Claim Processing definition
Examples of Claim Processing in a sentence
The penalty for Contractor's failure to meet the Claim Processing Accuracy shall be the amount shown in Attachment A.
Claims Payment -Financial Accuracy -Claim Processing Accuracy 99% of audited claim dollars paid accurately.
Contractor shall submit claims to the Mental Health Plan Provider Relations’ Claim Processing Center within 60 days from the end of the service month and must conform to the billing and claims instructions specified in the Mental Health Plan Provider Network Handbook.
Claim Processing Accuracy is determined from an audit of randomly selected claims.
The Claim Processing Accuracy percentage is calculated dividing the number of accurately processed claims by the number of claims selected in the sample.
Claims Payment - Financial Accuracy - Claim Processing Accuracy 99% of audited claim dollars paid accurately.
The Claims Administrator, upon reasonable request, shall provide to Class Counsel and Defendant’s Counsel summary information concerning the number of Claims made, number of Claims returned for incompleteness, and number of Claims pending in Claim Processing, number of Claims validated, and the total amount of reimbursement payments to be made on validated Claims.
Claim Processing Timeliness or Turnaround Time (TAT) Claim correctly adjudicated within 14 Calendar Days >90% $2,500 each Business Day the report is late.
The SCAP Clause Guidelines can also assist You will find the operating guidelines split into section and role, categorised into the three key areas of the claims process: • Claim Notification and Triaging • Claim Agreement • Claim Processing The operating guidelines are supported by a high level process map here.
County of Orange Human Resource Services/Employee Benefits Claims Payment -Financial Accuracy -Claim Processing Accuracy 99% of audited claim dollars paid accurately.