Common use of Issue Amount Clause in Contracts

Issue Amount. Failure to submit a DSN Provider Report in the file format and exact template specified by OHA $250 per day for each day the submission does not meet requirements Failure to adjust an encounter claim to reflect a financial recoupment from a Provider $50 per claim Failure to timely submit a reporting deliverable by the due date specified in Contract $250 per day for each day the deliverable is late Failure to report the “for cause” termination of a Provider from the Contractor’s network within timeframes specified in Contract $250 per occurrence Failure to implement the provisions of an OHA-approved Corrective Action Plan by the start date specified $250 per day for each day beyond the start date approved by OHA Failure to timely submit quarterly and annual audited and unaudited financial statements $250 per occurrence Failure to respond to an OHA request for ad hoc reports or documentation requested within the specified timeframe $250 per day for each day beyond the due date specified Failure to notify OHA of a Member’s Third Party Liability coverage within timeframes specified by Contract An amount equal to the PMPM Payment Contractor received for the applicable Member for each month the Contractor failed to report the TPL information to OHA

Issue Amount. Failure to submit a DSN Provider Report in the file format and exact template specified by OHA $250 per day for each day the submission does not meet requirements Failure to adjust an encounter claim to reflect a financial recoupment from a Provider $50 per claim Failure to timely submit a reporting deliverable by the due date specified in Contract $250 per day for each day the deliverable is late Failure to report the “for cause” termination of a Provider from the Contractor’s network within timeframes specified in Contract $250 per occurrence Failure to implement the provisions of an OHA-approved Corrective Action Plan by the start date specified $250 per day for each day beyond the start date approved by OHA Failure to timely submit quarterly and annual audited and unaudited financial statements $250 per occurrence Failure to respond to an OHA request for ad hoc reports or documentation requested within the specified timeframe $250 per day for each day beyond the due date specified Failure to notify OHA of a Membermember’s Third Party Liability coverage within timeframes specified by Contract An amount equal to the PMPM Payment payment Contractor received for the applicable Member member for each month the Contractor failed to report the TPL information to OHA