Common use of Enrollment Reconciliation Clause in Contracts

Enrollment Reconciliation. β€Œ FHKC shall provide a monthly capitation file that includes all enrollment changes related to Insurer that have occurred in the month and the amount FHKC paid or offset for each Enrollee listed. Insurer shall accept the monthly capitation file in the format FHKC requires. The file format is subject to change and shall not require a Contract amendment. Insurer shall use the monthly capitation file as the source for reconciling enrollment and premium payments. Insurer shall reconcile enrollment and premiums received and provide the results of such reconciliation to FHKC quarterly.

Appears in 5 contracts

Samples: Contract for Dental Services and Coverage, Contract for Dental Services and Coverage, Contract for Dental Services and Coverage

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