Electronic claims definition

Electronic claims means the transmission of data for the purpose of payment of claims for Covered Services furnished by a New Hampshire Provider, the claim being submitted in an electronic data format specified by the Plan.
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Electronic claims means any time ClinicDr receives electronically from Client claim(s), processes claim(s) electronically or receives electronic EOBs from the clearinghouse.
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Electronic claims. Submission performs automated claims generation and on-line adjudication including Point-of-Sale, for on-line verification and billing of medications.
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Examples of Electronic claims in a sentence

  • Electronic claims format shall be required unless hard copy claims submittals are specifically authorized by the Department.

  • Electronic claims submission inform pharmacists of potential drug-related problems and pharmacists document their responses by using interventions codes.

  • Electronic claims are generally paid within two weeks of submission.

  • Electronic claims submission will be preferred over hard copy formats.

  • Electronic claims transport" means to accept and digitize claims or to accept claims already digitized, to place those claims into a format that complies with the electronic transaction standards issued by the United States department of health and human services pursuant to the "Health Insurance Portability and Accountability Act of 1996," 110 Stat.

  • Electronic claims shall be accepted in HIPAA-compliant standardized electronic transactions (see Chapter 19).

  • Electronic claims will identify the specific Contract Products for which alternative products were purchased and the amount of reimbursement claimed on behalf of each MMCAP Infuse Participating Facility for the additional cost incurred in purchasing the alternative products.

  • Electronic claims submission has substantial benefits which include: decrease submission cost, faster processing and reimbursement and timely filing documentation.

  • Electronic claims processing capacity must be sufficient to allow pharmacies to do online adjudication and split billing, so that pharmacies or clients will not need to submit manual claims for secondary payment.

  • Medical Billing and Coding: 80 hoursTypes of medical insurance, Type of forms used in medical billing, Responsibilities of the medical billing specialist, Diagnosis coding, Coding procedures, Medical terminology, How medical terms are formed, Electronic claims, Blue Cross and Blue Shield, Medicare & Medical, Worker's Compensation, Payment policies, Claims follow-up, Collections.

Related to Electronic claims

  • Electronic cigarette means any oral device that provides a vapor of liquid nicotine, lobelia, and/or other similar substance, and the use or inhalation of which simulates smoking. The term shall include any such devices, whether they are manufactured, distributed, marketed, or sold as e-cigarettes, e-cigars, e-pipes, or under another product name or descriptor.

  • Electronic Communications means any transfer of signs, signals, text, images, sounds, data or intelligence of any nature transmitted in whole or part electronically received and/or transmitted through the Service.

  • Electronic Copy has the meaning specified in Section 11.17.

  • Electronic communication means a communication transmitted by means of an electronic device, including, but not limited to: a telephone, cellular phone, computer, or pager.

  • electronic communications network means transmission systems and, where applicable, switching or routing equipment and other resources, including network elements which are not active, which permit the conveyance of signals by wire, radio, optical or other electromagnetic means, including satellite networks, fixed (circuit and packet-switched, including Internet) and mobile terrestrial networks, electricity cable systems, to the extent that they are used for the purpose of transmitting signals, networks used for radio and television broadcasting, and cable television networks, irrespective of the type of information conveyed;

  • electronic communications service means a service normally provided for remuneration which consists wholly or mainly in the conveyance of signals on electronic communications networks, including telecommunications services and transmission services in networks used for broadcasting, but exclude services providing, or exercising editorial control over, content transmitted using electronic communications networks and services; it does not include information society services, as defined in Article 1 of Directive 98/34/EC, which do not consist wholly or mainly in the conveyance of signals on electronic communications networks;