Claim Payments and Turn-around Time Sample Clauses

Claim Payments and Turn-around Time. The TPA shall comply with the timelines specified in the tender documents. Claim procedure in respect of a Health Insurance Policy stipulated as per Protection of Policy Holders' Interests Regulations 2017 (Clause 16) of IRDAI, will be applicable. The empanelled Hospital shall be reimbursed the cost of treatment as per agreed MEDISEP package rates with hospitals. The claims of the empanelled hospitals shall be settled within 15 working days of receipt of the complete documents along with the discharge summary of the patient. Decision about acceptance or rejection of any Claim received from an Empanelled Health Care Provider should be communicated immediately and if any claim is found untenable reason for the same shall be communicated to the EHCP and a copy of the same should be marked to OICL, State Nodal Cell and Beneficiary
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Related to Claim Payments and Turn-around Time

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  • Actions and timeframes The parties agree the following actions and timeframes will be used:

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  • Early and Safe Return to Work The Hospital and the Union both recognize their obligations in facilitating the early and safe return to work of disabled employees. The Hospital and the Union agree that ongoing and timely communication by all participants in this process is essential to the success of the process.

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  • Requirements Pertaining Only to Federal Grants and Subrecipient Agreements If this Agreement is a grant that is funded in whole or in part by Federal funds:

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