Retroactive Eligibility Additions. If a BJC Member's enrollment in a BJC Provider's practice has been added retroactively, Plan shall make a deposit into the Claims Payment Account in an amount equal to the BJC Premium received (and Plan shall deduct from the Claims Payment Account an amount equal to the claims for Covered Services paid on behalf of such BJC Member) during the time period such BJC Member was eligible but not treated as a BJC Member for claims payment purposes. Such retroactive adjustments shall be made for a period not to exceed 6 months. BJC shall assure that Plan may offset and/or recoup from a BJC Provider any claims payments made to BJC Providers under another agreement or another Exhibit to this Agreement during such time as the BJC Member was eligible but not treated as a BJC Member for claims payment purposes.
Retroactive Eligibility Additions. If a BJC Medicaid Member's enrollment in a BJC Provider's practice has been added retroactively, Plan shall make a deposit into the Claims Payment Account in an amount equal to the BJC Premium received (and Plan shall deduct from the Claims Payment Account an amount equal to the claims for Covered Services paid on behalf of such BJC Medicaid Member) during the time period such BJC Medicaid Member was eligible but not treated as a BJC Medicaid Member for claims payment purposes. BJC shall assure that Plan may offset and/or recoup from a BJC Provider any claims payments made to BJC Providers under another agreement or another Exhibit to this Agreement during such time as the BJC Medicaid Member was eligible but not treated as a BJC Medicaid Member for claims payment purposes. The financial terms and conditions set forth in this Section 3.4 shall be BJC Provider's sole and exclusive remedy for failing to notify Plan of a BJC Medicare Member's enrollment in BJC Provider's practice.
Retroactive Eligibility Additions. If a BJC Medicare Member's enrollment in a BJC Provider's practice has been added retroactively, Plan shall make a deposit into the Claims Payment Account in an amount equal to the BJC Premium received (and Plan shall deduct from the Claims Payment Account an amount equal to the claims for Covered Services paid on behalf of such BJC Medicare Member) during the time period such BJC Medicare Member was eligible but not treated as a BJC Medicare Member for
