Submitted Claim definition

Submitted Claim means a Claim Form that has been submitted by a Claimant to the Claims Administrator.
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Submitted Claim means a request for a Cash Payment pursuant to this Settlement submitted on a Claim Form by a Settlement Class Member to the Settlement Administrator in accordance with the terms of this Settlement.
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Submitted Claim means an approved claim in the CARES system at 9:00 p.m. on the last calendar day of the month. Claims may be submitted after the last calendar day of the month but will be applied to the next month. "Paid claim" is a submitted claim for which the W-2 Contractor has received a payment. "Denied claim" means a verified claim or a pending claim, which DCF has declined payment of or a paid claim that DCF determined after payment to be ineligible. "Withdrawn claim” means a claim the W-2 Contractor withdrew before or after payment.
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Examples of Submitted Claim in a sentence

  • If a Settlement Class Member fails to respond by the Claim Period Close Date or within 30 calendar days from when the Notice of Missing Information was mailed, whichever is later, or the Claims Administrator is unable to return the Submitted Claim Form as a result of the omitted information, the Claims Administrator will reject such Settlement Class Member’s claim, and CVS will not be obligated to make any payment on such claim.

  • In the event PBM denies a Member Submitted Claim, PBM will provide notice in writing of the denial (including, if applicable, denial a prior authorization request), which notice shall set forth the reasons for the denial and the right to a full and fair review of the denial under the terms of the Plan as and to the extent required by applicable Law governing the notice of a denied Claim.

  • Paper Submitted Claim (per processed Claim) /Claim Manual Eligibility Submission /Manual Entry State-Specific Custom Programming and/or Custom Report Generation (In the event RxNavigator cannot produce a custom report and requires special programming) /hour RxNavigator® licenses user/IDs at no cost per additional user/ID Communications: No additional charge.

  • Based on that determination, each Timely Claim Form shall be deemed to be either a “Complete Timely Claim Form,” an “Incomplete Timely Claim Form,” or an “Improperly Submitted Claim Form” as described in ¶¶ 2-4 below.

  • Class Member No. 1’s settlement payment = $205 million x ($15 million / $300 million) = $205 million x .05 = $10,250,000.00 Example Calculation No. 2: Assumptions:  Subclass A Member No. 2’s Submitted Claim Amount = $15 million.

  • Submitted Claim Forms to be reviewed by Epiq beginning at Notice Statt Date.

  • Submitted Claim Forms containing inaccurate or disqualifying information, and/or submitted Claims Forms omitting required information will be returned by the Claims Administrator via first class mail to the Settlement Class Member’s address indicated on the Claim Form as part of a Notice of Missing Information.

  • A Submitted Claim shall be a Valid Claim only if submitted on the Claim Form pursuant to, and in compliance with, the procedures set forth herein.

  • If KCC determines that the Timely Claim Form was not submitted by a Current Member or Former Member, then the Timely Claim Form shall be deemed an Improperly Submitted Claim Form and the claim will be rejected.

  • Total number and percentage of instances in which the IRO determined that the Paid Claims submitted by Provider (Submitted Claim) differed from what should have been the correct claim (Correct Claim) and in which such difference resulted in an Overpayment to Provider.


More Definitions of Submitted Claim

Submitted Claim means a Claim submitted by a Claimant pursuant to this Agreement.
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Submitted Claim means a claim submitted to the Special Master under the Claims Resolution Process set forth in Section 11 of this Agreement where the Claimant submits a completed claim form, including a sworn statement of the facts.
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Related to Submitted Claim

  • Approved Claim means the timely submitted Claim Form by a Participating Settlement Member that has been approved by the Settlement Administrator.

  • Affected Claim means any Claim other than an Unaffected Claim;

  • Disputed Claim means any Claim that is not Allowed.

  • Administrative Claims Bar Date means the deadline for Filing requests for payment of Administrative Claims, which: (a) with respect to Administrative Claims other than Professional Fee Claims, shall be 30 days after the Effective Date; and (b) with respect to Professional Fee Claims, shall be 45 days after the Effective Date.

  • Unresolved Claim means a Claim, which at the relevant time, in whole or in part: (a) has not been Finally Determined to be a Proven Claim in accordance with the Amended Claims Procedure Order and this Plan; (b) is validly disputed in accordance with the Amended Claims Procedure Order; and/or (c) remains subject to review and for which a Notice of Allowance or Notice of Revision or Disallowance (each as defined in the Amended Claims Procedure Order) has not been issued to the Creditor in accordance with the Amended Claims Procedure Order as at the date of this Plan, in each of the foregoing clauses, including both as to proof and/or quantum;

  • Covered claim means the following:

  • Approved Claims means complete and timely claims, submitted by Settlement Class Members, that have been approved for payment by the Settlement Administrator.

  • Administrative Claim Bar Date means the deadline for filing requests for payment of Administrative Claims, which shall be 30 days after the Effective Date.

  • Claims Bar Date Order means that certain order entered by the Bankruptcy Court establishing the Claims Bar Date.

  • Rejection Claim means a Claim arising from the rejection of an Executory Contract or Unexpired Lease pursuant to section 365 of the Bankruptcy Code.

  • Insured Claim means any Claim arising from an incident or occurrence alleged to have occurred prior to the Effective Date that is covered under an insurance policy applicable to the Debtors or their businesses.

  • Contested Claim means any Tax, Indebtedness or other claim or liability (i) the validity or amount of which is being diligently contested in good faith, (ii) for which adequate reserve, or other appropriate provision, if any, as required in conformity with GAAP shall have been made, and (iii) with respect to which any right to execute upon or sell any assets of the Company or of any of its Subsidiaries has not matured or has been and continues to be effectively enjoined, superseded or stayed.

  • Authorized Claimant means any Class Member whose claim for recovery has been allowed pursuant to the terms of the Stipulation.

  • Administrative Claim means a Claim for costs and expenses of administration of the Estates under sections 503(b), 507(a)(2), 507(b), or 1114(e)(2) of the Bankruptcy Code, including: (a) the actual and necessary costs and expenses incurred on or after the Petition Date of preserving the Estates and operating the businesses of the Debtors; (b) Allowed Professional Fee Claims in the Chapter 11 Cases; and (c) all fees and charges assessed against the Estates under chapter 123 of title 28 of the United States Code, 28 U.S.C. §§ 1911-1930.

  • Claims Objection Bar Date means the deadline for objecting to a Claim, which shall be on the date that is the later of (a) 180 days after the Effective Date and (b) such other period of limitation as may be specifically fixed by the Debtors or the Reorganized Debtors, as applicable, or by an order of the Bankruptcy Court for objecting to Claims.

  • Related Claims means all Claims for Wrongful Acts based upon, arising out of, resulting from, or in any way involving the same or related facts, circumstances, situations, transactions or events or the same or related series of facts, circumstances situations, transactions or events, whether related logically, causally or in any other way.

  • Agreed Claims shall have the meaning set forth in Section 8.6(c).

  • Allowed Claim means an Allowed Claim of the type described.

  • Secured Claim means a Claim that is secured by a Lien on property in which any of the Debtors’ Estates have an interest or that is subject to setoff under section 553 of the Bankruptcy Code, to the extent of the value of the Claim holder’s interest in such Estate’s interest in such property or to the extent of the amount subject to setoff, as applicable, as determined pursuant to section 506(a) of the Bankruptcy Code or, in the case of setoff, pursuant to section 553 of the Bankruptcy Code.

  • Claims Objection Deadline means the later of: (a) the date that is 180 days after the Effective Date; and (b) such other date as may be fixed by the Bankruptcy Court, after notice and hearing, upon a motion Filed before the expiration of the deadline to object to Claims or Interests.

  • Claims Bar Date means the applicable bar date by which Proofs of Claim must be Filed, as established by: (a) the Bar Date Order; (b) a Final Order of the Bankruptcy Court; or (c) the Plan.

  • 503(b)(9) Claim means a Claim or any portion thereof entitled to administrative expense priority pursuant to section 503(b)(9) of the Bankruptcy Code.

  • Disallowed Claim means (a) a Claim, or any portion thereof, that has been disallowed by a Final Order or a settlement, (b) a Claim or any portion thereof that is Scheduled at zero or as contingent, disputed, or unliquidated and as to which a proof of claim bar date has been established but no proof of claim has been timely filed or deemed timely filed with the Bankruptcy Court pursuant to either the Bankruptcy Code or any Final Order of the Bankruptcy Court or otherwise deemed timely filed under applicable law, or (c) a Claim or any portion thereof that is not Scheduled and as to which a proof of claim bar date has been established but no proof of claim has been timely filed or deemed timely filed with the Bankruptcy Court pursuant to either the Bankruptcy Code or any Final Order of the Bankruptcy Court or otherwise deemed timely filed under applicable law.

  • Unresolved Claims shall have the meaning set forth in Section 9.6(b).

  • Settled claim means the original tort claim resolved by a structured settlement.

  • Exculpated Claim means any Claim related to any act or omission in connection with, relating to, or arising out of the Debtors' in or out of court restructuring, the Chapter 11 Cases, formulation, preparation, dissemination, negotiation, or filing of the Disclosure Statement, the Plan, the settlement of Claims or renegotiation of Executory Contracts or Unexpired Leases, the negotiation of the Plan, the DIP Credit Agreement, the Plan Supplement, the Exit Facility Credit Agreement, or any contract, instrument, release, or other agreement or document created or entered into in connection with the Disclosure Statement or Plan, the filing of the Chapter 11 Cases, the pursuit of Confirmation, the pursuit of consummation of the Plan, the administration, consummation, and implementation of the Plan, the distribution of property under the Plan, or any transaction contemplated by the Plan or Disclosure Statement, or in furtherance thereof; provided, however, that Exculpated Claims shall not include any claim arising out of any act or omission that is determined in a Final Order to have constituted gross negligence, willful misconduct, or intentional fraud to the extent imposed by applicable non-bankruptcy law. For the avoidance of doubt, no Cause of Action, obligation or liability expressly set forth in or preserved by the Plan or the Plan Supplement constitutes an Exculpated Claim.