Report and File Exchange Requirements Sample Clauses

Report and File Exchange Requirements. The Contractor shall exchange reports and files to / from the Division or third parties, as specified below. The frequency and due dates shall be determined during implementation. Contractor shall provide ad hoc reports as requested by the Division, and in a format requested by the Division. REPORT AND FILE EXCHANGE REQUIREMENTS FREQUENCY REPORT NUMBER REPORT / FILE NAME DUE DATE FILE LAYOUT RECIPIENT Enrollment file Department-prescribed format will be provided during implementation phase for all reports and files. Contractor Reward Payment Data file Contractor Reward Payment Report Department Reward Overpayment Reimbursement Report Department Utilization / Member Engagement / Trends Report Department Administrative Fee Invoice Department Performance Metric Monthly Report Department Appeals Report Department Performance Bond and Insurance Report Department Funding Notification Report Department
Sample 1
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Report and File Exchange Requirements. The Contractor shall exchange reports and files to/from the Division or third parties, as specified below. The frequency and due dates shall be determined during implementation. Contractor shall provide ad hoc reports as requested by the Division, and in a format requested by the Division. REPORT AND FILE EXCHANGE REQUIREMENTS FREQUENCY REPORT NUMBER REPORT / FILE NAME DUE DATE FILE LAYOUT RECIPIENT Claims data file from health plans Contractor’s file format. Contractor Provider file from health plans Department-prescribed format will be provided during implementation. Contractor Enrollment file Department-prescribed format will be provided during implementation. Contractor Reward Payment data file Department-prescribed format will be provided during implementation. Department Reward Payments Report Department-prescribed format will be provided during implementation. Department Reward Overpayment Reimbursement Report Department-prescribed format will be provided during implementation. Department Utilization / Member Engagement / Trends Report Department-prescribed format will be provided during implementation. Department State of Florida and Member Cost Savings Report Department-prescribed format will be provided during implementation. Department Administrative Fee Invoice Department-prescribed format will be provided during implementation. Department Performance Guarantee Report Department-prescribed format will be provided during implementation. Department Appeals Report Department-prescribed format will be provided during implementation. Department Performance Bond and Insurance Report Department-prescribed format will be provided during implementation. Department Program Enhancement Report Department-prescribed format will be provided during implementation. Department
Sample 1
Report and File Exchange Requirements. The Contractor shall exchange reports and files to/from the Division or third parties, as specified below. The frequency and due dates shall be determined during implementation. Contractor shall provide ad hoc reports as requested by the Division, and in a format requested by the Division. REPORT AND FILE EXCHANGE REQUIREMENTS FREQUENCY REPORT NUMBER REPORT / FILE NAME DUE DATE FILE LAYOUT RECIPIENT Accumulator Exchange - to PBM, TPAs Weekly Department-prescribed format will be provided during negotiation phase. Department’s PBM, TPAs Reject Records Report w/in five (5) business days starting w/ 1st full day file is available Department-prescribed format will be provided during negotiation phase. Department Duplicate Records Report w/in five (5) business days starting w/ 1st full day file is available Department-prescribed format will be provided during negotiation phase. Department Address Errors Report w/in five (5) business days starting w/ 1st full day file is available Department-prescribed format will be provided during negotiation phase. Department Aged Claims Report 20th of following month Department-prescribed format will be provided during negotiation phase. Department Bank Reconciliation Report 20th of following month Department-prescribed format will be provided during negotiation phase. Department Claims Lag Histogram Report 25th of following month Department-prescribed format will be provided during negotiation phase. Department Paid Claims File - to Dept. 25th of following month Department-prescribed format will be provided during negotiation phase. Department Paid Claims Summary Report 25th of following month Department-prescribed format will be provided during negotiation phase. Department Paid Claims File - to PBM, TPA, Other 25th of following month Department-prescribed format will be provided during negotiation phase. Department’s vendors or approved third parties Paid Claims File - to HIMIS 20th of following month Department-prescribed format will be provided during negotiation phase. Department’s vendors or approved third parties Claims Overpayment Reimbursement Report 20th of following month Department-prescribed format will be provided during negotiation phase. Department Issued / Cashed Checks Report 20th of following month Department-prescribed format will be provided during negotiation phase. Department Background Checks/Persons with Disqualifying Offenses 15th of following month Department-prescribed format will be provided duri...
Sample 1

Related to Report and File Exchange Requirements

  • Child Abuse Reporting Requirements A. Grantees shall comply with child abuse and neglect reporting requirements in Texas Family Code Chapter 261. This section is in addition to and does not supersede any other legal obligation of the Grantee to report child abuse. B. Grantee shall use the Texas Abuse Hotline Website located at xxxxx://xxx.xxxxxxxxxxxxxx.xxx/Login/Default.aspx as required by the System Agency. Grantee shall retain reporting documentation on site and make it available for inspection by the System Agency.

  • EDD Independent Subrecipient Reporting Requirements Effective January 1, 2001, the County of Orange is required to file in accordance with subdivision (a) of Section 6041A of the Internal Revenue Code for services received from a “service provider” to whom the County pays $600 or more or with whom the County enters into a contract for $600 or more within a single calendar year. The purpose of this reporting requirement is to increase child support collection by helping to locate parents who are delinquent in their child support obligations. The term “service provider” is defined in California Unemployment Insurance Code Section 1088.8, Subparagraph B.2 as “an individual who is not an employee of the service recipient for California purposes and who received compensation or executes a contract for services performed for that service recipient within or without the State.” The term is further defined by the California Employment Development Department to refer specifically to independent Subrecipients. An independent Subrecipient is defined as “an individual who is not an employee of the ... government entity for California purposes and who receives compensation or executes a contract for services performed for that ... government entity either in or outside of California.” The reporting requirement does not apply to corporations, general partnerships, limited liability partnerships, and limited liability companies. Additional information on this reporting requirement can be found at the California Employment Development Department web site located at xxxx://xxx.xxx.xx.xxx/Employer_Services.htm

  • Reporting Requirements The Company, during the period when the Prospectus is required to be delivered under the 1933 Act or the 1934 Act, will file all documents required to be filed with the Commission pursuant to the 1934 Act within the time periods required by the 1934 Act and the 1934 Act Regulations.

  • Software Requirements 7 Developer shall prepare the Project Schedule using Oracle’s Primavera P6.

  • Filing Requirements Escrow securities will not be released under this Part until the Issuer does the following: (a) at least 20 days before the date of the first release of escrow securities under the new release schedule, files with the securities regulators in the jurisdictions in which it is a reporting issuer (i) a certificate signed by a director or officer of the Issuer authorized to sign stating (A) that the Issuer has become an established issuer by satisfying one of the conditions in section 3.1 and specifying the condition, and (B) the number of escrow securities to be released on the first release date under the new release schedule, and (ii) a copy of a letter or other evidence from the exchange or quotation service confirming that the Issuer has satisfied the condition to become an established issuer; and (b) at least 10 days before the date of the first release of escrow securities under the new release schedule, issues and files with the securities regulators in the jurisdictions in which it is a reporting issuer a news release disclosing details of the first release of the escrow securities and the change in the release schedule, and sends a copy of such filing to the Escrow Agent.

  • Other Reporting Requirements ‌ The following describes certain other reports required under this Contract:

  • Listing Requirements The Company shall not be obligated to deliver any certificates representing any shares until all applicable requirements imposed by federal and state securities laws and by any stock exchanges upon which the shares may be listed have been fully met.

  • Disclosure Requirements (a) The Estate Agent or Salesperson *has / does not have(1) (11) a conflict or potential conflict of interest in acting for the Tenant. If the Estate Agent or Salesperson has a conflict or potential conflict of interest, the details are as follows: (b) If the Estate Agent or Salesperson has declared that there is no conflict or potential conflict of interest but a conflict or potential conflict of interest only arises (or he becomes aware of the conflict or potential conflict of interest) after the execution of this Agreement, the conflict or potential conflict of interest must be immediately disclosed in writing to the Tenant. Upon such disclosure, the Estate Agent and Salesperson may continue to act for the Tenant only if the Tenant, being fully informed, consents in writing to the Estate Agent and Salesperson continuing to act for him.

  • Child Abuse Reporting Requirement Grantee will: a. comply with child abuse and neglect reporting requirements in Texas Family Code Chapter 261. This section is in addition to and does not supersede any other legal obligation of the Grantee to report child abuse. b. develop, implement and enforce a written policy that includes at a minimum the System Agency’s Child Abuse Screening, Documenting, and Reporting Policy for Grantees/Providers and train all staff on reporting requirements. c. use the System Agency Child Abuse Reporting Form located at xxxxx://xxx.xxxx.xxxxx.xx.xx/Contact Us/report abuse.asp as required by the System Agency. d. retain reporting documentation on site and make it available for inspection by the System Agency.

  • Additional Reporting Requirements Contractor agrees to submit written quarterly reports to H-GAC detailing all transactions during the previous three (3) month period. Reports must include, but are not limited, to the following information: a. Customer Name b. Product/Service purchased, including Product Code if applicable c. Customer Purchase Order Number

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