Claim records definition

Claim records means, for the purposes of this regulation, all records necessary to reconstruct the processes, adjustment, and settlement of claims. The following records are types of records that may be required, as applicable by line of business, but is not an all-inclusive list:
View Source
Claim records means documents related to the medical condition and work status of the worker. The records include but are not limited to notes and reports of health care providers, and any additional information relevant to the reopening of medical benefits. The term does not include medical billing records.
View Source

Examples of Claim records in a sentence

  • Notwithstanding the preceding, prior to destroying any Plan Claim records, PBM will provide WellPoint the opportunity to take possession of the records.

  • Responsible for MMDF & SMDF Claim records and payment of benefits to signatory companies.

  • Upon termination of an Administrative Services Agreement for any reason, FAI will identify to Plan any Claim records and other Protected Health Information that FAI created or received for or from Plan that cannot feasibly be returned to Plan or destroyed.

  • Upon termination of an Administrative Services Agreement for any reason, FAI will, if feasible, return to Plan or destroy all Claim records and all other Protected Health Information that FAI created or received for or from Plan pursuant to the terminated Administrative Services Agreement(s).

  • Responsible for MERF & METF Claim records and payment of benefits to signatory companies.

  • FAI will keep confidential all Claim records and all other Protected Health Information that FAI creates or receives in the performance of its duties under the Administrative Services Agreement(s) and this Business Associate Agreement.

  • Claim Administrator shall retain all Claim records for the longer of (i) the time period required by applicable law or (ii) the time period required by Claim Administrator’s records retention policy, which policy is subject to change by Claim Administrator.

  • Claim Administrator shall retain all such Claim records for the time period required by Claim Administrator’s records retention policy, which policy is subject to change by Claim Administrator.

  • After termination of an Administrative Services Agreement, FAI will limit its further use or disclosure of the Claim records and other Protected Health Information to those purposes that make their return to Plan or destruction infeasible.

  • The Company will keep confidential all Claim records and all other PHI the Company creates or receives in the performance of its duties under this Agreement.