‘‘(B) APPLICABLE NUMBER OF CALENDAR 
DAYS DEFINED.—In this paragraph, the term 
‘applicable number of calendar days’ means— 
‘‘(i) with respect to claims submitted 
electronically, 14 days; and 
‘‘(ii) with respect to claims submitted 
otherwise, 30 days. 
‘‘(C) INTEREST PAYMENT.—If payment is 
not issued, mailed, or otherwise transmitted 
within the applicable number of calendar days 
(as defined in subparagraph (B)) after a clean 
claim is received, interest shall be paid at a rate 
equal to the weighted average of interest on 3- 
month marketable Treasury securities deter-
mined for such period, increased by 0.1 percent-
age point for the period beginning on the day 
after the required payment date and ending on 
the date on which payment is made. 
‘‘(D) PROCEDURES INVOLVING CLAIMS.— 
‘‘(i) IN GENERAL.—A contract entered 
into with a PDP sponsor under this sec-
tion with respect to a prescription drug 
plan offered by such sponsor shall provide 
that, not later than 10 days after the date 
on which a clean claim is submitted, the 
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PDP sponsor shall provide the claimant 
with a notice that acknowledges receipt of 
the claim by such sponsor. Such notice 
shall be considered to have been provided 
on the date on which the notice is mailed 
or electronically transferred. 
‘‘(ii) CLAIM DEEMED TO BE CLEAN.— 
A claim is deemed to be a clean claim if 
the PDP sponsor involved does not provide 
notice to the claimant of any deficiency in 
the claim within 10 days of the date on 
which the claim is submitted. 
‘‘(iii) CLAIM DETERMINED TO NOT BE 
A CLEAN CLAIM.— 
‘‘(I) IN
GENERAL.—If a PDP 
sponsor determines that a submitted 
claim is not a clean claim, the PDP 
sponsor shall, not later than the end 
of the period described in clause (ii), 
notify the claimant of such determina-
tion. Such notification shall specify all 
defects or improprieties in the claim 
and shall list all additional informa-
tion or documents necessary for the 
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proper processing and payment of the 
claim. 
‘‘(II) 
DETERMINATION
AFTER 
SUBMISSION
OF
ADDITIONAL
INFOR-
MATION.—A claim is deemed to be a 
clean claim under this paragraph if 
the PDP sponsor involved does not 
provide notice to the claimant of any 
defect or impropriety in the claim 
within 10 days of the date on which 
additional 
information 
is 
received 
under subclause (I). 
‘‘(III) PAYMENT OF CLEAN POR-
TION OF A CLAIM.—A PDP sponsor 
shall, as appropriate, pay any portion 
of a claim that would be a clean claim 
but for a defect or impropriety in a 
separate portion of the claim in ac-
cordance with subparagraph (A). 
‘‘(iv) OBLIGATION TO PAY.—A claim 
submitted to a PDP sponsor that is not 
paid or contested by the provider within 
the applicable number of days (as defined 
in subparagraph (B)) shall be deemed to 
be a clean claim and shall be paid by the 
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