Common use of Rejections Clause in Contracts

Rejections. If a delivery encounter is not submitted according to ODM specifications, it will be rejected and the MCP will receive this information on the exception report (or error report) that accompanies every file in the ODM-specified format. Tracking, correcting and resubmitting all rejected encounters is the responsibility of the MCP and is required by ODM. Timing of Delivery Payments The MCP will be paid monthly for deliveries. For example, payment for a delivery encounter submitted with the required encounter data submission in March, will be reimbursed in May. This payment will be a part of the weekly update (adjustment payment) that is in place currently. The third weekly update of the month will include the delivery payment. The remittance advice is in the same format as the capitation remittance advice which is sent once each month.

Rejections. If a delivery encounter is not submitted according to ODM ODJFS specifications, it will be rejected and the MCP MCPs will receive this information on the exception report (or error report) that accompanies every file in the ODM-specified formattape. Tracking, correcting and resubmitting all rejected encounters is the responsibility of the MCP and is required by ODMODJFS. Timing of Delivery Payments The MCP MCPs will be paid monthly for deliveries. For example, payment for a delivery encounter submitted with the required encounter data submission in Marchby March 5, 2003, will be reimbursed in MayMay 2003. This payment will be a part of the weekly update (adjustment payment) that is in place currently. The third weekly update of the month will include the delivery payment. The remittance advice is in the same format as the capitation remittance advice which is sent once each monthadvice. A delivery payment will be indicated by the code >MC00W= in the >Proc-Mod / Revenue-Proc / Drug Code= field. All other information will be the same as a capitation payment.