Claims Processing. PacifiCare shall establish and maintain standards, policies and procedures for the timely and accurate processing and payment of claims for Covered Services provided to Members (“Claims Processing Guidelines”). The Claims Processing Guidelines shall be maintained in accordance with the requirements of State and Federal Law and the Managed Care Plans.
Appears in 5 contracts
Sources: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Medical Group Services Agreement (Prospect Medical Holdings Inc), Medical Group Services Agreement (Prospect Medical Holdings Inc)
Claims Processing. PacifiCare shall establish and maintain standards, policies and procedures for the timely and accurate processing and payment of claims for Covered Services provided to Members (“"Claims Processing Guidelines”"). The Claims Processing Guidelines shall be maintained in accordance with the requirements of State and Federal Law and the Managed Care Plans. Medical Group and its Participating Providers shall comply with PacifiCare's Claims Processing Guidelines.
Appears in 1 contract
Sources: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Claims Processing. PacifiCare shall establish and maintain standards, policies and procedures for the timely and accurate processing and payment of claims for Covered Services provided to Members (“Claims Processing Guidelines”). ) The Claims Processing Guidelines shall be maintained in accordance with the requirements of State and Federal Law and the Managed Care Plans.
Appears in 1 contract
Sources: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)