Common use of Claims Submission and Payment Clause in Contracts

Claims Submission and Payment. Provider shall comply with all claim submittal obligations of the State Contract. Provider shall promptly submit claims information needed to Company to make payment within six months of the Covered Service being provided to an Enrollee. Health Plan may not impose requirements to file claims within a shorter period. (State Contract 1. 14.1.1). Except for those exceptions set forth in § 1.16.5 of the State Contract, resubmitted claims must be filed within an additional six months thereafter. (State Contract §§ 1.16.5 and 1.16.6)

Claims Submission and Payment. Provider shall comply with all claim submittal obligations of the State Contract. Provider shall promptly submit claims information needed to Company to make payment within six months of the Covered Service being provided to an Enrollee. Health Plan may not impose requirements to file claims within a shorter period. (State Contract 11.14. 14.1.11.1). Except for those exceptions set forth in § 1.16.5 of the State Contract, resubmitted claims must be filed within an additional six months thereafter. (State Contract §§ 1.16.5 and 1.16.6)