Eligibility Files definition

Eligibility Files means the list submitted by Sponsor to ESI in reasonably acceptable electronic format indicating persons eligible for drug benefit coverage services under the Plan.
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Eligibility Files means the list submitted by TPA to Cigna on-line, FTP, or electronic format as mutually agreed upon by the parties indicating persons eligible for drug benefit coverage services under the Plan.
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Eligibility Files means the list submitted by Sponsor to ESI indicating persons eligible for drug benefit coverage services under the Plan.
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Examples of Eligibility Files in a sentence

  • Eligibility processing Ninety-nine percent or greater of Usable Eligibility Files will be loaded and active in the on-line claims adjudication system within 24 hours of Contractor’s receipt.

  • Cigna shall not be responsible for ensuring the accuracy of the Eligibility Files and shall be entitled to payment from Customer for claims for Members shown as eligible on the date the claim was adjudicated.

  • Sponsor will submit completed Set-Up Forms and Eligibility Files (initial and updated) on a mutually determined basis, which ESI will accurately implement.

  • Employer represents and warrants that Employer has the capabilities to identify which Employees are participants in any Government Payer Programs, including where a Government Payer Program may be a secondary payer, and shall not include any such persons as Employees or provide their information in the Eligibility Files, unless Employees has received advance written permission from Telehealth Provider.

  • The Eligibility Files will be delivered in a format specified by OurHealth as set forth in Exhibit E; however, if Employer desires to use an alternative format or to establish an electronic data interface between OurHealth and Employer to transmit the applicable Eligibility File data, OurHealth will evaluate using the alternative format, including whether there are any additional costs that need to be incurred to utilize the alternative format.

  • NDPERS shall be solely and exclusively responsible for creating and providing Eligibility Files to PBM to update its Plan Beneficiary List to reflect all additions and terminations (“Eligibility Changes”).

  • Client owns all right, title and interest in and to the Client Brand, Client Data, Eligibility Files, and Client Confidential Information (as defined below) (collectively, the “Client Materials”) and except for any rights granted herein, Provider acknowledges that it neither owns nor acquires any additional rights in and to the Client Materials.

  • The Plan Beneficiary Benefit Effective Date shall be included in NDPERS’ Eligibility Files.

  • For LCDPD Use Only Date Received: Amount Paid (do not include fees or local) Program Procedures/Eligibility/Database Maintenance Procedure for Xxxxx County Department of Planning and Development Career Services Eligibility, Files, and Database Management 1.

  • Plan Beneficiary List(s) - The term “Plan Beneficiary List(s)” shall mean the initial Eligibility File(s) identifying all eligible Plan Beneficiaries, as further described in Article 2 of the Agreement.


More Definitions of Eligibility Files

Eligibility Files means the list submitted by Client to Xxxxx in reasonably acceptable electronic or other format indicating persons eligible for drug benefit coverage services under the Plan.
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Eligibility Files means the list submitted by Client to Administrator in reasonably acceptable electronic format indicating persons eligible for drug benefit coverage services under the Client’s Plan.
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Eligibility Files means the list submitted by Sponsor to ESI in reasonably acceptable electronic format indicating persons eligible for drug benefit coverage services under the Program.
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Eligibility Files means the list submitted by the DCH or their agent to the Contractor in electronic or other mutually acceptable form indicating Members eligible for Covered Drugs.
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Related to Eligibility Files

  • Eligibility means the decision as to whether an individual qualifies, under financial and nonfinancial requirements, to receive program benefits.

  • Eligibility Waiting Period means the continuous length of time you must be in Active Employment in an eligible class to reach your Eligibility Date.

  • Eligibility and selection criteria means criteria for determining:

  • Eligibility Requirements means, with respect to any Person, that such Person (i) has total assets (in name or under management) in excess of $600,000,000 and (except with respect to a pension advisory firm or similar fiduciary) capital/statutory surplus or shareholder’s equity of $250,000,000 and (ii) is regularly engaged in the business of making or owning commercial real estate loans or operating commercial mortgage properties.

  • SOFR Administrator’s Website means the website of the Federal Reserve Bank of New York, currently at xxxx://xxx.xxxxxxxxxx.xxx, or any successor source for the secured overnight financing rate identified as such by the SOFR Administrator from time to time.

  • XXXXX Administrator’s Website means the Bank of England’s website, currently at xxxx://xxx.xxxxxxxxxxxxx.xx.xx, or any successor source for the Sterling Overnight Index Average identified as such by the XXXXX Administrator from time to time.

  • Credit File means all Credit Documents and all other credit, collateral, or insurance documents in the possession or custody of the Assuming Institution, or any of its Subsidiaries or Affiliates, relating to an Asset or a Loan included in a Put Notice, or copies of any thereof.

  • Eligibility Conditions means the eligibility conditions specified in the Act and the Rules including all the eligibility conditions listed in Clause [5] of the Tender Document.

  • Eligibility period means the period in which a business may

  • Eligibility Criteria means the legal criteria as specified in the Clause 5 of this E- Auction Process Information Document;

  • Eligibility Date means the date you become eligible for insurance under this plan. The Eligibility Requirements are shown in the Schedule of Benefits.

  • Enrollment means the number of students who are enrolled in a school operated by the district on October 1. A student shall be counted as one whether the student is enrolled as a full-time or part-time student. Students enrolled in prekindergarten programs shall not be counted.

  • Asset Review Report means, with respect to any Asset Review, the report of the Asset Representations Reviewer prepared in accordance with Section 3.5.