Claims Processing Services Sample Clauses

Claims Processing Services. (a) PBM shall process Claims in real time consistent with applicable law, including ERISA and any other applicable state or federal law.
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Claims Processing Services. I. TT agrees to edit and process detailed demographic, insurance, and provider information to process all claims. TT will submit all claims within three (3) business days of receipt of completed claim information, allowing time to process cancellations.
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Claims Processing Services. MiliRisk shall provide claims processing services for and on behalf of Millers Mutual and Millers Casualty which shall include, but shall not be limited to:
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Claims Processing Services mean eligibility determination and verification efforts prior to processing claims for prescriptions dispensed for Eligible Members in accordance with the terms of the Plan Design Document within the standards adopted under the Health Insurance Portability and Accountability Act of 1996 Regulations for Electronic Transactions.
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Claims Processing Services. I. The Provider agrees to provide to TT detailed information on all current patients being seen by the Provider who have an outstanding balance with TT. The Provider further understands that such detailed information is required in order for TT to carry out its responsibilities under this Contract. The Provider understands that obtaining this information is the Providers responsibility. This information must be posted, in full, to TT’s Application.
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Claims Processing Services. Any intimation of claim and receipt of claim papers by the respective Underwriting Office of the Insurer shall be forwarded to the Regional Processing Office of the TPA on the same day. The claims processing service provided by the TPA along with the responsibilities of the TPA as detailed in the clauses 10, 11 and 12 read with Schedules I to IV is collectively referred to as the "CPP Service".
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Claims Processing Services. PBM shall provide the following Claims processing services related to prescriptions dispensed on or after the Effective Date.
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Claims Processing Services. ~ - ;• FAA shall' (a) determine the amount of Vision .Benefits payable, if any, for each claim; (b) n~ tify the Member itS decision • concerning the claim; {c) disburse payments fo the Participating Provider (per the Participating Provider Agreeme fit) or the .Member (per the out-of-network information on Exhibit B), as applicable.- FAA's services under this paragraph shall comply - -with the provisions of ERISA Section 503 and its implementing regulations, to the extent that they address initial claims for • . benefits.. ~ - . F j ~ . ( fi 4. .
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Claims Processing Services 
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Related to Claims Processing Services

  • Billing Services Manager shall provide, or cause to be provided, the following billing services to P.C.:

  • Customer Services Customer Relationship Management (CRM): All aspects of the CRM process, including planning, scheduling, and control activities involved with service delivery. The service components facilitate agencies’ requirements for managing and coordinating customer interactions across multiple communication channels and business lines. Customer Preferences: Customizing customer preferences relative to interface requirements and information delivery mechanisms (e.g., personalization, subscriptions, alerts and notifications).

  • Training Services Training Services may include pre-packaged training Products, and/or the development or customization of training programs as requested, including Live Training, Computer Based/Multi-Media Training which encompasses Internet-Delivered Training, and/or Video Based Training.

  • Remittance Processing Services In order to provide a means of collection of the Receivables which will allow the Trustee to receive the proceeds of the Receivables and related security without AmeriCredit or its Affiliates having access to the funds, the parties hereto agree for the benefit of the Trustee that the processing services (the “Service(s)”) of Processor will be used for the collection and the deposit of remittances related to the Receivables and related security.

  • Support Services HP’s support services will be described in the applicable Supporting Material, which will cover the description of HP’s offering, eligibility requirements, service limitations and Customer responsibilities, as well as the Customer systems supported.

  • Hosting Services 13.1 If Supplier or its subcontractor, affiliate or any other person or entity providing products or services under the Contract Hosts Customer Data in connection with an Acquisition, the provisions of Appendix 1, attached hereto and incorporated herein, apply to such Acquisition.

  • TECHNICAL SUPPORT SERVICES 2.1 The technical support services (the "Services"): Party A agrees to provide to Party B the relevant services requested by Party B, which are specified in Exhibit 1 attached hereto ("Exhibit 1").

  • Engineering Services Definition: Engineering Services includes any service or creative work, the adequate performance of which requires education, training and experience in the application of special knowledge in consulting, investigating, evaluating, planning and designing, engineering principles. Engineering Services covered by the Xxxxxx Architect-Engineers Act (40 U.S.C. 1102) are not covered in the primary scope of OASIS SB. Examples: Service areas that are included under the Engineering Services discipline include, but are not limited to the following:

  • Marketing Services The Manager shall provide advice and assistance in the marketing of the Vessels, including the identification of potential customers, identification of Vessels available for charter opportunities and preparation of bids.

  • Other Services At the request of the Fund, the Adviser in its discretion may make available to the Fund office facilities, equipment, personnel and other services. Such office facilities, equipment, personnel and services shall be provided for or rendered by the Adviser and billed to the Fund at the Adviser's cost.

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