Common use of For Pharmacy Claims Clause in Contracts

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.

Appears in 3 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement

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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.

Appears in 1 contract

Samples: Health Services Agreement

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