Maintaining central claims and membership files for each covered member (including the identification number or other identifying number, dates of coverage, type of coverage, etc.) for each covered member. b. Maintaining payment records. c. Provide state-of-the-art data tracking and claims payment services. d. Furnish monthly accounting statements by entity and benefit plan including monthly enrollment, premiums, revenues received, claims paid, capitation expenses charged, detailed list of expenses charged, network discounts earned, prescription drug rebates, and claims exceeding the specific stop-loss limit. e. Provide claims, enrollment, and utilization information for hospital, physician, and prescription drug expenses at a level of detail that will allow for the identification of the true cost drivers of the plan. Include normative data in conjunction with group-specific data. f. Provide ID cards directly to members throughout the contract period as well as make ID cards available electronically on demand. g. Provide identification cards directly to all covered members prior to the effective date of the program (January 1, 2025). During the contract year, provide identification cards within ten (10) business days of receipt of request.
