Processed Claim definition

Processed Claim shall have the meaning set forth in Exhibit C of --------------- --------- this Agreement.
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Processed Claim means any Claim upon which ImageTrend has spent time or effort under this Agreement for services. Payor means any party paying to Client any sum of money in return for services rendered by Client to patient(s), including but not limited to: monies associated with payment for services billed to all primary insurance, Federal Medigap policies, all patient-owed balances, HMOs, PPOs, managed health organizations, non-Medigap secondary insurance ▇▇▇▇▇▇▇▇, or any other primary or secondary, public or private entity or person making payment for medical services. Processing a Claim means taking commercially reasonable efforts to prepare a Claim for submission to a Payor with the goal of ensuring the maximum chance of successful reimbursement (subject to all applicable State, Federal and local laws and regulations as well as applicable Payor policies and procedures); however this shall be limited to: correcting data on remitted claims (including modifying claim coding and modifiers), calling insurance providers to check on the status of claims, suggesting which claims should or must be written off, coding claims appropriately, moving claims to self-pay for collection from patients, preparing and mailing self-pay invoices, and submitting the non-paying self-pay claims to
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Examples of Processed Claim in a sentence

  • For purposes of this Agreement, the ------------------------------ "Turnaround Time" with respect to any claim shall be equal to the number of Business Days beginning on (i) the first Business Day after the date on which such claim is received by HPS, and ending on (ii) the date on which such claim becomes a Processed Claim.

Related to Processed Claim

  • Covered Claim means either a Provider Covered Claim or Customer Covered Claim.

  • Unresolved Claim means a Claim, which at the relevant time, in whole or in part: (a) has not been Finally Determined to be a Proven Claim in accordance with the Amended Claims Procedure Order and this Plan; (b) is validly disputed in accordance with the Amended Claims Procedure Order; and/or (c) remains subject to review and for which a Notice of Allowance or Notice of Revision or Disallowance (each as defined in the Amended Claims Procedure Order) has not been issued to the Creditor in accordance with the Amended Claims Procedure Order as at the date of this Plan, in each of the foregoing clauses, including both as to proof and/or quantum;

  • Approved Claim means a Claim Form submitted by a Settlement Class Member (defined below) that: (a) is submitted timely and in accordance with the directions on the Claim Form and the provisions of the Settlement Agreement; (b) is fully and truthfully completed by a Settlement Class Member with all of the information requested in the Claim Form; (c) is signed by the Settlement Class Member, physically or electronically; and (d) is approved by the Settlement Administrator pursuant to the provisions of this Agreement.

  • Disputed Claim means any Claim that is not Allowed.

  • Released Claim means the matters that are subject to release and discharge pursuant to ARTICLE 10 hereof;