Claims Processing definition

Claims Processing means the process followed to pay, settle or reject one or more Claims, whether through their full payment, partial payment, denial of payment, or a combination thereof.
Sample 1
Claims Processing. The first sentence of Section VI, Claims Processing of the Contract shall be deleted and replaced as follows: "The Florida Blue shall provide claims processing services on behalf of the Group Health Plan." Revision To Section VI. entitled "Records and Reports": In order for GHP to be able to comply withits obligations under the HIPAA-AS Privacy and Security Rules and for Employer and Florida Blue to be able to comply with their obligations hereunder, the terms and conditions of Section VI, Records and Reports of the Contract, and any subsequent amendments made thereto by the parties, shall be made subject to this Contract.
Sample 1

Examples of Claims Processing in a sentence

  • Additional Claims Processing ProvisionsRelease of Information/CooperationIn order to process claims, we may need certain information, including information regarding other health care coverage you may have and/or medical information from Providers who render Services to you.

  • Qualifying CREST Shareholders should note that, although the Open Offer Entitlements and Excess CREST Open Offer Entitlements will be credited through CREST and be enabled for settlement, applications in respect of entitlements under the Open Offer may only be made by the Qualifying Shareholder originally entitled or by a person entitled by virtue of a bona fide market claim raised by Euroclear’s Claims Processing Unit.

  • Transactions identified by the CREST Claims Processing Unit as “cum” the Open Offer Entitlement will generate an appropriate market claim transaction and the relevant Open Offer Entitlement(s) will thereafter be transferred accordingly.

  • Should a transaction be identified by the CREST Claims Processing Unit as “cum” the Open Offer Entitlement and the relevant Open Offer Entitlement(s) be transferred, the Excess CREST Open Offer Entitlements will not transfer with the Open Offer Entitlement(s) claim, but will be transferred as a separate claim.

  • Transactions identified by the CREST Claims Processing Unit as “cum” the Open Offer Entitlement and Excess CREST Open Offer Entitlements will generate an appropriate market claim transaction and the relevant Open Offer Entitlement(s) and Excess CREST Open Offer Entitlement(s) will thereafter be transferred accordingly.

  • Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 Xxxxxx, XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

  • The Medicare Claims Processing Manual (the Manual) requires providers to complete claims accurately so that Medicare contractors may process them correctly and promptly (Pub.

  • FEDERAL REQUIREMENTS Section 1833(e) of the Social Security Act states: “No payment shall be made to any provider of services … unless there has been furnished such information as may be necessary in order to determine the amounts due such provider … for the period with respect to which the amounts are being paid ….” CMS’s Medicare Claims Processing Manual, Pub.

  • Voucher and any supporting documentation will be submitted simultaneously to the Claims Processing Unit and the Contract Management Section, at the addresses in the below table, by the last business day of the month following the month in which expenses were incurred or services provided.

  • Refer to the Medicare Claims Processing Manual, Chapter 10, “Home Health Agency Billing,” for a more in depth discussion of home health services.

Related to Claims Processing

  • Urgent Care means treatment for a condition that is not a threat to life or limb but does require prompt medical attention. Also, the severity of an urgent condition does not necessitate a trip to the hospital emergency room. An Urgent Care facility is a freestanding facility that is not a physician’s office and which provides Urgent Care.

  • Data Processing Agreement means the data processing agreement located at xxx.xxxxxx.xxx/[countrycode]/legal/dpa, where “[countrycode]” means the two-letter abbreviation for the country where your Stripe Account is located.

  • Counseling services means services provided by qualified social workers, psychologists, guidance counselors, or other qualified personnel.

  • Claims Administrator means the firm proposed by Class Counsel and appointed by the Courts to administer the Settlement Amount in accordance with the provisions of this Settlement Agreement and the Distribution Protocol, and any employees of such firm.