eligibility data file definition

eligibility data file means a file that includes data about a person who receives health care coverage
eligibility data file means a file that includes data about a person who receives health care coverage from a payer, according to the requirements contained in the submission guide.
eligibility data file means a data file composed of IDENTIFYING AND demographic information for each Member who is eligible to receive medical, pharmacy, or dental coverage provided or administered by a Reporting Entity for one or more days of coverage during the reporting period, AND DATES OF COVERAGE.

More Definitions of eligibility data file

eligibility data file means a data file composed of demographic information for each Member who is eligible to receive medical, pharmacy, or dental coverage provided or administered by a Reporting Entity for one or more days of coverage during the reporting month.

Related to eligibility data file

  • Eligibility Date means, with respect to each Borrower and Guarantor and each Swap, the date on which this Agreement or any Other Document becomes effective with respect to such Swap (for the avoidance of doubt, the Eligibility Date shall be the Effective Date of such Swap if this Agreement or any Other Document is then in effect with respect to such Borrower or Guarantor, and otherwise it shall be the Effective Date of this Agreement and/or such Other Document(s) to which such Borrower or Guarantor is a party).

  • Eligibility and selection criteria means criteria for determining:

  • Eligibility Criteria means the legal criteria as specified in the Clause 5 of this E- Auction Process Information Document;

  • Weekly Report means a report, in substantially the form of Exhibit J.

  • Monthly Report means a report, in substantially the form of Exhibit X hereto (appropriately completed), furnished by the Servicer to the Agent pursuant to Section 8.5.

  • Weekly Reporting Period means any period (a) during which any Default or any Event of Default has occurred and is continuing, or (b) that constitutes a Minimum Availability Period; provided that if the circumstances described in clause (a) or (b), as applicable, shall occur and cease to exist twice during any calendar year, then any subsequent Weekly Reporting Period occurring during such calendar year shall continue through the end of such calendar year.

  • Contract File means with respect to each Contract, the physical and/or electronic files in which Credit Acceptance maintains the fully executed original counterpart or “authoritative copy” (in each case, for UCC purposes) of the Contract (to the extent required in accordance with Section 3.03 of this Agreement), either a standard assurance in the form commonly used in the industry relating to the provision of a certificate of title or other evidence of lien, the original or electronic instruments modifying the terms and conditions of such Contract and the original or electronic endorsements or assignments of such Contract.