Claims Intimation Sample Clauses

Claims Intimation. On the occurrence or discovery of any Injury that may give rise to a Claim under this Policy, We shall intimated within 10 days from the date of occurrence of such Accident, provided the following necessary information and documentation in respect of the Claims is within 30 days of the Insured Person’s occurred Injury: a) Policy Number b) Name of the Policyholder c) Name of the Insured Person in whose relation the Claim is being lodged d) Nature of Accident
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Claims Intimation. Upon the occurrence of any Illness or Injury that may result in a Claim under this Policy, then as a Condition Precedent to the Company’s liability under the Policy, all of the following shall be undertaken: (i) If any Illness is diagnosed or discovered or any Injury is suffered or any other contingency occurs which has resulted in a Claim or may result in a Claim under the Policy, the Company shall be notified with full particulars within 48 hours from the date of occurrence of event either at the Company’s call center or in writing. (ii) Claim must be filed within 30 days from the date of discharge from the hospital in case of hospitalization and actual date of loss in case of non-hospitalization benefits. Note: 5.1 (i) and 5.1 (ii)are precedent to admission of liability under the policy. (iii) The following details are to be disclosed to the Company at the time of intimation of Claim: 1. Policy Number; 2. Name of the Primary Insured Member; 3. Name of the Insured Member in respect of whom the Claim is being made; 4. Nature of Illness or Injury or contingency for which Claim has been made and the Benefit under which the Claim is being made; 5. Name and address of the attending Medical Practitioner and Hospital, if applicable; 6. Date and place of Injury or Death and/or Date of admission to Hospital or proposed date of admission to Hospital for planned Hospitalization, if applicable; 7. Any other necessary information, documentation or details requested by the Company. (iv) In case of an Emergency Hospitalization, the Company shall be notified either at the Company’s call center or in writing immediately and in any event within 48 hours of Hospitalization commencing or before the Insured Member’s discharge from Hospital. (v) In case of an Planned Hospitalization, the Company shall be notified either at the Company’s call center or in writing atleast 48 hours prior to planned date of admission to Hospital
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Claims Intimation. Upon the occurrence of any Illness or Injury that may result in a Claim under this Policy, then as a Condition Precedent to the Company’s liability under the Policy, all of the following shall be undertaken: (i) If any Illness is diagnosed or discovered or any Injury is suffered or any other contingency occurs which has resulted in a Claim or may result in a Claim under the Policy, the Company shall be notified with full particulars within 48 hours from the date of occurrence of event either at the Company’s call center or in writing. (ii) Claim must be filed within 15 days from the date of Loss from the hospital. Note: 6.4 (i) and 6.4 (ii) are precedent to admission of liability under the policy. (iii) The following details are to be disclosed to the Company at the time of intimation of Claim: 1. Policy Number; 2. Name of the Policyholder; 3. Name of the Insured Person in respect of whom the Claim is being made; 4. Nature of Illness or Injury; 5. Name and address of the attending Medical Practitioner and Hospital; 6. Date of admission to Hospital or proposed date of admission to Hospital for planned Hospitalization; 7. Any other necessary information, documentation or details requested by the Company. (iv) In case of an Emergency Hospitalization, the Company shall be notified either at the Company’s call center or in writing immediately and in any event within 48 hours of Hospitalization commencing or before the Insured Person’s discharge from Hospital.
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Claims Intimation. In the event of a Hospitalization claim under the Policy, We must b e notified either at Our call centre or in writing within 48 hours of the Hospitalization but not later than discharge from the Hospital. In case of an Accidental Death or Permanent Total Disablement/ Critical Illness claim under Benefit 2.10 and 2.11 of the Policy, We must be notified either at Our call centre or in writing within 10 days from the date of occurrence of the Accident. We shall be provided the following necessary information and documentation in respect of the Claims is within 30 days of the Insured Person’s occurred Injury/ Hospitalisation: (a) Policy Number (b) Name of the Policyholder (c) Name of the Insured Person in whose relation the Claim is being lodged (d) Nature of Accident (if Accident Case) (e) Name and address of the attending Medical Practitioner and Hospital (if Admission has taken place) (f) Date of Admission if applicable (g) Any other information, documentation as requested by Us In Case of Claim Contact Us at: 24x7 Toll Free number: ▇▇▇▇ ▇▇▇ ▇▇▇▇ or may write an e- mail at ▇▇▇▇@▇▇▇▇▇.▇▇▇ In the event of claims, please send the relevant documents to: Claims Manager Kotak Mahindra General Insurance Company Ltd. 8th Floor, Zone IV, Kotak Infiniti, Bldg. 21, Infinity IT Park, Off WEH, Gen. AK ▇▇▇▇▇▇ ▇▇▇▇, Dindoshi, Malad (E), Mumbai – 400097.
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Claims Intimation. On the occurrence or discovery of any Injury that may give rise to a Claim under this Policy, We shall intimated w ithin 10 days fromthe date of occurrence of such Accident, provided the following necessary information and documentation in respect of the Claims is w ithin 30 days of the Insured Pers on’s occurred Injury: a) Policy Number b) Name of the Policyholder c) Name of the Insured Person in w hose relation the Claim is being lodged d) Nature of Accident e) Name and address of the attending Medical Practitioner and Hospital (if Admission has taken place) f) Date of Admission if applicable g) Any other information, documentation as requested by Us
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Claims Intimation. Upon the occurrence of any Illness or Injury that may result in a Claim under this Policy, then as a Condition Precedent to the Company’s liability under the Policy, all of the following shall be undertaken: (i) If any Illness is diagnosed or discovered or any Injury is suffered or any other contingency occurs which has resulted in a Claim or may result in a Claim under the Policy, the Company (ii) Claim must be filed within 30 days from the date of discharge from the hospital in case of hospitalization and actual date of loss in case of non-hospitalization Benefits. Note: 5.4 (i) and 5.4 (ii) are precedent to admission of liability under the policy. (iii) The following details are to be disclosed to the Company at the time of intimation of Claim: 1. Policy Number; 2. Name of the Policyholder; 3. Name of the Insured Person in respect of whom the Claim is being made; 4. Nature of Illness or Injury and Benefit under which the Claim is being made 5. Name and address of the attending Medical Practitioner and Hospital;
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Claims Intimation. Upon the occurrence of any Illness or Injury that may result in a Claim under this Policy, then as a Condition Precedent to the Company’s liability under the Policy, all of the following shall be undertaken: (i) If any Illness is diagnosed or discovered or any Injury is suffered or any other contingency occurs which has resulted in a Claim or may result in a Claim under the Policy, the Company shall be notified with full particulars within 48 hours from the date of occurrence of event either at the Company’s call center or in writing. (ii) Claim must be filed within 30 days from the date of discharge from the hospital in case of hospitalization and actual date of loss in case of non-hospitalization Benefits. Note: 5.4 (i) and 5.4 (ii) are precedent to admission of liability under the policy. (iii) The following details are to be disclosed to the Company at the time of intimation of Claim: 1. Policy Number; 2. Name of the Policyholder; 3. Name of the Insured Person in respect of whom the Claim is being made; 4. Nature of Illness or Injury and Benefit under which the Claim is being made 5. Name and address of the attending Medical Practitioner and Hospital;
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Related to Claims Intimation

  • Claims A. To accept HHSC's reimbursement rates as payment in full for the services specified in this Contract to the persons for whom a payment is received, and to make no additional charge to the individual, any member of their family or to any other source for any supplementation for such services, unless specifically allowed by HHSC rules. B. To submit claims for payment in accordance with HHSC Claims Administrator billing guidelines applicable to the services under the Contract. C. That except as may be specifically authorized by HHSC in writing, if Contractor is required to use an HHSC-approved EVV system, Contractor must ensure that claims for services are supported by service delivery records that have been verified by the Contractor and fully documented in an HHSC-approved EVV system before being submitted for payment. D. That HHSC may make proper adjustments to the Contractor's payments from month to month to compensate for prior overpayments, underpayments or payments not made in accordance with the requirements of this Contract. The Contractor further agrees HHSC may withhold Contractor's payments, in whole or in part, because of differences from whatever cause until such differences are resolved. E. That the Contractor is responsible for payment of any valid audit exceptions found by HHSC, HHS or the Texas Attorney General's Medicaid Fraud Control Unit ("AG-MFCU"). F. That in accordance with §403.0551, Texas Government Code, and unless otherwise prohibited by any other law, any payments due to the Contractor under this Contract will be first applied toward any debt or back taxes the Contractor owes the state of Texas. Payments will be so applied until such debts and back taxes are paid in full. G. That failure to upload EVV data elements or enter the EVV data elements completely, accurately, or in a timely manner, may result in claim denial.

  • Settlement of Claims The Company’s obligation to make the payments provided for in this Agreement and otherwise to perform its obligations hereunder shall not be affected by any circumstances, including, without limitation, any set-off, counterclaim, recoupment, defense or other right which the Company may have against the Executive or others.