Common use of Payment File Reconciliation Clause in Contracts

Payment File Reconciliation. Within thirty (30) days after the 820 Payment File is made available, Contractor shall notify the Department of any discrepancies, including Enrollees who Contractor believes are in its plan and not on the 820 Payment File, Enrollees included on the 820 Payment File who Contractor believes have not been enrolled with Contractor, and Enrollees included on the 820 Payment File who Contractor believes are in a different rate cell. Contractor and the Department will work together to resolve these discrepancies.