Timely Processing. The Contractor shall provide for timely updates and edits for all transactions on a schedule that allows the Contractor to meet the State’s performance requirements. At a minimum, this shall include the following: 1. Enrollee and provider file updates to be daily 2. Reference file updates to be at least weekly or as needed 3. Prior authorizations and referral updates to be daily 4. Claims and encounters to be processed (entered and edited) daily 5. Claim payments to be at a minimum biweekly except as necessary to meet the requirements in Article 7.16.5
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Sources: Contract to Provide Services, Contract to Provide Services, Contract to Provide Services
Timely Processing. The Contractor contractor shall provide for timely updates and edits for all transactions on a schedule that allows the Contractor contractor to meet the State’s 's performance requirements. At a minimumIn general, this shall include the followingState expects the following schedule:
1. Enrollee and provider file updates to be daily
2. Reference file updates to be at least weekly or as needed
3. Prior authorizations and referral updates to be daily
4. Claims and encounters to be processed (entered and edited) daily 5. Claim payments to be at a minimum biweekly except as necessary to meet the requirements in Article 7.16.5biweekly
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