Fraudulent Claims definition

Fraudulent Claims means any Claim Form(s) that the Settlement Administrator, in conjunction with the Parties, determines in good faith contain indicia of fraud or deceit, including but not limited to, any attempts to bypass the terms and limitations set out in this Settlement Agreement regarding Claim Forms, Claimants, Settlement Class Members and Settlement Benefits.
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Fraudulent Claims means any Claim Forms that the Settlement Administrator determines in good faith contain indicia of fraud, deceit, or other invalidity, including but not limited to any attempts to bypass the terms and limitations set out in this Agreement regarding Claim Forms, the Settlement Class, or Proof of Purchase.
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Fraudulent Claims shall include the unauthorized, illegal, or wrongful use of any identification card issued to any Covered Individual, and the wrongful use of any identification card that is lost or stolen.
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Examples of Fraudulent Claims in a sentence

  • Fraudulent Claims or Misleading Information We take a robust approach to fraud prevention.

  • Sanctions for False or Fraudulent Claims for Title XIX Services.(15) Appeals.

  • If Seller is unable to support any part of its claim and it is determined that such inability is attributable to fraud or misinterpretation of fact on the part of Seller, then Seller shall indemnify, defend, and hold harmless Buyer from any and all liability of any kind incurred by or imputed to Buyer under Section 7103(c) (Fraudulent Claims) of the CDA.

  • If Seller is unable to support any part of a claim contemplated under this Claim Sponsorship clause and it is determined that such inability is attributable to fraud or misinterpretation of fact on the part of Seller, then Seller shall indemnify, defend, and hold harmless Buyer from any and all liability of any kind incurred by or imputed to Buyer under Section 7103(c) (Fraudulent Claims) of the CDA.

  • Fraudulent Claims or Misleading InformationWe take a robust approach to fraud prevention in order to keep premium rates down so that you do not have to pay for other people’s dishonesty.

  • How We Will Deal with Fraudulent Claims We will not pay for any claim that is in any way fraudulent or exaggerated, if You or anyone acting for You uses fraud to get benefits under the policy.

  • Fraudulent Claims If under this Policy an Insured or anyone acting for an Insured: 1.

  • Be able to identify the scope and correct application of the False and Fraudulent Claims article of the Code (Cal.

  • Fraudulent Claims: If you or anyone acting on your behalf submits a fraudulent claim, all pending and future benefits under the policy will be lost with respect to your policy.

  • Overpayments due the Medicaid Pro- gram from a provider shall be recovered by the division in accordance with state regula- tion 13 CSR 70-3.030, Sanctions for False or Fraudulent Claims for Title XIX Services.


More Definitions of Fraudulent Claims

Fraudulent Claims means any Claim Forms the Claims Administrator determines in good faith contain indicia of fraud, deceit or other invalidity, including but not limited to any attempts to bypass the terms and limitations set out in this Agreement regarding Claim Forms, Claimants, Class Members and Class Benefits.
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Fraudulent Claims shall include: (i) the unauthorized, illegal or wrongful use of any card issued by AMS to any of AMS' Plan Participants, and (ii) the wrongful use of any card that is lost or stolen until notification is received by PROVANTAGE. AMS acknowledges that the Participating Pharmacies have been chosen by PROVANTAGE based on their willingness to provide pharmacy services to the Plan Participants. In addition, PROVANTAGE has contractually required that the Participating Pharmacies have met the following minimum required enrollment criteria: U. State and federal pharmacy licenses;
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Fraudulent Claims means any Claim Forms the Settlement Administrator
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Fraudulent Claims means any claim which is fraudulent, exaggerated or dishonest.
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Fraudulent Claims shall include: (i) the unauthorized, illegal or wrongful use of any card issued by AMS to any of AMS's Plan Participants, and (ii) the wrongful use of any card that is lost or stolen until notification is received by PROVANTAGE. AMS acknowledges that the Participating Pharmacies have been chosen by PROVANTAGE solely based on their willingness to provide pharmacy services to the Plan Participants. PROVANTAGE has not performed any investigation or review of any Participating Pharmacy's operations. In addition, and without limiting the generality of the foregoing, each party agrees to indemnify and hold harmless the other party and its directors, officers and employees acting in the scope and course of their employment and not as Plan Participants against all claims, lawsuits, settlements, judgments, costs, penalties and expenses, including attorney's fees, with respect to this Agreement and the acts of the indemnifying party or its employees, acting alone or in collusion with others, if it determined that the indemnified party's liability therefor was the direct consequence of negligence, criminal conduct or fraud on the part of the indemnifying party's directors, officers or employees.
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Related to Fraudulent Claims

  • fraudulent practice means a misrepresentation of facts in order to influence a procurement process or the execution of a contract to the detriment of the Procuring Entity, and includes collusive practices among Bidders (prior to or after bid submission) designed to establish bid prices at artificial, non-competitive levels and to deprive the Procuring Entity of the benefits of free and open competition.

  • Fraudulent practices which means any act or omission, including a misrepresentation, that knowingly or recklessly misleads, or attempts to mislead, a party to obtain a financial or other benefit or to avoid an obligation; and

  • Fraudulent Transfer Laws has the meaning set forth in Section 2.2.

  • Dishonest or Fraudulent Act means any dishonest or fraudulent act, including “larceny and embezzlement” as defined in Section 37 of the Investment Company Act of 1940, committed with the conscious manifest intent (1) to cause the Insured to sustain a loss and (2) to obtain financial benefit for the perpetrator or any other person (other than salaries, commissions, fees, bonuses, awards, profit sharing, pensions or other employee benefits). A Dishonest or Fraudulent Act does not mean or include a reckless act, a negligent act, or a grossly negligent act.

  • Fraudulent Conveyance means a fraudulent conveyance under Section 548 of Chapter 11 of Title II of the Bankruptcy Code or a fraudulent conveyance or fraudulent transfer under the applicable provisions of any fraudulent conveyance or fraudulent transfer law or similar law of any state, nation or other governmental unit, as in effect from time to time.

  • Corrupt and Fraudulent Practices means either one or any combination of the practices given below;

  • fradulent practice means a misrepresentation or omission of facts in order to influence a procurement process or the execution of contract;

  • former Act means the Companies Act or the International Business Companies Act;

  • Violent act means behavior that resulted in homicide,

  • CER Act means the Canadian Energy Regulator Act (Canada), and regulations thereunder, all as amended or replaced from time to time.

  • Violent juvenile felony means any of the delinquent acts enumerated in subsection B or C of

  • Violent crime means a forcible felony, as defined in Iowa Code section 702.11, and includes any other felony or aggravated misdemeanor which involved the actual or threatened infliction of physical or emotional injury on one or more persons.

  • Violent felony means any offense that, if committed by an adult, would constitute a felony and:

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • PBR Act means the Plant Breeder’s Rights Xxx 0000 (Cth) as amended from time to time.

  • Other health impairment means having limited strength, vitality, or alertness, including a heightened alertness to environmental stimuli, that results in limited alertness with respect to the educational environment, that:

  • Sexual act means conduct between persons consisting of contact between the penis and the vulva, the penis and the anus, the mouth and the penis, the mouth and the vulva, or any intrusion, however slight, by any part of a person’s body or object into the genital or anal opening of another.

  • IPR Claim means any claim of infringement or alleged infringement (including the defence of such infringement or alleged infringement) of any IPR, used to provide the Services or as otherwise provided and/or licensed by the Supplier (or to which the Supplier has provided access) to the Authority in the fulfilment of its obligations under this Framework Agreement;

  • Bankruptcy Code means Title 11 of the United States Code entitled “Bankruptcy,” as now and hereafter in effect, or any successor statute.

  • Respiratory care practitioner means a person who is

  • Securities Transfer Act means the Securities Transfer Act (British Columbia) from time to time in force and all amendments thereto and includes all regulations and amendments thereto made pursuant to that Act.

  • Consumer debtor means a debtor in a consumer transaction.

  • Fraud Claim means any claim based in whole or in part upon fraud, willful misconduct or intentional misrepresentation.

  • Released PAGA Claims means the claims being released as described in Paragraph 6.2 below.

  • Repudiation/Moratorium means the occurrence of both of the following events: (i) an authorised officer of a Reference Entity or a Governmental Authority (x) disaffirms, disclaims, repudiates or rejects, in whole or in part, or challenges the validity of, one or more Obligations in an aggregate amount of not less than the Default Requirement or (y) declares or imposes a moratorium, standstill, roll-over or deferral, whether de facto or de jure, with respect to one or more Obligations in an aggregate amount of not less than the Default Requirement and (ii) a Failure to Pay, determined without regard to the Payment Requirement, or a Restructuring, determined without regard to the Default Requirement, with respect to any such Obligation occurs on or prior to the Repudiation/Moratorium Evaluation Date.

  • Violent student means a student under the age of 21 who: