Article 3(a) Retroactive Adjustmenis to Enroliment.
Anthem shall credit Administrative Services Fees for each retroactive deletion up to a maximum of 60 days
and shall charge Administrative Services Fees for each retroactive addition up to a maximum of 60 days.
B. Optional Program Fees
Not Applicable
Cc. Other Fees or Credits
Fee for Independent Claims Review: $550.00 per independent review
Section 4. Paid Claims, Billing Cycle and Payment Method
A. Paid Claims
Not Applicable
B. Billing Cycle
Weekly
Anthem shall notify Employer of the amount due to Anthem as a result of Claims processed and paid by
Anthem according to the billing cycle described above. The actual date of notification of Paid Claims and
the Invoice Due Date will be determined according to Anthem's regular business practices and systems
capabilities.
Cc. Payment Method
Wire Transfer Reimbursement for Paid Claims. Employer shall deposit the amount due in a designated
Anthem bank account by the Invoice Due Date. The deposit shall be made in accordance with any policies
and regulations of the bank necessary to assure that the deposit is credited to Anthem’s account no later
than the next business day.
Section 5. Administrative Services Fee Billing Cycle and Payment Method
A. Billing Cycle
Monthly List Bill (pay as billed)
Anthem shall notify Employer of the amount due to Anthem pursuant to Section 3 of Schedule A according
to the billing cycle described above. The actual date of notification of amounts due and the Invoice Due
Date will be determined according to Anthem's regular business practices and systems capabilities.
B. Payment Method
ACH or Wire Transfer Reimbursement. Employer shall deposit the amount due in a designated Anthem
bank account by the Invoice Due Date. The deposit shall be made in accordance with any policies and
regulations of the bank necessary to assure that the deposit is credited to Anthem's account no later than
the next business day.
Section 6. Claims Runout Services
A. Claims Runout Period
Claims Runout Period shall be for the 12 months following the date of termination of this Agreement.
Enterprise Administrative Services Agreement — October 2012 Master Template 23
City of Nashua 06/17/2013
