Claims/Encounter Manager Clause Samples

Claims/Encounter Manager. The Health Plan shall have a designated person qualified by training and experience to oversee claims and encounter submittal and processing and to ensure the accuracy, timeliness and completeness of processing payment and reporting.
Claims/Encounter Manager. The Health Plan shall have a designated person qualified by training and experience to oversee claims and encounter submittal and AMERIGROUP Florida, Inc. d/b/a Medicaid Non-Reform and Reform AMERIGROUP Community Care HMO Contract processing, where applicable, and to ensure the accuracy, timeliness and completeness of processing payment and reporting.
Claims/Encounter Manager. The DO shall have a designated person qualified by training and experience to oversee claims and encounter Confidential data submittal and processing, where applicable, and to ensure the accuracy, timeliness, and completeness of processing payment and reporting.
Claims/Encounter Manager. The CCN shall have a designated person qualified by training and experience to oversee encounter data submittal and processing and to ensure the accuracy, timeliness and completeness of processing payment and reporting.

Related to Claims/Encounter Manager

  • Claims Review Population A description of the Population subject to the Claims Review.

  • Claims Review The IRO shall perform the Claims Review annually to cover each of the five Reporting Periods. The IRO shall perform all components of each Claims Review.

  • Claims Processing BCBSM will process Provider's Clean Claims submitted in accordance with this Agreement in a timely fashion.

  • Claims Submission We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.

  • Claims Review Report The IRO shall prepare a Claims Review Report as described in this Appendix for each Claims Review performed. The following information shall be included in the Claims Review Report for each Discovery Sample and Full Sample (if applicable).