FAILURE TO TIMELY ADJUDICATE CLAIMS. Failure of HMO to adjudicate (paid, denied, or external pended) at least ninety (90%) of all claims within thirty (30) days of receipt and ninety-nine percent (99%) of all claims within ninety days of receipt for the contract year is a default under this contract.
Appears in 5 contracts
Samples: Agreement and Plan of Merger (Centene Corp), Centene Corp, Amerigroup Corp
FAILURE TO TIMELY ADJUDICATE CLAIMS. Failure of HMO to adjudicate (paid, denied, or external pended) at least ninety (90%) of all claims within thirty (30) days of receipt and ninety-nine percent (99%) of all 1999 Renewal Contract Bexar Service Area August 9, 1999 claims within ninety days of receipt for the contract year is a default under this contract.
Appears in 1 contract
FAILURE TO TIMELY ADJUDICATE CLAIMS. Failure of HMO to adjudicate (paid, denied, or external pended) at least ninety (90%) of all claims within thirty (30) days of receipt and ninety-nine percent (99%) of all claims within ninety (90) days of receipt for the contract year is a default under this contract.
Appears in 1 contract
Samples: Amerigroup Corp
