Partial Denial definition

Partial Denial means a case where compensability is accepted but the claim administrator is initially denied all indemnity benefits and only medical benefits will be paid; also means a case where a specific indemnity benefit(s) was previously paid but subsequently denied, either in whole or in part. A “Partial Denial” is represented by a SROI Maintenance Type Code “PD”.
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Partial Denial means the denial and non-reimbursement of portions of a medical claim submitted for services or supplies provided to a covered enrollee as specified in the plan documents.
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Examples of Partial Denial in a sentence

  • U.S. Environmental Protection Agency, “Partial Grant and Partial Denial of Clean Air Act Waiver Application Submitted by Growth Energy to Increase the Allowable Ethanol Content of Gasoline to 15 Percent; Decision of the Administrator; Notice,” 75 Federal Register 68094-68150, November 4, 2010.

  • Imagine one doctor having to attend more than 150patients a day! If one arrives in the morning, the waiting time is much shorter and bearable, but if you arrive after 1:00pm, since there would be more people including those who would have started at work in the morning like myself before coming to the hospital to collect their ARV’s, the waiting time then becomes very long.

  • Date and Time for openingOf Techno Commercial bid : 29.09.2006, 15:30 HRS.Place of receipt of tender : ADM BUILDING,GAIL (India) Limited, PATA DIST.: AURAIYA (U.

  • Partial Denial- If only a part of the PHI requested is denied, appropriate staff must provide the patient with the rest of the information after excluding the parts that cannot be inspected or copied.

  • In case of Full or Partial Denial of the request, the FRO shall, within the prescribed period, notify the requesting party of such Full or Partial Denial in writing.

  • U.S. Environmental Protection Agency, Partial Grant and Partial Denial of Clean Air Act Waiver Application Submitted by Growth Energy to Increase the Allowable Ethanol Content of Gasoline to 15 Percent; Decision of the Administrator, Washington, DC, October 13, 2010, http://www.epa.gov/otaq/regs/fuels/additive/e15/e15-waiver- decision.pdf.

  • Some of the conditions call for the ethanol blenders, fuel manufacturers, and fuel additive manufacturers (ethanol producers) to 9 Since E15 has greater than 2.7 wt% oxygen content, E15 needs a waiver under CAA section 211(f)(4).10 See Partial Grant and Partial Denial of Clean Air Act Waiver Application Submitted by Growth Energy to Increase the Allowable Ethanol Contenttake various actions to control the distribution and use of their product so that E15 is only used in approved motor vehicles.

  • HopeAcceptanceDecathexisBarganingDepressionP.G.AngerDenialP.D.ShockAwareness of fatal illness TimeDeathPG = Preparatory Grief PD = Partial Denial Kubler-Ross states that she developed her model as a result of her "experiment,"with over two hundred terminally ill patients.

  • This principal of law is really not in dispute, because State Farm devotes the entire “Issue II – Whether the Partial Denial of Coverage Prevents Appraisal” of its Initial Brief to this proposition.This principal of law eviscerates State Farm’s primary argument: that it couldn’t figure out if the claim was appropriate for appraisal, so it didn’t waive appraisal by its extensive litigation practice.State Farm provided coverage from the outset, on August 15, 2018.

  • Environmental Protection Agency, “Partial Grant and Partial Denial of Clean Air Act Waiver Application Submitted by Growth Energy To Increase the Allowable Ethanol Content of Gasoline to 15 Percent; Decision of the Administrator,” October 13, 2010.

Related to Partial Denial

  • Partial Dependant means a "dependant" as prescribed in paragraph (a) of this subclause who receives a location allowance which is less than the location allowance prescribed in subclause (1) of this clause or who, if in receipt of a salary or wage package, receives less than a full consideration for which the location allowance is payable pursuant to the provisions of this clause.

  • Partial confinement means confinement for no more than one

  • Partial closure means the closure of a hazardous waste management unit in accordance with the applicable closure requirements of Sections 264 and 265 of this regulation at a facility that contains other active hazardous waste management units. For example, partial closure may include the closure of a tank (including its associated piping and underlying containment systems), landfill cell, surface impoundment, waste pile, or other hazardous waste management unit, while other units of the same facility continue to operate.

  • Partial Condemnation means any Condemnation which does not constitute a Termination Event.

  • Premises Partial Damage means damage or destruction to the Premises, other than Lessee-Owned Alterations and Utility Installations, the repair cost of which damage or destruction is less than fifty percent (50%) of the then Replacement Cost (as defined in Paragraph 9.1(d)) of the Premises (excluding Lessee-Owned Alterations and Utility Installations and Trade Fixtures) immediately prior to such damage or destruction.

  • Premises Building Partial Damage means if the Building of which the Premises are a part is damaged or destroyed to the extent that the cost to repair is less than fifty percent of the then replacement cost of the Building.

  • Partial Termination has the meaning set forth in the Section 6.3(a).

  • Partial Prepayment Any payment of principal on a Mortgage Loan, other than a Full Prepayment, which is received in advance of its scheduled Due Date and is not accompanied by an amount of interest representing scheduled interest due on any date or dates in any month or months subsequent to the month of prepayment.

  • Partial Payment means any payment by Borrower, other than a voluntary prepayment permitted under the Note, which is less than a full outstanding Periodic Payment.

  • Partial Disability or "Partially Disabled" means you, as a result of Injury or Sickness, are able to:

  • Site area emergency means events may occur, are in progress, or have occurred that could lead to a significant release of radioactive material and that could require a response by off-site response organizations to protect persons off-site.

  • Certificate of Substantial Completion means the certificate executed by the A/E, ODR and Contractor that documents to the best of A/E’s and ODR’s knowledge and understanding, Contractor’s sufficient completion of the work in accordance with the Contract, so as to be operational and fit for the use intended.

  • Premises Building Total Destruction means if the Building of which the Premises are a part is damaged or destroyed to the extent that the cost to repair is fifty percent (50%) or more of the then Replacement Cost of the Building.

  • Partial Unscheduled Principal Receipt An Unscheduled Principal Receipt which is not a Full Unscheduled Principal Receipt.

  • Base Flood Elevation (BFE means a determination of the water surface elevations of the base flood as published in the Flood Insurance Study. When the BFE has not been provided in a “Special Flood Hazard Area”, it may be obtained from engineering studies available from a Federal, State, or other source using FEMA approved engineering methodologies. This elevation, when combined with the “Freeboard”, establishes the “Regulatory Flood Protection Elevation”.

  • Substantial Completion means the stage in the progress of the work as determined and certified by the Contracting Officer in writing to the Contractor, on which the work (or a portion designated by the Government) is sufficiently complete and satisfactory. Substantial completion means that the property may be occupied or used for the purpose for which it is intended, and only minor items such as touch-up, adjustments, and minor replacements or installations remain to be completed or corrected which:

  • Partial Taking means the taking of only a portion of the Premises which does not constitute a Total Taking; (4) "Date of Taking" means the date upon which the title to the Premises, or a portion thereof, passes to and vests in the condemnor or the effective date of any order for possession if issued prior to the date title vests in the condemnor; and (5) "Award" means the amount of any award made, consideration paid, or damages ordered as a result of a Taking.

  • Partial Hospitalization means an outpatient program specifically designed for the diagnosis or active treatment of a serious mental disorder when there is a reasonable expectation for improvement or when it is necessary to maintain a patient’s functional level and prevent relapse or full hospitalization. Partial hospital programs are usually furnished by a hospital as distinct and organized intensive ambulatory treatment service of less than 24-hour daily care.

  • Base flood elevation (BFE) means the elevation shown on the Flood Insurance Rate Map for Zones AE, AH, A1-30, VE and V1-V30 that indicates the water surface elevation resulting from a flood that has a 1-percent or greater chance of being equaled or exceeded in any given year.

  • Facility Increase has the meaning provided in Section 2.15(a).

  • Permanent partial disability means a permanent disability

  • Skilled Nursing Facility means an institution or part thereof that is licensed as a Skilled Nursing Facility by the State of Florida, and is accredited as a Skilled Nursing Facility by The Joint Commission or recognized as a Skilled Nursing Facility by the Secretary of Health and Human Services of the United States under Medicare.

  • Partial Credit Payment means any payment, distribution or benefit that is not a Full Credit Payment. In no event shall Executive have any discretion with respect to the ordering of payment reductions.

  • Partial Prepayment Amount means the amount required to prepay a portion of the Annual Special Tax obligation for an Assessor’s Parcel as described in Section H.

  • Substantial Completion Date means the date on which Substantial Completion occurs.

  • Partial Loss means any Physical Damage loss which is not a Total Loss.