Provider Pool Status Reports. For each of the following Provider pools, detail dollars 35 by month of service, the pool allocation, total billed charges, allowed charges by service category 36 appropriate to the pool, disallowed charges by reason, Contract Rate, share of cost, points and/or interim 37 payments, unduplicated users, and encounters. (Monthly and following Final Settlement)
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Provider Pool Status Reports. For each of the following Provider provider pools, detail dollars 35 30 by month of service, the pool allocation, total billed charges, allowed charges by service category 36 31 appropriate to the pool, disallowed charges by reason, Contract Rate, share of cost, points and/or interim 37 32 payments, unduplicated users, and encounters. (Monthly and following Final Settlement).
Appears in 1 contract
Samples: Agreement
Provider Pool Status Reports. For each of the following Provider provider pools, detail dollars 35 34 by month of service, the pool allocation, total billed charges, allowed charges by service category 36 35 appropriate to the pool, disallowed charges by reason, Contract Rate, share of cost, points and/or interim 36 37 2 of 8 EXHIBIT F 1 payments, unduplicated users, and encounters. (Monthly and following Final Settlement).
Appears in 1 contract
Samples: Agreement