extrapolated weighted average number of reimbursements without payment or processing errors in the sample and applying this to the entire population of reimbursements. Claims Adjudication 97% of claims will be Measured by the Less than 97%: 2% of processed in 10 days State's independent annual auditor as part of administrative fees the annual claims audit. Criteria as defined by the State's independent auditor. Measured to two (2) decimal places. Implementation All administrative One time 5% of total functions completed measurement after administrative fees for a successful the first quarter of for the first quarter. Open Enrollment the initial plan year and plan by State of Maryland implementation as DBM staff using of the effective date implementation of the contract. evaluation, with liquidated damages Overall rating of 4.5 to be made annually or greater on a scale of 1 to 5 must be received Website Availability For open As determined by 2% of administrative enrollment, website the State. fee per standard not will be updated and met. Self-report of complete, tested uptime, reported and verified as quarterly. acceptable by the State no later than 10/1/2015. Website uptime of 99%. All remittances Payment to be made Proof of payments 1% of remittance for owed to the State, no later than thirty submitted via a each day late. An including but not (30) calendar days separate check Additional 0.05% of limited to shared after the payment with remittance if the
extrapolated weighted average number of reimbursements without payment or processing errors in the sample and applying this to the entire population of reimbursements. Claims Adjudication 97% of claims will be processed in 10 days Measured by the State's independent auditor as part of the annual claims audit. Criteria as defined by the State's independent auditor. Measured to two (2) decimal places. Less than 97%: 2% of annual administrative fees Implementation All administrative functions completed for a successful Open Enrollment and plan implementation as of the effective date of the contract. Overall rating of 4.5 or greater on a scale of 1 to 5 must be received One time measurement after the first quarter of the initial plan year by State of Maryland DBM staff using implementation evaluation, with liquidated damages to be made annually 5% of total administrative fees for the first quarter. Website Availability For open enrollment, website will be updated and complete, tested and verified as acceptable by the State no later than 10/1/2015. Website uptime of 99%. As determined by the State. Self-report of uptime, reported quarterly. 2% of administrative fee per standard not met. All remittances owed to the State, including but not limited to shared Payment to be made no later than thirty (30) calendar days after the Proof of payments submitted via a separate check payment with 1% of remittance for each day late. An Additional 0.05% of remittance if the
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