For Pharmacy Claims. 1. The Health Plan shall within fourteen (14) calendar days of receiving a pharmacy claim pay or deny a clean pharmacy claim or notify the provider that more information is needed to process the claim.
2. A pharmacy pended claim shall be paid or denied within fourteen (14) calendar days of receipt of the requested additional information.
For Pharmacy Claims. 1. The [Company] shall within fourteen (14) calendar days of receiving a pharmacy claim pay or deny a clean pharmacy claim or notify the provider that more information is needed to process the claim.
2. A pharmacy pended claim shall be paid or denied within fourteen (14) calendar days of receipt of the requested additional information.
For Pharmacy Claims a) United shall within 14 calendar days of receiving a pharmacy claim pay or deny a clean pharmacy claim or notify Provider that more information is needed to process the claim.
b) A pharmacy pended claim shall be paid or denied within 14 calendar days of receipt of the requested additional information.
