Enrollment Discrepancies and Exceptions Sample Clauses

Enrollment Discrepancies and Exceptions. The CONTRACTOR shall resolve all enrollment discrepancies (any difference of values between the DEPARTMENT’S database and the CONTRACTOR’S database) as identified within one (1) BUSINESS DAY of notification by the DEPARTMENT or identification by the CONTRACTOR. The CONTRACTOR must correct the differences on the exception report within five (5) BUSINESS DAYS of notification by the DEPARTMENT. The CONTRACTOR shall certify QUARTERLY in the format directed by the DEPARTMENT the performance standard was met. (See Sections III.A.1.) One thousand ($1,000) dollars per BUSINESS DAY for which the standard is not met
Sample 1
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Enrollment Discrepancies and Exceptions. The CONTRACTOR must resolve One thousand ($1,000) all enrollment discrepancies (any difference of values between the dollars per BUSINESS DEPARTMENT’S database and the CONTRACTOR’S database) as identified DAY for which the within one (1) BUSINESS DAY of notification by the DEPARTMENT or standard is not met identification by the CONTRACTOR. The CONTRACTOR must correct the differences on the exception report within five (5) BUSINESS DAYS of notification by the DEPARTMENT. The CONTRACTOR shall certify QUARTERLY in the format directed by the DEPARTMENT the performance standard was met. (See Sections III.A.1. Eligibility.) Performance Standards Penalties
Sample 1
Enrollment Discrepancies and Exceptions. The CONTRACTOR must resolve all enrollment discrepancies (any difference of values between the DEPARTMENT’S database and the CONTRACTOR’S One thousand ($1,000) dollars per BUSINESS DAY for database) as identified within one (1) BUSINESS DAY of notification by the DEPARTMENT or identification by the CONTRACTOR. The CONTRACTOR must correct the differences on the exception report within five (5) BUSINESS DAYS of notification by the DEPARTMENT. The CONTRACTOR shall certify QUARTERLY in the format directed by the DEPARTMENT the performance standard was met. (See Section 145B.) which the standard is not met
Sample 1
Enrollment Discrepancies and Exceptions. The CONTRACTOR must resolve all enrollment discrepancies (any difference of values between the DEPARTMENT’S database and the CONTRACTOR’S database) as identified within one (1) BUSINESS DAY of notification by the DEPARTMENT or identification by the CONTRACTOR. The CONTRACTOR must correct the differences on the exception report within five (5) BUSINESS DAYS of notification by the DEPARTMENT. (See Section 150.B)
Sample 1

Related to Enrollment Discrepancies and Exceptions

  • Enrollment Procedures The District shall establish an open enrollment period each year for unit members to participate in the Catastrophic Leave Bank. The enrollment period shall be September 1 through December 1. Once a unit member becomes a participant in the Catastrophic Leave Bank, he/she shall not be required to reenroll each year.

  • How to File an Appeal of a Prescription Drug Denial For denials of a prescription drug claim based on our determination that the service was not medically necessary or appropriate, or that the service was experimental or investigational, you may request an appeal without first submitting a request for reconsideration. You or your physician may file a written or verbal prescription drug appeal with our pharmacy benefits manager (PBM). The prescription drug appeal must be submitted to us within one hundred and eighty (180) calendar days of the initial determination letter. You will receive written notification of our determination within thirty (30) calendar days from the receipt of your appeal. How to File an Expedited Appeal Your appeal may require immediate action if a delay in treatment could seriously jeopardize your health or your ability to regain maximum function, or would cause you severe pain. To request an expedited appeal of a denial related to services that have not yet been rendered (a preauthorization review) or for on-going services (a concurrent review), you or your healthcare provider should call: • our Grievance and Appeals Unit; or • our pharmacy benefits manager for a prescription drug appeal. Please see Section 9 for contact information. You will be notified of our decision no later than seventy-two (72) hours after our receipt of the request. You may not request an expedited review of covered healthcare services already received.

  • Office of Inspector General Investigative Findings Expert Review In accordance with Senate Bill 799, Acts 2021, 87th Leg., R.S., if Texas Government Code, Section 531.102(m-1)(2) is applicable to this Contract, Contractor affirms that it possesses the necessary occupational licenses and experience.

  • Re-enrollment Any eligible employees who wish to join the Sick Leave Bank after their first year of eligibility will contribute two (2) days upon joining. Such membership may only be made during the month of October using the appropriate forms. The two (2) required days of leave shall be donated from their account upon enrollment in the Classified Employee Council (CEC).

  • Review Protocol A narrative description of how the Claims Review was conducted and what was evaluated.

  • Enrollment The School shall maintain accurate and complete enrollment data and daily records of student attendance.

  • Technical Objections to Grievance No grievance will be defeated or denied by any minor technical objection.

  • Claims Review Report The IRO shall prepare a Claims Review Report as described in this Appendix for each Claims Review performed. The following information shall be included in the Claims Review Report for each Discovery Sample and Full Sample (if applicable).

  • Claims Review Methodology a. C laims Review Population. A description of the Population subject to the Quarterly Claims Review.‌

  • Technical Objections to Grievances It is the intent of both Parties of this Agreement that no grievance shall be defeated merely because of a technical error, other than time limitations in processing the grievance through the grievance procedure. To this end, an arbitration board shall have the power to allow all necessary amendments to the grievance and the power to waive formal procedural irregularities in the processing of a grievance, in order to determine the real matter in dispute and to render a decision according to equitable principles and the justice of the case.

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