Frequency Description Sample Clauses

Frequency Description. Claims Administration Report Monthly – by the 10th of the month following the previous month and as required by state and federal law. Detailed reports showing potential fraud and abuse cases, health insurance premium amounts for W2 reporting, Affordable Care Act (ACA) compliance reports (Forms 1094 and 1095) and filing of reports on behalf of the Board as required by federal and state law. Claim Turnaround Time/Claims Lag Report Monthly – by the 10th of the month following the previous month Detailed report showing of the date the claim is received and the date the claim is processed. Top Payment Reports Monthly – by the 10th of the month following the previous month Detailed reports on the following by payment: • Top 20 Patients • Top 20 Hospitals (Inpatient) • Top 20 Hospitals (Outpatient) • Top 20 DRGs • Top 20 Physicians/Medical Providers • Top 20 Surgical Procedures • Top 100 Surgical Procedures Claims Detail Report Weekly – by the first business day following the EOW of week reported Detailed report showing weekly claim payments made. This report should include current and prior year rolling average claim payments made. Also, current and prior year claims volume. Medicare Secondary Payer (MSP) Report Weekly – by the first business day following the EOW of week reported Detailed report of current status of MSP cases. Pended Claims Report Weekly – by the first business day following the EOW of week reported Detailed report to include number of claims pended, pend code reasons/descriptions and timeframe of pends. Claims QA Report Monthly – by the 10th of the month following the previous month Detailed report of all claims processing errors identified as a result of vendor’s internal QA review. Appeals Report Monthly – by the 10th of the month following the previous month Detailed report which includes the following appeals details: • Receipt Date, • Completion Date, • Turnaround time (TAT), • Appeal Reason, • Appeal Outcome, and • Type of Appeal. Prior Authorization Request Report Monthly – by the 10th of the month following the Detailed report providing authorizations requested and reviewed by the vendor’s medical review staff. previous month Coordination of Benefits (COB) & Subrogation Activity Report Monthly – by the 10th of the month following the previous month Detailed report of COB and subrogation activity on a monthly basis. Customer Service Telephone Call Report Monthly – by the 10th of the month following the previous month Detailed customer ...
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Frequency Description. 9.1. D Collect all trash; wipe interior and exterior of cans, re-line cans and dispose trash in designated area. Any liquid shall be cleaned up promptly.
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Frequency Description. Constant The incident is experienced on every transaction during the regular course of business operation Daily Experienced more than once a week sporadically during the regular course of business operation. Weekly Incident is a onetime event or occurs on sporadic transactions and less than once a week
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Frequency Description. Monthly Meeting Recap Monthly – by the 10th of the month following the previous month Detailed summary of each monthly meeting between the Vendor and OI. MDFA Issue Tracking Log Continuously updated Detailed log of all issues being worked. This log should provide status and updates through completion of all issues. Performance Guarantee Tracking Log Quarterly Detailed report of performance guarantee tracking to include scores/percentages per quarter and any missed guarantees and associated penalty assessment. Standard/Ad Hoc Reporting Per Board request Detailed report will be provided at the Board’s request in a hard copy and/or electronic media format. The Contractor shall provide web-based reporting tools that allow the Board to view, print and download reports to spreadsheet software. Exhibit C. Mississippi Department of Finance and Administration’s Request for Proposals for Health & Life Insurance Consulting Services, dated June 3, 2022
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Related to Frequency Description

  • Contract Description The Description and Location of the Contract and related project(s) are as follows.

  • Site Description 2.5.1 If reasonably requested by the A/E as necessary for the Project, the Owner shall furnish a legal description and a certified land survey of the Site, giving, as applicable, grades and lines of streets, alleys, pavements and adjoining property; rights-of-way, restrictions, easements, encroachments, zoning, deed restrictions, boundaries and contours of the Site; locations, dimensions, and complete data pertaining to existing buildings, other improvements, and trees; and full information concerning available service and utility lines, both public and private, above and below grade, including inverts and depths.

  • Project Description In two or three brief sentences, provide a concise description of your exhibition. Include the subject matter, type of objects to be included (paintings, sculpture, manuscripts, etc.), those responsible for organizing the exhibition, and catalogue author(s).

  • System Description The DLCS is a network consisting of devices which are remotely controlled over RF transmission equipment by the PowerCAMPTM Software or equivalent. CL&P shall have access to the PowerCAMP™ LMS (as defined below) via the web interface. The PowerCAMPTM LMS shall include the software and hardware necessary to manage the Control Devices installed at the End-use Equipment at Participating Facilities. The PowerCAMPTM LMS includes AER’s PowerCAMPTM Server and PowerCAMPTM Suite, networking equipment, and third party software. PowerCAMPTM LMS Hardware

  • Service Description The Parties will provide Common Channel Signaling (CCS) to one another via Signaling System 7 (SS7) network interconnection, where and as available, in the manner specified in FCC Order 95-187, in conjunction with all traffic exchange trunk groups. SS7 signaling and transport services shall be provided by GTE in accordance with the terms and conditions of this Section 9 of this Article. The Parties will cooperate on the exchange of all appropriate SS7 messages for local and intraLATA call set-up signaling, including ISDN User Part (ISUP) and Transaction Capabilities Application Part (TCAP) messages to facilitate full interoperability of all CLASS Features and functions between their respective networks. Any other SS7 message services to be provided using TCAP messages (such as data base queries) will be jointly negotiated and agreed upon.

  • Grievance Description 80. The Union and the City agree that the following guidelines will be used in the submission of grievances.

  • FACILITY DESCRIPTION Facility Sq. Ft. Inside Building Resilient Tile Carpet Other Sq. FT. Outside Building Total To be Cleaned Avg. No. County Employees Avg. No. Customers Per Day RSM 337 15,963 0 2,500 18,800 25 1,166 NOTE: The preceding area measurements for the building(s) are provided solely for informational purposes. There may be minor variations due to relocation of partitions or other modifications. If the Contractor requires additional information, they may take any measurements desired at the job walk or by appointment.

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