Claims Manual definition

Claims Manual means a manual, to be prepared by or with the assistance of the Claims Administrator and mutually agreed to by Monsanto and the ECC, to guide the Claims Administrator in carrying out its responsibilities under this Agreement. The Claims Manual does not confer or take away any rights, duties, or discretion granted by the Agreement, and does not alter or supersede the Agreement. The Claims Manual will (i) summarize portions of this Agreement relating to the Claims Administrator’s role in a manner to assist it in performing the responsibilities of the Claims Administrator; and (ii) supplement the procedures in the Agreement for accepting, evaluating, and administering Process Claims.
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Examples of Claims Manual in a sentence

  • The reports must be submitted to HHSC in a format specified within the Texas Medicaid Managed Care Claims Manual and/or report templates provided by HHSC.

  • HMO must submit the "All Claims Summary Report" identified in the Texas Managed Care Claims Manual as a contract year-to-date report.

  • HMO must comply with any changes to the Claims Manual with appropriate notice of changes from TDH.

  • HMO must comply with Claims Reports submission requirements specified in HHSC’s Texas Medicaid Managed Care Claims Manual.

  • The MCO must process claims in accordance with UMCM Chapter 2.2, Pharmacy Claims Manual, and Texas Insurance Code § 843.339.

  • Vendor may also rely on information and direction contained in the WYO Flood Program Claims Manual, the FEMA Adjuster Manual, the Flood Insurance (Agent's) Manual, the standard flood insurance policy, the WYO Operational Overview, and/or other WYO Flood Program instructional material.

  • IMS may also rely on the information and direction contained in the WYO Flood Program Claims Manual, the FEMA Adjuster Manual, the Flood Insurance Agent's Manual, the Standard Flood Insurance Policy, the WYO Operational Overview, and/or other WYO Flood Program instructional material.

  • Claims submitted by a Nursing Facility must meet DADS' criteria for clean claims submission as described in UMCM Chapter 2.3, Nursing Facility Claims Manual.

  • The MCO must process claims in accordance with UMCM Chapter 2.2, "Pharmacy Claims Manual," and Texas Insurance Code § 843.339.

  • HMO must submit the monthly Claims Aging and Summary Reports identified in the Texas Managed Care Claims Manual by the third Monday of the month following the reporting period.