Claims Management Sample Clauses

Claims Management. The Retrocessionaire agrees to take any and all actions necessary or appropriate for the management of claims arising under the Reinsurance Agreements, including without limitation investigating, assessing, adjusting, arbitrating, litigating and settling claims, as appropriate, and shall conduct itself with the utmost good faith in taking such actions. The Retrocessionaire is hereby authorized and directed to undertake all such actions on behalf of the Retrocedent.
AutoNDA by SimpleDocs
Claims Management. 13.1. The Management Venture will alert as to potential claims expected to be received from contractors, suppliers, the concessionaire and any other agent involved in the Project. The alerts will be documented in monthly reports that will be submitted to the Company.
Claims Management by deleting the term “Medicaid claims” as well as any reference thereto and replacing it with the phrase “Medicaid and Demonstration claims”. (Demonstration claims will be processed as all other Medicaid claims are processed.)
Claims Management. A. Assist the City with contractor claims by endeavoring to identify areas of potential risk during design reviews, preparation of bid packages and as construction progresses.
Claims Management. A. All EHCPs shall be obliged to submit their claims within 24 hours of discharge in the format prescribed. However, in case of Public EHCPs this time may be relaxed as defined by XXX.
Claims Management. All EHCPs shall be obliged to submit their claims within 24 hours of discharge in the format prescribed. However, in case of Public EHCPs this time may be relaxed as defined by SHA. The SHA (recommended by ISA) / Insurer shall be responsible for settling all claims within 15 days after receiving all the required information/ documents. Process for Beneficiary identification, issuance of AB PM-XXX e-card and transaction for service delivery Beneficiary Verification & Authentication Member may bring the following to the AB PM-XXX helpdesk: Letter from MoHFW/NHA RSBY Card Any other defined document as prescribed by the State Government Arogya Mitra/Operator will check if AB PM-XXX e-Card/ AB PM-XXX ID/ Aadhaar Number is available with the beneficiary In case Internet connectivity is available at hospital Operator/Arogya Mitra identifies the beneficiary’s eligibility and verification status from AB PM-XXX Central Server If beneficiary is eligible and verified under AB PM-XXX, server will show the details of the members of the family with photo of each verified member If found OK then beneficiary can be registered for getting the cashless treatment. If patient is eligible but not verified then patient will be asked to produce Aadhaar Card/Number/ Ration Card for verification (in absence of Aadhaar) Beneficiary mobile number will be captured. If Aadhaar Card/Number is available and authenticated online then patient will be verified under scheme (as prescribed by the software) and will be issued a AB PM-XXX e-Card for getting the cashless treatment. Beneficiary gender and year of birth will be captured with Aadhaar eKYC or Ration Card If Aadhaar Card/Number is not available then beneficiary will advised to get the Aadhaar Card/number within stipulated time. In case Internet connectivity is not available at hospital Arogya Mitra at AB PM-XXX Registration Desk at Hospital will call Central Helpline and using IVRS enters AB PM-XXX ID or Aadhaar number of the patient. IVRS will speak out the details of all beneficiaries in the family and hospital will choose the beneficiary who has come for treatment. It will also inform the verification status of the beneficiary If eligible and verified then beneficiary will be registered for getting treatment by sending an OTP on the mobile number of the beneficiary In case beneficiary is eligible but not verified then she/he can be verified using Aadhaar OTP authentication and can get registered for getting cashless treatment In c...
Claims Management. Provider shall not require any co-payments, recipient pay amounts, or other cost sharing arrangements unless specifically authorized by state or federal regulations and/or policies. Provider may not xxxx individuals for the difference between the Provider’s charge and BABHA’s payment for services. Provider shall not seek nor accept additional supplemental payment from the individual, his/her family, or representative, for services authorized by BABHA. Provider shall not hold a Medicaid enrollee liable for any costs, charges, fees or other liabilities in the event that BABHA becomes insolvent, for which payment is not made by BABHA, the State, or other authorized payer, or for which Provider has not or will not be paid by BABHA, the State or other authorized payor.
AutoNDA by SimpleDocs
Claims Management. The Consultant shall develop systems for management and avoidance of claims and disputes, and assist the County in resolution of claims and disputes.
Claims Management. The Manager agrees to dedicate sufficient and appropriate human, equipment and computer resources to provide Company with the Claims Services encompassed herein. By limitation, in Florida, the Manager shall use only Florida licensed adjusters (as defined in F.S. Chapter 626, Part VI), and licensed private investigators (as described in Chapter 493, F.S.), or catastrophic adjusters, where applicable (as defined in F.S. 626.859) and such adjusters and investigators shall conform to the provisions of the Controlling Documents Rule 4.220,201, Florida Administrative Code (Ethical Requirements), Florida Statutes and any applicable rules, regulations, orders, or written interpretations of the Controlling Documents Rule issued by the Department. The Company acknowledges that the Manager may subcontract with an independent contractor or contractors to perform all or part of the services described hereunder subject to the requirements of this Agreement.
Claims Management. Provider agrees to comply with the provisions of theClaims Submission and Reimbursement Procedure” set forth in the Provider Manual. Provider shall complete the proper claims payment forms and comply with other procedures detailed in Provider Manual. Provider is required to bill for Services rendered to the consumers within ninety (90) days following the date of service, or within 90 days of receipt of the explanation of benefits (EOB) from the primary insurance. Detailed information regarding claims submission is set forth in the Provider Manual. Provider shall not require any co- payments, recipient pay amounts, or other cost sharing arrangements unless specifically authorized by state or federal regulations and/or policies. Provider may not bill individuals for the difference between the Provider’s charge and XXXXX’s payment for services. Provider shall not seek nor accept additional supplemental payment from the individual, his/her family, or representative, for services authorized by XXXXX.
Time is Money Join Law Insider Premium to draft better contracts faster.