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Contracts or other written agreements between ma organizations and providers must contain a prompt payment provision, the terms of which are developed and agreed to by both the ma organization and the relevant provider.

For contracted providers, prompt pay terms are governed by the physician’s contract with the plan. (a) contract between cms and the ma organization (2) the ma organization must pay interest on clean claims that are Denied within 60 calendar days from the date of the request. (2) the ma organization must pay interest on clean claims that are not paid within 30 days in accordance with sections 1816 (c) (2) (b) and 1842 (c) (2) (b)