Res 2016-077/approving an administrative services agreement with United Healthcare Services, Inc. for the provision of medical, pharmacy, dental, flexible spending accounts (fsa), retiree, online enrollment tool and cobra benefits administration in a tot

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Measurement Electronic claim ready by effective date or the later of business da s or less business da s 18 Criteria If any additional changes are received or requested after written approval is received, 10 additional business days will be required for changes affecting up to ten benefit plans (sets); 20 additional days will be required for changes affecting ten or more benefit plans (sets). Level Customer specific Period Initial implementation timeframe Payment Period Annually Fees at Risk Total Dollars at Risk for this metric $5,700 Payment Amount Of the Fees at Risk for this metric, percentage at risk for each gradient N /A' Gradients Not applicable Eligibility `Loading Definition Initial implementation electronic eligibility files will be loaded within the timeframe set forth following receipt of clean eligibility file. Measurement Files loaded, in business days or less business Criteria Clean eligibility file once approved by Customer and /or its designee and United, which must be: a) error free; b) formatted per United's standards; and c) received by 12:00 p.m., EST on the scheduled date, or the guarantee period starts the following business da . Level Customer specific Period Initial implementation timeframe Payment Period Annually Fees at Risk Total Dollars at Risk for this metric $5,700 ' Payment Amount Of the Fees at Risk for this metric, percentage at risk for each gradient N/A Gradients Not applicable ~ Time to Process in 10 Days Definition The percentage of all claims United receives will be processed within the designated number of business days of receipt. Measurement Percentage of claims processed 94% Time to process, in business days or less after receipt of claim business days 10 Criteria Standard claim operations reports Level Site Level Period Annually Payment Period ' Annually Fees at Risk Total Dollars at Risk for this metric $5,225 Payment Amount Of the Fees at Risk for this metric, percentage at risk for each gradient 20% Gradients 11 business days 12 business days 13 business days 14 business days 15 business days or more Dollar Accuracy DAR Definition Dollar accuracy rate of not less than the designated percent in any quarter. Measurement Criteria Percentage of claims dollars processed accurately 99% Statistically significant random sample of claims processed is reviewed to determine the percentage of claim dollars processed correctly out of the total claim dollars paid. Level Office Level Period Annually Payment Period Annually Fees at Risk Total Dollars at Risk for this metric $5 225' Payment Amount ` Of the Fees at Risk for this metric, percentage at risk for each gradient 20% Gradients 98.99% - 98.50% 98.49% - 98.00% 97.99% - 97.50% 97.49% - 97.00 Below 97.00% Procedural Accuracy Definition Procedural accuracy rate of not less than the designated percent. Measurement Percentage of claims processed without procedural (i.e. non - financial) errors 970% 31