Common use of Prompt Payment of Claims Clause in Contracts

Prompt Payment of Claims. (1) WHN shall either pay or deny a clean claim not later than the 30th day after receipt of a properly executed claim, and shall pay simple interest, at an annual rate of 12%, on claims not paid by WHN by the 31st day after receipt. WHN shall not deny a claim on the grounds of a specific policy provision, condition or exclusion unless the denial includes reference to the provision, condition or exclusion. Each claim denial shall be in writing, with either a copy or the capability of reproducing its text included in WHN’s claim file. Notwithstanding the foregoing, if a claim is made on a health insurance policy and the claim involves a coordination of benefits issue to which Sections 836- 020-0700 to 836-020-0765 of the Oregon Administrative Rules apply, then such 30 day time period may be extended by 14 days. WHN shall not fail to settle Practitioner claims within such 30 day period on the grounds that responsibility for payment should be assumed by others. State Law Addendum State of Colorado Kaiser Foundation of Colorado, Inc Notwithstanding any provision of the Agreement, the following additional provisions shall be applicable to practitioners practicing in and services provided to members in the State of Colorado.

Prompt Payment of Claims. (1) WHN HWHN shall either pay or deny a clean claim not later than the 30th day after receipt of a properly executed claim, and shall pay simple interest, at an annual rate of 12%, on claims not paid by WHN HWHN by the 31st day after receipt. WHN HWHN shall not deny a claim on the grounds of a specific policy provision, condition or exclusion unless the denial includes reference to the provision, condition or exclusion. Each claim denial shall be in writing, with either a copy or the capability of reproducing its text included in WHNHWHN’s claim file. Notwithstanding the foregoing, if a claim is made on a health insurance policy and the claim involves a coordination of benefits issue to which Sections 836- 020-0700 to 836-020-0765 of the Oregon Administrative Rules apply, then such 30 day time period may be extended by 14 days. WHN HWHN shall not fail to settle Practitioner claims within such 30 day period on the grounds that responsibility for payment should be assumed by others. State Law Addendum State of Colorado Kaiser Foundation of Colorado, Inc Notwithstanding any provision of the Agreement, the following additional provisions shall be applicable to practitioners practicing in and services provided to members in the State of Colorado.

Prompt Payment of Claims. (1) WHN HWHN shall either pay or deny a clean claim not later than the 30th day after receipt of a properly executed claim, and shall pay simple interest, at an annual rate of 12%, on claims not paid by WHN HWHN by the 31st day after receipt. WHN HWHN shall not deny a claim on the grounds of a specific policy provision, condition or exclusion unless the denial includes reference to the provision, condition or exclusion. Each claim denial shall be in writing, with either a copy or the capability of reproducing its text included in WHNHWHN’s claim file. Notwithstanding the foregoing, if a claim is made on a health insurance policy and the claim involves a coordination of benefits issue to which Sections 836- 020-0700 to 836-020-0765 of the Oregon Administrative Rules apply, then such 30 day time period may be extended by 14 days. WHN HWHN shall not fail to settle Practitioner claims within such 30 day period on the grounds that responsibility for payment should be assumed by others. State Law Addendum State of Colorado Kaiser Foundation of Colorado, Inc Notwithstanding any provision of the Agreement, the following additional provisions shall be applicable to practitioners practicing in and services provided to members in the State of Colorado.