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.
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Samples: Prepaid Health Plan Services Contract, Prepaid Health Plan Services Contract, Prepaid Health Plan Services Contract
For Pharmacy Claims. 1. The [Company] shall within fourteen (14) calendar days 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 Calendar Days of receipt of the requested additional information.
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