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Deliverable Number
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Commodity/Service Type
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Major Deliverable
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Method of Payment
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Public health administration
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The Vendor shall keep the Agency Contract Manager informed of ALL claims disputes that are eligible ...
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No Cost
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| Major Deliverable: The Vendor shall keep the Agency Contract Manager informed of ALL claims disputes that are eligible and accepted for review, withdrawal, opted-out and/or are dismissed. Exhibit 1, Deliverables, Associated Payment and Financial Consequences and Attachment 1, Scope of Services, Section 2. Manner of Service(s) Provision, Item 2.3., Deliverables. |
| Deliverable Price: $0.00 |
| Non Price Justification: Agreement without a financial exchange or impact |
| Performance Metrics: n/a |
| Financial Consequences: n/a |
| Source Documentation Page Reference: |
| Deliverable Number: |
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Public health administration
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The Vendor shall submit weekly reports noting the status of claims currently under review to the Age...
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No Cost
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| Major Deliverable: The Vendor shall submit weekly reports noting the status of claims currently under review to the Agency’s Contract Manager every Monday in accordance with Exhibit 1, Deliverables, Associated Payment and Financial Consequences and Attachment 1, Scope of Services, Section 2. Manner of Service (s) Provision, Item 2.4.2., Weekly Reporting. |
| Deliverable Price: $0.00 |
| Non Price Justification: Agreement without a financial exchange or impact |
| Performance Metrics: N/A |
| Financial Consequences: N/A |
| Source Documentation Page Reference: |
| Deliverable Number: |
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Public health administration
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The Vendor shall submit a monthly report electronically to the Agency Contract Manger within ten (10...
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No Cost
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| Major Deliverable: The Vendor shall submit a monthly report electronically to the Agency Contract Manger within ten (10) calendar days after the end of each month (if a reporting due date falls on a weekend or state holiday, the report shall be due to the Agency on the following business day) and must be a running report i.e. include all prior months for the reporting year. In accordance with Exhibit 1, Deliverables, Associated Payment and Financial Consequences and Attachment 1, Scope of Services, Section 2. Manner of Service (s) Provision, Item 2.4.3., Monthly Reporting. |
| Deliverable Price: $0.00 |
| Non Price Justification: Agreement without a financial exchange or impact |
| Performance Metrics: n/a |
| Financial Consequences: n/a |
| Source Documentation Page Reference: |
| Deliverable Number: |
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Public health administration
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The Vendor shall pursuant to section 408.7057(3)(f) issue a recommendation, based on findings of fac...
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No Cost
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| Major Deliverable: The Vendor shall pursuant to section 408.7057(3)(f) issue a recommendation, based on findings of fact, within sixty (60) days after the initial claim(s) dispute submission and other prudent information was received by the Vendor. In no event shall the review time exceed 90 days following receipt of the initial claim(s) dispute submission by the health plan or provider. In accordance with Attachment 1, Scope of Services, Section 2. Manner of Service (s) Provision, Item 2.2.2., Status Updates. |
| Deliverable Price: $0.00 |
| Non Price Justification: Agreement without a financial exchange or impact |
| Performance Metrics: n/a |
| Financial Consequences: n/a |
| Source Documentation Page Reference: |
| Deliverable Number: |
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