the applicable Project Owner with any additional information we request to determine, verify, or confirm your eligibility at any time during the Term.
