Common use of Exclusion of payments or services from the data Clause in Contracts

Exclusion of payments or services from the data. The following adjustments were made to the base experience data to reflect non-state plan services, uncollected co-pays, pharmacy rebates, third party liability recoveries, and non-encounter claims payments. We excluded all services included in the encounter data that do not reflect approved state plan services (nor are an approved in-lieu-of service).

Appears in 5 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

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Exclusion of payments or services from the data. The following adjustments were made to the base experience data to reflect non-state plan services, uncollected co-pays, pharmacy rebates, third party liability recoveries, and non-encounter claims payments. We excluded all services included in the encounter data that do not reflect approved state plan services (nor are an approved in-lieu-of “in lieu of” service).

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

Exclusion of payments or services from the data. The following adjustments were made to the base experience data to reflect non-state plan services, uncollected co-pays, pharmacy rebates, third party liability recoveries, and non-encounter claims payments. We . A. Services excluded all services included in the encounter from initial base data that do not reflect approved state plan services (nor are an approved in-lieu-of service).summaries

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

Exclusion of payments or services from the data. The following adjustments were made to the base experience data to reflect nonover-state plan servicesreported expenditures, uncollected co-pays, pharmacy rebatesnet- reinsurance, third party liability recoveries, and non-encounter claims payments. We excluded all services included in the encounter data that do not reflect approved state plan services (nor are an approved in-lieu-of “in lieu of” service).

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

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Exclusion of payments or services from the data. The following adjustments were made to the base experience data to reflect non-state plan services, uncollected co-pays, pharmacy rebates, third party liability recoveries, and non-encounter claims payments. We excluded all services included in the encounter base data that do not reflect approved state plan services (nor are an approved in-lieu-of service).

Appears in 1 contract

Samples: Provider Agreement

Exclusion of payments or services from the data. The following adjustments were made to the base experience data to reflect non-state plan services, uncollected co-pays, pharmacy rebates, third party liability recoveries, and non-encounter claims payments. We excluded all services included in the encounter data that do not reflect approved state plan services (nor are an approved in-lieu-of service).

Appears in 1 contract

Samples: Provider Agreement

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