Claim Validation Process definition

Claim Validation Process means the process by which properly submitted claims which are conditionally approved by the Claims Administrator will be reviewed and validated by BMW NA to determine that (1) the Class Vehicle’s New Passenger Vehicle Limited Warranty has not been invalidated, (2) the VIN number associated with the Claim matches the Settlement Class Member vehicle’s VIN number, (3) neither BMW NA nor a BMW authorized dealer (i.e., “BMW Center” hereinafter) has previously paid for the same claim(s) being submitted for reimbursement, (4) the claim is for an item covered under this Settlement Agreement; (5) the claim is not for a vehicle excluded from the Settlement Class; (6) the claim for reimbursement has not been submitted by someone excluded from the Settlement Class under Section ▇.▇▇ herein; (7) in the event the Settlement Class Member has received “goodwill” or other cost/price adjustment, coupon, reimbursement, or refund from BMW NA, a BMW Center, any person or entity associated with Defendant, an insurer, or a provider of an extended service contract, then that amount will be applied against the amount of the claim submitted; and (8) the claim has not been fraudulently submitted.
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Claim Validation Process means the process by which properly submitted Claims which are conditionally approved by the Claims Administrator will be reviewed and validated by BMW NA to determine that (1) the Class Vehicle’s New Passenger Vehicle Limited Warranty has not been invalidated, (2) neither BMW NA nor a BMW authorized dealer (i.e., “BMW Center” hereinafter) has previously paid for the same claim(s) being submitted for reimbursement, (3) in the event the Settlement Class Member has received “goodwill” or other cost/price adjustment, coupon, reimbursement, or refund from BMW NA, a BMW Center, any person or entity associated with Defendant, an insurer, or a provider of an extended service contract, then that amount will be applied against the amount of the claim submitted; and (4) the claim has not been fraudulently submitted.
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Examples of Claim Validation Process in a sentence

  • The Claims Administrator will, on a weekly rolling basis, submit those conditionally approved claims to Defendant for the Claim Validation Process to determine if there is any reason to believe that a claim is fraudulent or otherwise invalid.

  • The Claims Administrator will submit those properly supported and conditionally approved claims to BMW NA for the Claim Validation Process, pursuant to Section III.D.2., below.

  • The Claims Administrator will submit those properly supported and conditionally approved claims to BMW NA for the Claim Validation Process, pursuant to paragraph 8, below.

  • The Claims Administrator will submit those properly supported and conditionally approved claims to BMW NA for the Claim Validation Process, pursuant to Section III.E.2, below.

Related to Claim Validation Process

  • Application Process means the online application process under which the Applicant applies for Hospitality Packages on the Webshop.

  • RFP Process or “Bidding Process” means the process governing the submission and evaluation of the Bids as set out in the RFP itself;

  • Procurement Process means the process commenced by the issuing of this Invitation and concluding upon the award of a contract (or other outcome as determined by Tetra Tech International Development) or upon the earlier termination of the process

  • Claims Process means the process for Settlement Class Members’ submission of Claims, as described in Section III.

  • Dispute Resolution Process means the process described in clause 9