Common use of Year End Reconciliation Clause in Contracts

Year End Reconciliation. The process that occurs after the end of the Performance Year where there is a comparison of the ETCOC and the ATCOC for the Traditional and Expanded Attribution Cohorts. This process will determine the amount of any cash exchange as defined by the requirements of the Risk Corridor. Zero-Paid Claim: A claim submitted to DVHA by a Participating Provider, which is paid zero dollars with an explanation of benefits code indicating that the Member and services are covered by the VMNG Program under its Fixed Prospective Payment from the ACO.

Year End Reconciliation. The process that occurs after the end of the Performance Year where there is a comparison of the ETCOC and the ATCOC for the Traditional and Expanded Attribution Cohorts. This process will determine the amount of any cash exchange as defined by the requirements of the Risk Corridor. Zero-Paid Claim: A claim submitted to DVHA by a Participating Provider, which is paid zero dollars with an explanation of benefits code indicating that the Member and services are covered by the VMNG Program under its Fixed Prospective Payment from the ACO.

Year End Reconciliation. The process that occurs after the end of the Performance Year where there is a comparison of the ETCOC and the ATCOC for each the Traditional and Expanded Attribution Cohorts, which will be reconciled separately. This process will determine the amount of any cash exchange as defined by the requirements of the Risk Corridor. Zero-Paid Claim: A claim submitted to DVHA by a Participating Provider, which is paid zero dollars with an explanation of benefits code indicating that the Member and services are covered by the VMNG Program under its Fixed Prospective Payment from the ACO.