• Failure of any payer to process clean claims within 30 days of The Alliance receipt may void the pricing arrangement regardless of proof of loss.
  
• "Clean claims" are defined as claims with all the proper fields completed with sufficient information for The Alliance to reprice the claim. This includes claims that may be delayed in the payment process because itemizations, questionnaires, medical records, subrogation, reinsurance, third-party liability, or other items are needed. In essence, if you have received the repriced claim from The Alliance, it is a "clean claim" and should be paid within 30 days.
  
• The 30-day time period begins on the day The Alliance receives the claim for repricing and ends on the day the UW or its associated entities receive payment. It does not start on the day the claim is received by the payer and end when the check is dated.
  
• When in doubt, pay the claim - the timeliness of payment provision includes a guarantee of a timely refund, no questions asked, as long as the request occurs within 6 months of payment.

• Verify your organization has received each claim affected by the UW and associated entities contract, and
   
• Identify claims that might require expedited processing. If you'd like to receive a copy of this report, please contact Carlene Boehmer, 608.210.6601.

2) Request and receive itemizations from the UW via e-mail to avoid delays with the U.S. mail. The UW Hospital recommends that your organization use the following e-mail addresses to request itemized bills.

• Health care-associated infections cause nearly 90,000 deaths each year. This piece includes tips employees can take to avoid one of these infections.

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• The Deloitte Center for Health Solutions released their 2008 Survey of Health Care Consumers. Read some of the highlights here.

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