Claims processing services definition

Claims processing services means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include:
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Claims processing services means the administrative
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Claims processing services means the administrative services performed in connection with the
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Examples of Claims processing services in a sentence

  • Point-of-Sale (POS) means state-of-the-art, online and real-time rules-based Claims processing services with Prospective Drug Utilization Review including an accounts receivable process.

  • Similar services to process claims on behalf of customers are available in the market.The criteria for identifying distinct non-insurance services are met in this example because:• Claims processing services, similar to those for employers’ claims on behalf of the employer, are sold as a stand-alone service without any insurance coverage.• These services benefit the policyholder independently of the insurance coverage.

  • Use of any Subcontractors to adjudicate and process Claims; specify which Claims processing services the Subcontractor provides.

  • Discussion and Vote to delegate authority to the Executive Director to speak on behalf of the Board regarding legislation impacting the practice of pharmacy and prescription drug distribution2.

  • SUBCONTRACTORS The HRA Contract requires Administrative and Claims processing services.

  • Upon termination or non-renewal of this Contract, the method of providing funds for each Plan Option benefits and for providing Claims processing services remains in place for a period of not less than twelve (12) months for health services incurred prior to the termination of the Contract as outlined herein.

  • PBM shall enter into its electronic on-line Claims adjudication system certain Plan design information necessary for PBM to perform automated Claims processing services in accordance with this Agreement, including information regarding Cost Share, Covered Individual out-of-pocket maximums, benefit maximums and any other features of the Plan design to be used in processing Claims.

  • As used in this part, the following definitions apply: 25 (1) "Claims processing services" means the administrative services performed in connection with 26 the processing and adjudicating of claims relating to pharmacist services that include either or both of the 27 following: 28 (a) receiving payments for pharmacist services; and1 (b) making payments to pharmacists or pharmacies.

  • Omni shall not cease providing Claims processing services during these cases for any reason, including nonpayment, without prior order of the Court.

  • Claims processing services are performed through the subsidiary Store- brand Baltic in Lithuania and Storebrand owns 75 percent of Nordben Life and Pension Insur- ance Company on Guernsey.


More Definitions of Claims processing services

Claims processing services means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include (i) receiving payments for pharmacist services, (ii) making payments to pharmacists or pharmacies for pharmacist services, or
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Claims processing services means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include either or both of the following:
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Claims processing services means the administrative services performed in connection
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Claims processing services means the processing of Claims submitted by Pharmacies to MediKredit and/ Initials Pharmacist: Initials Medikredit: Witness 1: Witness 1: Witness 2: Witness 2: or responses supplied to the Pharmacy by MediKredit in respect of Authorisation Checks, Eligibility Checks and/or Family Checks;
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Claims processing services. MEANS THE ADMINISTRATIVE SERVICES PERFORMED IN CONNECTION WITH PROCESSING AND ADJUDICATING CLAIMS RELATED TO PHARMACIST SERVICES, WHICH SERVICES INCLUDE:
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Claims processing services means the administrative services performed in connection with the processing and adjudicating of claims
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Related to Claims processing services

  • Customer Services means the call centre for dealing with queries about your Card. You can contact Customer Services by calling 01 693 3333, or contacting us directly.

  • Nursing services means the provision of individual-specific advice, plans, or interventions by a nurse at a home based on the nursing process as outlined by the Oregon State Board of Nursing. Nursing services differ from administrative nursing services.

  • Passenger Services means the Franchisee's railway passenger services as specified in any Timetable and/or Plan of the Day including those railway passenger services which the Franchisee may delegate or subcontract or otherwise secure through any other person from time to time in accordance with the Franchise Agreement;

  • Training Services means access to Red Hat training courses, including online courses or courses provided at a site as may be agreed by the parties.

  • Monitoring Services shall have the meaning set forth in Section 2(b) of this Agreement.

  • Program services means services that include all of the following provided they are pursuant to a program agreement: program needs assessment and development, job task analysis, curriculum development and revision, instruction, instructional materials and supplies, computer software and upgrades, instructional support, administrative and student services, related school to career training programs, skill or career interest assessment services and testing and contracted services.

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.

  • Support Services the support services, as described in the Support Services Description, that We provide to You in respect of the Cloud Service.

  • Data Services The Customer will receive a discount equal to 25% for the following Data Services: Access: Standard VBS2 Guide local loop charges for DS-1 Access and DS-3 Access Service.

  • Homemaker services means the professionally directed or supervised simple household maintenance or management services provided by trained homemakers or individuals to families in their own homes.

  • Respite services means a temporary period of relief and support for individuals and their families provided in a variety of settings. The intent is to provide a safe environment with staff assistance for individuals who lack an adequate support system to address current issues related to a disability. Respite may be provided for a defined period of time; respite is either planned or provided in response to a crisis.

  • account information service means an online service to provide consolidated information on one or more payment accounts held by the payment service user with either another payment service provider or with more than one payment service provider;

  • Account Information Service Provider means a payment service provider pursuing business activities as referred to in point (8) of Annex I;

  • Cloud Services means SAP’s then-current cloud services offered under and described in detail in the applicable SAP PartnerEdge Model.

  • Operator Services provides for:

  • Hosting Services means the provision, administration, and maintenance of servers and related equipment, the provision of bandwidth at the hosting facility, and the operation of the Application for access by Customer Users to be provided by the relevant hosting service provider.

  • Extra Services means those services set forth in Schedule “B” that are requested by the Municipality for itself or on behalf of its citizens and provided by the Company in accordance with paragraph 7 of this Agreement;