Claim Denial definition

Claim Denial means our notification to you, after our receipt of a Claim,that we will not pay the Claim due to the application of an exclusion listed in Section 5, or the breach of one or more provisions of this Master Policy. A Rescission under Section 2 shall not be considered a Claim Denial.
Claim Denial means written notification by the Company to the Insured that it will not pay a Claim filed in connection with a specified Covered Loan due to breach of one or more specified provisions of this Policy.
Claim Denial means a written and dated notice from the Claim Administrator to a Settlement Class Member who submitted a Claim Form stating the following: (a) a statement that the Claim or some portion of it is not a Valid Claim; (b) the reason(s) for that determination;

Examples of Claim Denial in a sentence

  • Claim Denial: What notification will I receive if my claim is denied?If a claim for benefits is wholly or partly denied, You will be furnished with written notification of the decision.

  • Claim Denial: What notification will my beneficiary or I receive if a claim is denied?If a claim for benefits is wholly or partly denied, You or Your beneficiary will be furnished with written notification of the decision.

  • If an on-going course of treatment was previously approved for a specified period of time or number of treatments, and the claimant’s request to extend treatment is non-urgent, the claimant’s request shall be considered a new claim and decided in accordance with post-service or pre-service timeframes, as applicable.(d) Appeal of Claim Denial.

  • Claim Denial: What notification will my Beneficiary or I receive if a claim is denied?If a claim for benefits is wholly or partly denied, You or Your beneficiary will be furnished with written notification of the decision.

  • Claim Denial: If a claim for benefits is wholly or partly denied, You will be furnished with written notification of the decision.

  • The Notice of Pre-Service Claim Denial shall include an explanation of the denial, including: 1.

  • The Company’s Liability in case of Claim Denial: When a claim is reported to the Company and, for whatever reason, the Company denies liability, and as a result, the Insured or the Claimant presents such a claim to the court of law or arbitrator.

  • Any such payment shall fulfill Our responsibility for the amount paid.GBD-1200 H08 (10/08) (NC) Claim Denial: What notification will I receive if my claim is denied?If a claim for benefits is wholly or partly denied, You will be furnished with written notification of the decision.

  • To design, test, and compare accuracy of different data-driven mathematical and machine learning models, it is important to first understand the theoretical and mathematical background of different models.

  • Appealing a Claim Denial If the Claims Administrator denies your claim or any part of your claim, you or an authorized representative of yours may apply to the Claims Administrator’s Operations Manager for the Plan to review the denial.


More Definitions of Claim Denial

Claim Denial means a determination by Radian not to pay a Claim after a Claim has been submitted on a Subject Loan. For the avoidance of doubt, a Curtailment shall not be considered a Claim Denial.
Claim Denial means notification by the Company to the Insured, after the Company’s receipt of a Claim, that it will not pay the Claim due to the application of an exclusion listed in Section 6, or the breach of one or more provisions of this Master Policy. In the event of a Claim Denial, the Company shall return to the Insured all Premium received with respect to the affected Loan after the earlier of the date of the Default, or the event which triggered the Claim Denial. A Rescission under Section 3 shall not be considered a Claim Denial.
Claim Denial means a determination of nonpayment by the
Claim Denial. With respect to a claim for benefits under this Agreement, the Bank shall review and make all decisions related to claim approvals or claim denials.
Claim Denial. With respect to a claim for benefits under said Policy, the Insurer shall be the entity which reviews and makes decisions on claim denials according to the terms of the Policy.
Claim Denial is defined in Section 9.7.

Related to Claim Denial

  • Claim Deadline means the last date by which a Claim submitted to the Administrator by a Settlement Class Member for a Claim Settlement Payment must be postmarked, which shall occur no later than fifteen (15) days after the Final Approval Hearing. All Claims postmarked on or before the Claim Deadline shall be timely, and all Claims postmarked after the Claim Deadline shall be untimely and barred from entitlement to any Claim Settlement Payment.

  • Claim Form or “Proof of Claim Form” means the form, substantially in the form attached hereto as Exhibit 2 to Exhibit A, that a Claimant or Settlement Class Member must complete and submit should that Claimant or Settlement Class Member seek to share in a distribution of the Net Settlement Fund.

  • Claims Objection Bar Date means the deadline for objecting to a Claim, which shall be on the date that is the later of (a) 180 days after the Effective Date and (b) such other period of limitation as may be specifically fixed by the Debtors or the Reorganized Debtors, as applicable, or by an order of the Bankruptcy Court for objecting to Claims.

  • Claim Notice has the meaning set forth in Section 8.4(a).

  • Indemnity Claim has the meaning set forth in Section 8.3.

  • Claims Notice has the meaning set forth in Section 9.3(a).

  • Claims Bar Date means the applicable bar date by which Proofs of Claim must be Filed, as established by: (a) the Bar Date Order; (b) a Final Order of the Bankruptcy Court; or (c) the Plan.

  • Claim Certificate shall have the meaning set forth in Section 8.6(a).

  • Claim Amount means the amount calculated in accordance with Section 6.2 of this Policy.

  • Environmental Defect Notice shall have the meaning set forth in Section 12.1(a).

  • Warranty Claim means a claim for breach of any of the Warranties.

  • Environmental Defect means, with respect to any given Asset, a material violation of Environmental Laws in effect as of the Effective Time in the jurisdiction in which such Asset is located.

  • Title Defect as used herein shall mean any encumbrance, encroachment, irregularity, defect in or objection to Seller’s title to the Interests (excluding Permitted Encumbrances), that alone or in combination with other defects renders Seller’s title to the Interests or part thereof less than Defensible Title.

  • Review Package A package of documents consisting of a memorandum outlining the analysis and recommendation (in accordance with the Servicing Standard) of the Master Servicer or the Special Servicer, as the case may be, with respect to the matters that are the subject thereof, and copies of all relevant documentation.

  • Title Defect Notice shall have the meaning set forth in Section 11.2(a).

  • Claim Objection Deadline means the first Business Day that is 180 days after the Effective Date, as may be extended by order of the Bankruptcy Court.

  • Expected Claim Notice means a notice that, as a result of a legal proceeding instituted by or written claim made by a third party, an Indemnified Party reasonably expects to incur Damages for which it is entitled to indemnification under Article VII.

  • Defect Notice shall have the meaning specified in Section 3.2 of this Agreement.

  • Claims Objection Deadline means the later of: (a) the date that is 180 days after the Effective Date; and (b) such other date as may be fixed by the Bankruptcy Court, after notice and hearing, upon a motion Filed before the expiration of the deadline to object to Claims or Interests.

  • Claims Bar Date Order means that certain order entered by the Bankruptcy Court establishing the Claims Bar Date.

  • Indemnity Notice shall have the meaning specified in Section 9.3(b).

  • Rejection Claim means a Claim arising from the rejection of an Executory Contract or Unexpired Lease pursuant to section 365 of the Bankruptcy Code.

  • Claim Period means the period of time during which a Settlement Class Member must submit a Claim Form to be eligible to receive a Cash Benefit or Billing Credit Option as part of the Settlement. The Claim Period shall commence not later than thirty (30) days after the Preliminary Approval Date, as defined herein, and shall conclude not more than ninety (90) days after it commences.

  • Liability Claim has the meaning set forth in Section 7.2(a).

  • Deficiency Claim Date means, with respect to any Distribution Date, the fourth Business Day immediately preceding such Distribution Date.

  • Direct Claim has the meaning set forth in Section 8.05(c).