|
Description
|
Within this time period
|
|
Initial data feed received
from Client’s Recovery Department
(or designee) including provider contracts (excerpts), and
system access
|
30 business days
(after signing agreement)
|
|
Health Compliance Associates
provides sample file by
hospital and recovery type for Client’s approval and pre-
validation
|
10 business days
|
|
If applicable, Client’s
Recovery Department receives Health
Plan approval to pursue recoveries on specific providers and
recovery types
|
10 business days
|
|
Health Compliance Associates
provides full recovery file by
approved hospital and recovery algorithm within each
approved hospital
|
10 business days
|
|
Client’s Recovery Department
(or Health Compliance
Associates using client letterhead) sends refund request
letters. Client’s Recovery Department performs off-sets
|
21 business days
(direct collections may take
additional 90 days)
|
|
Client’s Recovery Department
sends Health Compliance
Associates payment after recovery is received
|
30 business days
|
|
Once the license is granted,
if applicable, Health Compliance
Associates will train Client’s Recovery Department on how to
use the licensed recovery algorithm logic
|
30 business days
|
