False Claim definition

False Claim means a claim that a provider knowingly submits or causes to be submitted that contains inaccurate, misleading, or omitted information and such inaccurate, misleading, or omitted information would result, or has resulted, in an overpayment.
False Claim means any claim which is, either in whole or part, false or fraudulent.
False Claim means a claim or encounter a provider knowingly submits or causes to be submitted that contains inaccurate or misleading information, and that information would result, or has resulted, in an overpayment or other improper payment.

Examples of False Claim in a sentence

  • Code, §12650 et seq.), the District will be entitled to civil remedies set forth in the California False Claim Act.

  • I am told that CCSP believes it has legitimate defenses to the False Claim Act allegations in the Qui Tam Action and the accompanying Complaint in Intervention.

  • In approximately March 2019, the DOJ began investigating certain billing issues and alleged noncompliant methadone documentation as a result of allegations made by two former employees of CCSP, included in a qui tam False Claim Act lawsuit (the “Qui Tam Action”) filed under seal by such former employees on March 7, 2019, in the United States District Court for the District of Delaware, case number 19-475 (CFC).


More Definitions of False Claim

False Claim. If a Primary Cardholder or Insured Person makes any claim knowing it to be false or fraudulent in any respect, coverage under this Certificate of Insurance shall cease and there shall be no payment of any claim made under this Certificate of Insurance. • In the event of a payment under this Certificate of Insurance, We have the right to proceed in the name of any Insured Person against third parties who may be responsible for giving rise to a claim under this insurance. We have full rights of subrogation. The Insured Person will execute and deliver such documents, and fully cooperate with Us, so as to allow Us to fully assert Our right to subrogation. The Insured Person will not do anything after the loss to prejudice such rights. • You must repay to Us amounts paid or authorized for payment on Your behalf if We later determine the amount is not payable under this insurance. • You, or someone acting on Your behalf, must give written notice of a claim to the Operations Centre not later than thirty days from the date the claim arises. The Operations Centre must be provided by You or someone acting on Your behalf with satisfactory proof of loss no later than ninety days from the date the claim arises. Satisfactory proof of loss means proof satisfactory to Us of: – the Departure Date; – the occurrence of the Injury or the commencement of the Sickness; – the cause or nature of the Injury or Sickness; – the loss, expense or service for which benefits are being claimed (original itemized receipts); – the Primary Cardholder’s age; – the claimant’s age; and – the right of the claimant to receive payment. Satisfactory proof of loss specific to Car Rental Benefits: – the occurrence of the Accidental Bodily Injury, the theft of or damage to the Rental Car, or the death of You or Your Immediate Family Member; – the cause or nature of the event resulting in the Accidental Bodily Injury, the theft of or damage to the Rental Car, or the death of You or Your Immediate Family Member; – the loss, expense or service for which benefits are being claimed (original itemized receipts); – the right of the claimant to receive payment. Failure to give notice of claim or furnish proof of loss within the time prescribed does not invalidate the claim if it is shown that it was not reasonably possible to give notice or furnish proof within the time so prescribed and if the notice or proof is given or furnished as soon as reasonably possible, and in no event later than one year from the ...
False Claim means any claim, or information relating to a claim, which is false or fraudulent.
False Claim means a claim that:
False Claim means any statement made to any insurer,
False Claim means a claim for:
False Claim means any claim that contains or is based upon a
False Claim means a claim or encounter that a provider knowingly submits or causes to be submitted that contains inaccurate or misleading