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
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
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