Claim file definition

Claim file means any retrievable electronic file, paper file or combination of both;

Claim file means any record either in its original form or as recorded by any process which can accurately and reliably reproduce the original material regarding the claim, its investigation, adjustment and settlement.

Claim file means any retrievable electronic file, paper file, combination of both, or any other media.

Examples of Claim file in a sentence

• Claim file support shall be deemed adequate if in compliance with the Records Retention Requirements outlined on the Form FHCF-L1B (Proof of Loss Report) applicable to the Contract Year.

• Participants the opportunity to review the Claim file and to present evidence and testimony as part of the internal claims and appeals process.

• We will add the information that You provide through testimony or other means to Your Claim file and We will review it without regard to whether this information was submitted and/or considered in Our initial decision regarding Your Claim.

• A full review of the information in the Claim file and any new information submitted to support the appeal will be conducted by the Prudential Appeals Review Unit.

• The Detailed Budget Execution Sheet (Sheet 4 of the Cost Claim file).

More Definitions of Claim file

Claim file means a data set composed of health care service level remittance information for all nondenied adjudicated claims un- der the terms of an insurance policy, health benefits plan or state labor and industries program including, but not limited to, covered medical services files, pharmacy files and dental files.

Claim file means a record in paper or electronic form, or any combination, containing all of the information specified in section 10101.1 of Title 8 of the California Code of Regulations these regulations and all documents or entries related to the provision, payment, delay, or denial of benefits or compensation under Divisions 1, 4 or 4.5 of the Labor Code.

Claim file means any retrievable electronic file, microfilm/microfiche file, paper file, or any combination thereof;

Claim file means the Claim Form and all documents submitted relating to a Claim, along with relevant documents relating to the underlying Covered Policy on which the Claim is based, such as, to the extent applicable, correspondence relating to the Covered Policy and payment history on the Covered Policy.

Claim file means a record either in its original form or as recorded by a process that can accurately and reliably reproducer the original material regarding a claim, its investigation, adjustment, and settlement.

Claim file means a compilation of information regarding a Claim in electronic, paper or other form.

Claim file means a collection of information or data required for the payment or denial of a claim, regardless of the medium.