Service Claim definition

Service Claim means any Claim for benefits under this Contract for which, in whole or in part, a Claimant must obtain authorization from AvMed in advance of such services being provided to or received by the Member.
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Service Claim means any Claim for benefits under this Contract that is not a Pre-Service Claim.
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Service Claim means any debt or sum required to make good any loss, deficiency or irregular expenditure of service money pertaining to any service mess, club, institution or other service organization for which, after due investigation, no explanation satisfactory to the Minister is given by the person responsible for the same; and
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Examples of Service Claim in a sentence

  • Within 60 days after receipt of the grievance for a case involving a Post- Service Claim; and In the case of an expedited appeal regarding a claim relating to a prescription for the alleviation of cancer pain, the appeal decision shall be made as soon as possible but no later than 24 hours after receipt of the appeal.

  • These areservices that must be "preauthorized" or "precertified" by CareFirst BlueChoice under the terms of the Member's contract.Post Service Claim means any claim for a benefit that is not a Pre-Service Claim.Rescission means, as used in this attachment, a cancellation or discontinuance of coverage that has retroactive effect, except to the extent it is attributable to a failure to pay required premiums or contributions towards the cost of coverage.

  • Within 30 days after receipt of the grievance for a case involving a Pre- Service Claim; b.

  • The form will give You instructions for filing the Post- Service Claim.

  • These are services that must be "preauthorized" or "precertified" by CareFirst under the terms of the Member's contract.Post Service Claim means any claim for a benefit that is not a Pre-Service Claim.Rescission means, as used in this attachment, a cancellation or discontinuance of coverage that has retroactive effect, except to the extent it is attributable to a failure to pay required premiums or contributions towards the cost of coverage.

  • We will deny any Post- Service Claim not received within this time limit.

  • In-Network or Participating Providers will file Your Post- Service Claim for You.

  • Some Out-of-Network Providers that are Non-Participating will submit Your Post- Service Claim for You.

  • If an Out-of- Network Physician who is Non-Participating declines to file Your Post-Service Claim for You, You can obtain a Post- Service Claim form from Our Customer Service Department.

  • You may submit a Post- Service Claim if You are asked to pay the full cost of the prescription drug when You fill it and You believe that the Plan should have paid for it or You believe that the Co- payment amount was incorrect.


More Definitions of Service Claim

Service Claim means any service debt or sum required to make good any loss, deficiency or irregular expenditure of service money of which, after due investigation, no explanation satisfactory to the Defence Board is given by the person who is responsible for the same;
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Service Claim has the meaning ascribed to such term in Section 8.14(a) hereof.
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Related to Service Claim

  • Cure Claim means a Claim (unless waived or modified by the applicable counterparty) based upon a Debtor’s defaults under an Executory Contract or an Unexpired Lease assumed by such Debtor under section 365 of the Bankruptcy Code, other than a default that is not required to be cured pursuant to section 365(b)(2) of the Bankruptcy Code.

  • Third Party Claim has the meaning set forth in Section 8.3.

  • Tax Claim has the meaning set forth in Section 6.05.

  • 503(b)(9) Claim means a Claim or any portion thereof entitled to administrative expense priority pursuant to section 503(b)(9) of the Bankruptcy Code.

  • Billing Party means the Party rendering a bill.

  • Claim means any claim, action, cause of action, demand, lawsuit, arbitration, inquiry, audit, notice of violation, proceeding, litigation, citation, summons, subpoena, or investigation of any nature, whether civil, criminal, administrative, regulatory or other, and whether at law, in equity or otherwise brought against an Indemnified Person.

  • Dispute means any dispute, controversy, claim or difference of whatever nature arising out of, relating to, or having any connection with this Agreement, including a dispute regarding the existence, formation, validity, interpretation, performance or termination of this Agreement or the consequences of its nullity and also including any dispute relating to any non-contractual rights or obligations arising out of, relating to, or having any connection with this Agreement.

  • Professional Fee Claim means a Claim by a professional seeking an award by the Bankruptcy Court of compensation for services rendered or reimbursement of expenses incurred through and including the Confirmation Date under sections 330, 331, 503(b)(2), 503(b)(3), 503(b)(4), or 503(b)(5) of the Bankruptcy Code.

  • Clean Claim means a claim that: