Common use of Non-encounter Claims Payment Clause in Contracts

Non-encounter Claims Payment. We made adjustments to the encounter data base experience period to reflect non-claim payments made to providers for items such as plan directed shared savings payments, quality incentives, and other similar provider incentive payments that are not reflected in the base data or in other components of the capitation rate.

Non-encounter Claims Payment. We made adjustments an adjustment to the encounter data base experience period to reflect non-claim payments made to providers for items such as plan directed shared savings payments, quality incentives, and other similar provider incentive payments that are not reflected in the base data or in other components of the capitation rate. These adjustments were completed when developing the base encounter data summaries.

Non-encounter Claims Payment. We made adjustments an adjustment to the encounter data base experience period to reflect non-claim payments made to providers for items such as plan directed shared savings payments, quality incentives, and other similar provider incentive payments that are not reflected in the base data or in other components of the capitation rate. We have reviewed the information provided by the MCPs and included approximately $8.5 million in payments in the benefit cost component of the capitation rate development.

Non-encounter Claims Payment. We made adjustments to adjusted the encounter data base experience period to reflect non-claim payments made to providers for items such as plan directed shared savings payments, quality incentives, and other similar provider incentive payments that are not reflected in the base data or in other components of the capitation rate.