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CONEXIS <br />':. human resourceful" <br />Performance Standards Exhibit: Reimbursement Services <br />Performance Standard <br />Performance <br />Performance Standard Definition <br />Percentage at Risk for <br />Category <br />Standard <br />Service Charge <br />Reduction <br />1. Client Statement <br />98% distributed, <br />Time in which client statement is <br />1.5% <br />Timeliness <br />equal to or less than, <br />posted by CONEXIS to the <br />7 business days after <br />CONEXIS web site after the close <br />the 18t of the month <br />of the previous month. <br />2. Inbound File <br />98% processed by <br />Time from CONEXIS' receipt of <br />1.5% <br />Processing Timeliness <br />CONEXIS, equal to <br />accurate data from Client to <br />or less than, 2 <br />accurate application within the <br />business days after <br />CONEXIS system <br />date received by <br />CONEXIS <br />3. Average Speed to <br />Equal to or less than <br />Average speed to answer all <br />1.5% <br />Answer Participant <br />30 seconds <br />incoming Participant Calls <br />Calls <br />4. Participant Call <br />Equal to or less than <br />Percent of Participant calls <br />1.5% <br />Abandonment Rate <br />5% of calls <br />abandoned <br />5. Resolution of <br />90% within 1 <br />Percent of all Participant initiated <br />1.0% <br />Participant Inquiries* <br />business day, after <br />Inquiries resolved or closed by <br />date case was <br />CONEXIS. Inquiries include those <br />opened by CONEXIS <br />received via phone, email, facsimile <br />or regular mail within a specified <br />timeframe. <br />6. Resolution of <br />98% equal to or less <br />Percent of all Participant initiated <br />1.0% <br />Participant Inquiries* <br />than, 5 business days <br />Inquiries resolved or closed by <br />after date case was <br />CONEXIS. Inquiries include those <br />opened by CONEXIS <br />received via phone, email, facsimile <br />or regular mail within a specified <br />timeframe <br />7. Participant Claims <br />98% equal to or less <br />Percent of all participant claims <br />1.0% <br />Turnaround Timeliness <br />than, 3 business days <br />ready for payment within a specific <br />after date received <br />number of business days after <br />by CONEXIS <br />CONEXIS' receipt of properly <br />completed claim form <br />8. Percent of Participant <br />98% of claims are <br />Percent of all participant claims paid <br />1.0% <br />Claims Paid Financially <br />financially accurate. <br />financially accurate by CONEXIS, <br />Accurate** <br />based on information available at <br />the time and CONEXIS procedures <br />then in effect, by using the analysis <br />technique described below <br />MAXIMUM PERCENTAGE AVAILABLE FOR SERVICE CHARGE REDUCTION <br />10.0% <br />V1.4/031907 <br />* Resolution to the extent that CONEXIS has received all information required by the plan and/or applicable law to resolve the inquiry. <br />Resolution includes forwarding issues to Client where CONEXIS is not authorized. <br />** The total population of paid claims is generated from a scheduled query. An American National Standards Institute (ANSI) sampling chart <br />identifies sample size, and the systematic sample is automatically generated by using a commonly accepted data analysis tool. The total <br />population of paid claims includes those received via regular mail or facsimile and excludes any card claims, IPR, HRA, or other claims <br />without a Claim form. The total population of paid claims excludes those claims where Client directs CONEXIS to pay or deny a claim (in <br />whole or in part) contrary to CONEXIS' interpretation and administration of applicable law. <br />PEPM Billing — Less Than 1000 lives <br />RAS Fee Schedule/Service Appendix 10 V9.0-040111 <br />