Thirty Day Payment Requirement. The HMO must pay at least 90% of adjudicated clean claims from subcontractors for covered medically necessary services within 30 days of receipt of a clean claim, 99% within 90 days and 100% within 180 days of receipt, except to the extent subcontractors have agreed to later payment. HMO agrees not to delay payment to a subcontractor pending subcontractor collection of third party liability unless the HMO has an agreement with the subcontractor to collect third party liability.
Appears in 4 contracts
Samples: Contract for Badgercare Plus and/or Medicaid Ssi Hmo Services, Contract for Medicaid and Badgercare Hmo Services (Centene Corp), Hmo Services Agreement
Thirty Day Payment Requirement. The HMO must pay at least 90% of adjudicated clean claims from subcontractors for covered medically necessary services within 30 days of receipt of a clean claim, 99% within 90 days and 100% within 180 days of HMO Contract for February 1, 2006 - December 31, 2007 receipt, except to the extent subcontractors have agreed to later payment. HMO agrees not to delay payment to a subcontractor pending subcontractor collection of third party liability unless the HMO has an agreement with the subcontractor to collect third party liability.
Appears in 1 contract
Samples: Contract for Medicaid and Badgercare Hmo Services (Centene Corp)
Thirty Day Payment Requirement. The HMO must pay at least 90% of adjudicated clean claims from subcontractors subcontractors/providers for covered medically necessary services within 30 days of receipt of a clean claim, 99% within 90 days and 100% within 180 days of receipt, except to the extent subcontractors subcontractors/providers have agreed to later payment. HMO agrees not to delay payment to a subcontractor subcontractor/provider pending subcontractor subcontractor/provider collection of third party liability unless the HMO has an agreement with the subcontractor subcontractor/provider to collect third party liability.
Appears in 1 contract
Samples: Contract for Badgercare Plus and/or Medicaid Ssi Hmo Services