Enrollment Discrepancies and Exceptions Sample Clauses

The "Enrollment Discrepancies and Exceptions" clause defines how situations are handled when there are inconsistencies or special cases in participant enrollment. It typically outlines procedures for identifying, reporting, and resolving discrepancies, such as mismatched enrollment data or participants who do not meet standard eligibility criteria. This clause ensures that any irregularities in enrollment are addressed promptly and fairly, maintaining the integrity of the enrollment process and minimizing administrative confusion.
Enrollment Discrepancies and Exceptions. The CONTRACTOR must resolve all enrollment discrepancies (any difference of values between the DEPARTMENT’S database and the CONTRACTOR’S database) as identified within one (1) BUSINESS DAY of notification by the DEPARTMENT or One thousand ($1,000) dollars per BUSINESS DAY for which the standard is not met identification by the CONTRACTOR. The CONTRACTOR must correct the differences on the exception report within five (5) BUSINESS DAYS of notification by the DEPARTMENT. The CONTRACTOR shall certify QUARTERLY in the format directed by the DEPARTMENT the performance standard was met. (See Sections III.A.1.)
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Enrollment Discrepancies and Exceptions. The CONTRACTOR shall resolve all enrollment discrepancies (any difference of values between the DEPARTMENT’S database and the CONTRACTOR’S database) as identified within one (1) BUSINESS DAY of notification by the DEPARTMENT or identification by the CONTRACTOR. The CONTRACTOR must correct the differences on the exception report within five (5) BUSINESS DAYS of notification by the DEPARTMENT. The CONTRACTOR shall certify QUARTERLY in the format directed by the DEPARTMENT the performance standard was met. (See Sections III.A. 1.) One thousand ($1,000) dollars per BUSINESS DAY for which the standard is not met
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Enrollment Discrepancies and Exceptions. The CONTRACTOR must resolve all enrollment discrepancies (any difference of values between the DEPARTMENT’S database and the CONTRACTOR’S One thousand ($1,000) dollars per BUSINESS DAY for database) as identified within one (1) BUSINESS DAY of notification by the DEPARTMENT or identification by the CONTRACTOR. The CONTRACTOR must correct the differences on the exception report within five (5) BUSINESS DAYS of notification by the DEPARTMENT. The CONTRACTOR shall certify QUARTERLY in the format directed by the DEPARTMENT the performance standard was met. (See Section 145B.) which the standard is not met
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Enrollment Discrepancies and Exceptions. The CONTRACTOR must resolve all enrollment discrepancies (any difference of values between the DEPARTMENT’S database and the CONTRACTOR’S database) as identified within one (1) BUSINESS DAY of notification by the DEPARTMENT or identification by the CONTRACTOR. The CONTRACTOR must correct the differences on the exception report within five (5) BUSINESS DAYS of notification by the DEPARTMENT. (See Section 150.B)
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Related to Enrollment Discrepancies and Exceptions

  • Termination for Refusing Access to Public Records In accordance with section 287.058, F.S., the Department may unilaterally terminate the Term Contract for refusal by the Contractor to allow public access to all documents, papers, letters, or other material made or received by the Contractor in conjunction with the Term Contract, unless the records are exempt from s. 24(a) of Art. I of the State Constitution and section 119.071(1), F.S.

  • Contractor Selection Justification Form Customers shall complete this Contractor Selection Justification Form for each candidate selected and attach all completed forms to the purchase order. Date: Contractor’s Name: _ Contractor’s Contact Information: Address: _ Phone: _ Email: Candidate’s Name: _ Date Candidate will be available: _ Hourly rate of candidate: $ Position candidate recommended for: _ Justification for selection of candidate: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Agency: Division/Section/Unit: _ Printed Name: _ Title: _ Signature _ Date: Contractor's Name: Quarter: Purchase Order (PO) Number: PO Total $ Amount: PO Starting Date Ending Date Please review the attached Rating Definitions and provide your opinion by rating the following:

  • Public Records Requests If the Department receives a public records request for materials designated by the Contractor as trade secret or otherwise confidential under Florida or federal law, the Contractor will be responsible for taking the appropriate legal action in response to the request. If the Contractor fails to take appropriate and timely action to protect the materials designated as trade secret or otherwise confidential, the Department will provide the materials to the requester.

  • How to File an Appeal of a Prescription Drug Denial For denials of a prescription drug claim based on our determination that the service was not medically necessary or appropriate, or that the service was experimental or investigational, you may request an appeal without first submitting a request for reconsideration. You or your physician may file a written or verbal prescription drug appeal with our pharmacy benefits manager (PBM). The prescription drug appeal must be submitted to us within one hundred and eighty (180) calendar days of the initial determination letter. You will receive written notification of our determination within thirty (30) calendar days from the receipt of your appeal. Your appeal may require immediate action if a delay in treatment could seriously jeopardize your health or your ability to regain maximum function, or would cause you severe pain. To request an expedited appeal of a denial related to services that have not yet been rendered (a preauthorization review) or for on-going services (a concurrent review), you or your healthcare provider should call: • our Grievance and Appeals Unit; or • our pharmacy benefits manager for a prescription drug appeal. Please see Section 9 for contact information. You will be notified of our decision no later than seventy-two (72) hours after our receipt of the request. You may not request an expedited review of covered healthcare services already received.

  • Grievance Files Written grievances and responses will be maintained separately from the employee’s personnel file.