Claims File definition

Claims File means the prescription claims data, including, without limitation, any and all related files and documents, provided to the Company from time to time by the Claims Processor or by Parent, Seller or any of their respective Affiliates (other than the Company).
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Examples of Claims File in a sentence

  • Store and process the Claims File in such a manner that unauthorized persons cannot retrieve information by any means, including computers, remote terminals, or other means.

  • Provide, at least monthly, a Claims File in the layout as outlined in the COBA Implementation User Guide.

  • Monthly POPS Portal PH-02 PH-02 MassHealth Custom Interface Guide - 837 Medication Claims Plans use the MassHealth Custom Interface Guide - 837 Medication Claims - Paid Claims File Layout for Batch Interface to Pharmacy Systems to submit rebate data for 837 claims.

  • Article III.B.2 and 3 do not apply to Medigap claim-based Trading Partners that will not provide the CMS Contractor with an Eligibility File yet will receive an electronic Claims File.

  • The DVHA Covered Claims File contains DVHA’s disposition of the claim status which may be Zero-Paid Claims or denied with the denial reason.

  • The weekly Historical Pharmacy Claims File contains paid pharmacy claims data for all Attributed Members for dates of service in the three years prior to the Performance Year through the current week’s paid date.

  • CLAIMS ADMINISTRATION Lloyd’s Underwriters ▇▇▇▇▇▇ Limited and Reinsurers agree that any claims hereunder (including any claims related costs/fees) that are in scope and supported by Electronic Claims File (ECF) may be notified and administered via the Electronic Claims File (ECF) system with any payment(s) processed via CLASS.

  • The term “systems” as used herein shall include, but shall not be limited to, computer programs, computer equipment, formats, risk data report formats, procedures, documentation and internal reports of TRISTAR and its affiliates, but such term shall not include Claims File Information.

  • The term “systems” as used herein shall include, but shall not be limited to, computer programs, computer equipment, formats, risk data report formats, procedures, documentation, and internal reports of TRISTAR and its affiliates, but such term shall not include Claims File Information.

  • The Claims Invoice shall include key dispatch information including date of episode; AGI Member name; AGI Member number; type of services; cost of service and comply with AGI’s Network Claims File Format or another mutually agreed upon format.