Payment Accuracy Sample Clauses

Payment Accuracy. The Procedural Accuracy is measured as a percentage of correct payments in random sampled claims in a given period. A payment shall be deemed correct when the amount of benefits paid accurately reflects the amount of benefits payable under the plan for that claim, including no payment. The percentage shall be determined by dividing (i) the number of correctly processed claims sampled for such period by, (ii) the total number of claims processed sampled for such period. Results are provided quarterly. Penalty is based on an annual average. 98% of Claims free of payment error as related to total claims paid.
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Payment Accuracy. WPS shall achieve 97% level of payment accuracy. Payment accuracy is calculated by dividing the number of claims containing no payment error by the total number of claims in a sample. Measurement shall be reported on a quarterly basis with an annual settlement.
Payment Accuracy. If Customer payment and registration information is not accurate, current, and complete and you do not notify us promptly when such information changes, we may suspend or terminate your account and refuse any use of the Services. Customer will be given notice of payment inaccuracy, either by the method specified in section 22, or by notice given each time a user logs into the Total Management Services, available at but not limited to xxxxx://xxxxxx.xxxxxxxxxxxxxxx.xxx. Once notice is given to Customer, Customer will have fifteen (15) days to update the payment information, so that Customer’s outstanding balance will be paid, before any actions may be taken to suspend or terminate Customer’s account.
Payment Accuracy. Calculate and pay 98% of claims without error. Financial accuracy is defined as 50% of a participant's pre-disability income, without other disability income, or 70% of pre-disability income, including other income. $ annually
Payment Accuracy. Percentage accuracy for each Contractor Group within each Health Board area and all Scotland comparatives. These will be based on an analysis of correcting payments for Dental, Ophthalmic and Medical, and on the checking carried out by Community Pharmacy Scotland for Pharmacy.
Payment Accuracy. The FEA is responsible for ensuring accuracy of payments for services.
Payment Accuracy. Both underpayments and overpayments are counted as payment errors. This would include claims that were paid fee for service when they should have been capitated or capitated when they should have been paid fee for service. - Financial Accuracy - total gross dollars paid correctly divided by the total of dollars audited, maintain at ninety-nine percent (99%) accuracy. - Claims Processing Accuracy - number of claims paid correctly divided by the total number of claims audited, maintain at ninety-five percent (95%) accuracy.
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Related to Payment Accuracy

  • Data Accuracy The Custodian has no responsibility for, or duty to review, verify or otherwise perform any investigation as to the completeness, accuracy or sufficiency of, any data or information provided by or on behalf of the Client, any persons authorized by the Client, any Third Party Agent, any Market Participant or any Authorized Data Sources, except to the extent the Custodian has agreed in writing to perform reconciliations, variance or tolerance checks or other specific forms of data review under this Agreement.

  • Preserve Accuracy of Representations and Warranties Each party hereto will refrain from taking any action which would render any of its representations and warranties contained in this Agreement untrue, inaccurate or misleading as of Closing and the Effective Time. Through Closing, each party will promptly notify the other parties of any lawsuit, claim, audit, investigation, administrative action or other proceeding asserted or commenced against such party that may involve or relate in any way to another party to this Agreement. Each party hereto will promptly notify the other parties of any facts or circumstances that come to its attention and that cause, or through the passage of time may cause, any of a party's representations, warranties or covenants to be untrue or misleading at any time from the date hereof through Closing.

  • Certification of Accuracy The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate.

  • Reports Accurate All Servicer Certificates, Monthly Reports, information, exhibits, financial statements, documents, books, Servicer Records or other reports furnished or to be furnished by the Servicer to the Administrative Agent or a Lender in connection with this Agreement are and will be accurate, true and correct in all material respects.

  • Information provided to be accurate All financial and other information which is provided in writing by or on behalf of the Borrower under or in connection with any Finance Document will be true and not misleading and will not omit any material fact or consideration.

  • Representations and Warranties Accurate All representations and warranties of Buyer contained in this Agreement shall be true and accurate in all material respects on and as of the Closing Date as if made again at and as of such date.

  • Certification of Accuracy of Disclosure Upon commencement of the offering of the Shares under this Agreement (and upon the recommencement of the offering of the Shares under this Agreement following the termination of a suspension of sales hereunder lasting more than 30 Trading Days), and each time that (i) the Registration Statement or Prospectus shall be amended or supplemented, other than by means of Incorporated Documents, (ii) the Company files its Annual Report on Form 10-K under the Exchange Act, (iii) the Company files its quarterly reports on Form 10-Q under the Exchange Act, (iv) the Company files a Current Report on Form 8-K containing amended financial information (other than information that is furnished and not filed), if the Manager reasonably determines that the information in such Form 8-K is material, or (v) the Shares are delivered to the Manager as principal at the Time of Delivery pursuant to a Terms Agreement (such commencement or recommencement date and each such date referred to in (i), (ii), (iii), (iv) and (v) above, a “Representation Date”), unless waived by the Manager, the Company shall furnish or cause to be furnished to the Manager forthwith a certificate dated and delivered on the Representation Date, in form reasonably satisfactory to the Manager to the effect that the statements contained in the certificate referred to in Section 6 of this Agreement which were last furnished to the Manager are true and correct at the Representation Date, as though made at and as of such date (except that such statements shall be deemed to relate to the Registration Statement and the Prospectus as amended and supplemented to such date) or, in lieu of such certificate, a certificate of the same tenor as the certificate referred to in said Section 6, modified as necessary to relate to the Registration Statement and the Prospectus as amended and supplemented to the date of delivery of such certificate.

  • Representations and Warranties True on the Closing Date Each of the representations and warranties made by Buyer in this Agreement shall be true and correct in all material respects when made and shall be true and correct in all material respects at and as of the Closing Date as though such representations and warranties were made or given on and as of the Closing Date.

  • Accuracy of Representations and Warranties The representations and warranties of Purchaser contained in this Agreement shall have been true in all material respects on the date hereof and shall be true in all material respects on and as of the Closing Date with the same force and effect as though made on and as of the Closing Date.

  • Accuracy of the Company’s Representations and Warranties Each of the representations and warranties of the Company in this Agreement and the other Transaction Documents that are qualified by materiality or by reference to any Material Adverse Effect shall be true and correct in all respects, and all other representations and warranties shall be true and correct in all material respects, as of the date when made and as of the Closing Date as though made at that time, except for representations and warranties that are expressly made as of a particular date, which shall be true and correct in all respects as of such date.

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