Claim Adjustment definition

Claim Adjustment means: (i) amounts payable to a Guarantee Agency as a result of a determination that the status of any Eligible Loan was “current” subsequent to the submission of a default claim with respect to such Eligible Loan; and (ii) amounts payable to a Eligible Lender as a reimbursement for amounts paid by the Eligible Lender to repurchase such Eligible Loan pursuant to its loan purchase agreement as a result of a determination that such Eligible Loan was not required to be repurchased.
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Examples of Claim Adjustment in a sentence

  • Because N363 is an “Alert” per the definition and not a type of denial, no Claim Adjustment Reason Code (CARC) is needed to post to the claim.

  • Claim Adjustment: A claim that has been incorrectly paid, incorrectly submitted or, as the result of an updated payment policy, the payment amount can be changed.

  • Claim Adjustment Type Code Claim adjustment types (Original, Adjustment, Deleted, Resubmitted, etc.) Claim Effective Date Date the claim was processed and added to the NCH.

  • The MCOP Remittance Advice (RA) and/or the 835 transaction (via the Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC)) must be used to communicate success or no success of claim line validations.

  • The HMO reporting system must have the ability to identify all denied claims/encounters using national HIPAA Claim Adjustment Reason.

  • Amounts in CLP05 should have supporting adjustments reflected in CAS segments at the CLP or SVC loop level with a Claim Adjustment Group (CAS01) code of PR (Patient Responsibility).

  • These figures were used to calculate the amount of money the small business was eligible to receive under the PPP.

  • B-1 n Exhibit "C" -- Foreign Claim Adjustment Categories..................

  • The Settlement Class Members hereby waive and release any challenge to the Settlement Claim Adjustment process and/or the Neutral Evaluation on Appeal process set forth herein, for any reason.

  • Claim Adjustment: A claim that has been incorrectly paid, incorrectly submitted or, as the result of an updated payment policy, payment amount can be changed.