Submitted Claim definition

Submitted Claim means a Claim Form that has been submitted by a Claimant to the Claims Administrator.

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Submitted Claim means a request for a Cash Payment pursuant to this Settlement submitted on a Claim Form by a Settlement Class Member to the Settlement Administrator in accordance with the terms of this Settlement.

Submitted Claim means an approved claim in the CARES system at 9:00 p.m. on the last calendar day of the month. Claims may be submitted after the last calendar day of the month but will be applied to the next month. "Paid claim" is a submitted claim for which the W-2 Contractor has received a payment. "Denied claim" means a verified claim or a pending claim, which DCF has declined payment of or a paid claim that DCF determined after payment to be ineligible. "Withdrawn claim” means a claim the W-2 Contractor withdrew before or after payment.

Examples of Submitted Claim in a sentence

• Submitted Claim Forms omitting required information shall be returned via first class mail by the Claims Administrator to the Class Member’s address indicated on the Claim Form as part of a Notice of Missing Information.

• If a Class Member fails to respond by the end of the Claims Period or within 15 calendar days from when the Notice of Missing Information was mailed, whichever is later, or the Claims Administrator is unable to return the Submitted Claim Form as result of the omitted information, the Claims Administrator will not be obligated to make any payment on such claims.

• For such a claim to be processed, the Member must submit a hard-copy Member Submitted Claim Form directly to ESI.

• A Submitted Claim shall be a Valid Claim only if submitted on the Claim Form pursuant to, and in compliance with, the procedures set forth herein.

• If a Settlement Class Member fails to respond by the Claim Period Close Date or within 30 calendar days from when the Notice of Missing Information was mailed, whichever is later, or the Claims Administrator is unable to return the Submitted Claim Form as a result of the omitted information, the Claims Administrator will reject such Settlement Class Member’s claim, and CVS will not be obligated to make any payment on such claim.

• In the event a Paying Party reasonably determines that it over paid a Submitted Claim, the Receiving Party will reimburse the overpayment by wire transfer on the third business day following the receipt by it of written notice of overpayment.

• Based on that determination, each Timely Claim Form shall be deemed to be either a “Complete Timely Claim Form,” an “Incomplete Timely Claim Form,” or an “Improperly Submitted Claim Form” as described in ¶¶ 2-4 below.

• Total number and percentage of instances in which the IRO determined that the Paid Claims submitted by Provider (Submitted Claim) differed from what should have been the correct claim (Correct Claim) and in which such difference resulted in an Overpayment to Provider.

• Submitted Claim Forms containing inaccurate or disqualifying information, and/or submitted Claims Forms omitting required information will be returned by the Claims Administrator via first class mail to the Settlement Class Member’s address indicated on the Claim Form as part of a Notice of Missing Information.

• Submitted Claim Forms to be reviewed by Epiq beginning at Notice Statt Date.

More Definitions of Submitted Claim

Submitted Claim means a Claim submitted by a Claimant pursuant to this Agreement.

Submitted Claim means a claim submitted to the Special Master under the Claims Resolution Process set forth in Section 11 of this Agreement where the Claimant submits a completed claim form, including a sworn statement of the facts.

Submitted Claim means any Direct Claim that has been submitted to the Trust and determined by the Trustees with the assistance of the Claims Administrator to have been submitted with substantially complete information and documentation under Section 4.5.4.