Examples of Current Member in a sentence
KCC shall review each Timely Claim Form it receives and determine whether (i) the Timely Claim Form was submitted by a Current Member or Former Member, (ii) the Timely Claim Form was completed properly and (iii) the Timely Claim Form is accompanied by receipts or other records of payment, described in II.B.2, that support the claims reflected in the Timely Claim Form.
EXHIBIT B2 – Notice of Reimbursement for Aetna [LOGO:] <Former Member First Name> <Former Member Last name> [and] <Current Member First Name><Current Member Last name>: <Address 1> <Address 2> <City> <State> <Zip > You may be eligible for a refund for certain out-of-pocket costs Dear <Former Member First Name><Former Member Last name>: [and] Dear <Current Member First Name><Current Member Last name>: Our records show that you sought coverage for HIV Medications under an Aetna health plan.
This document outlines the procedures Xxxxxxxx Xxxxxx Consultants (“KCC”) [or other claims administrator agreed to by the Parties] is to use in determining the total amount of valid Out-of- Pocket Costs incurred by each Current Member or Former Member who timely submits a claim for payment of Out-of-Pocket Costs and the amount each such Member should be paid with respect to such Out-of-Pocket Costs.
If a Current Member or Former Member requests reimbursement of Out-of-Pocket Costs, they must submit receipts and any other records of payment supporting their claim along with the completed Claim Form.
If KCC determines that (i) the Timely Claim Form was submitted by a Current Member or Former Member, but that (ii) the Timely Claim Form was not completed properly and/or (iii) the Timely Claim Form is not accompanied by receipts or any other records of payment that support the claims reflected in the Timely Claim Form, then the Timely Claim Form shall be deemed an Incomplete Timely Claim Form.