Payment Denial definition

Payment Denial means, as to any Receivable, any non-cash adjustment, including price adjustment, disputed amount or other adjustment for any reason other than a credit related reason made to the Expected Net Value of such Receivable.
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Payment Denial means the rejection by the Alternative Payment Provider Host due to the Customer making a Payment Request having insufficient funds in the Customer Account to meet the value of the Payment Request, due to the Customer not completing the transaction using their Approved Payment Media or otherwise at the sole discretion of the Alternative Payment Provider.
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Examples of Payment Denial in a sentence

  • Upon denying the claim, all contractor shared systems shall create a “19” Payment Denial Indicator in the header of its HUIP, HUOP, HUHH, HUHC, HUBC, HUDC claims.

  • The BH-MCO must notify the Member when it denies payment after a service(s) has been delivered because the service(s) was provided without authorization by a provider not enrolled in the Pennsylvania Medical Assistance Program, using the Notice for Payment Denial Because the Service Was Provided Without Authorization by a Provider Not Enrolled in the Pennsylvania Medical Assistance Program template.

  • The BH-MCO must notify the Member when it denies payment after a service(s) has been delivered because the service(s) provided is not a covered service(s) for the Member, using the Notice for Payment Denial Because the Service Was Not a Covered Service for the Member template.

  • See section 2.12.505.G and refer to the Petition for Reconsideration of Payment Denial form in Appendix B.

  • Missouri Baptist then appealed to the DAB on July 20, 2012, seeking a declaratory ruling that CMS’s Payment Denial Policy is unlawful.

  • The Payment Denial Policy does not fall within any of those categories.

  • That decision, taken together with CMS’s Payment Denial Policy, means the hospital will end up receiving essentially no payment for the surgery and other care it provided.

  • The Payment Denial NOABD shall be given by the Inpatient Treatment Authorization Requests (TAR) Unit which processes Treatment Authorization Requests (TARs) from inpatient facilities requesting authorization for payment.

  • Plaintiffs do not believe it is possible for CMS to articulate a satisfactory explanation for the Payment Denial Policy.

  • Advocates for Medicare patients have expressed worry that the Payment Denial Policy has led and will lead physicians and hospitals to refrain from admitting patients, opting instead to treat patients on an outpatient basis to ensure Medicare reimbursement.

Related to Payment Denial

  • Payment device means any credit card as defined in 15 U.S.C. § 1602(k) or any "accepted card or

  • Payment Determination Date means, with respect to any Payment Date, one (1) Business Day immediately preceding such Payment Date.

  • Payment card means a credit card, charge card, debit card, or any other card that is issued to an authorized card user and that allows the user to obtain, purchase, or receive goods, services, money, or anything else of value from a merchant.

  • Payment Due Date means the date by which the Date of Payment must occur, in accordance with the provisions of Sections 504.3 through 504.5 of this Exhibit, in order for NYSERDA not to be liable for interest pursuant to Section 504.6.

  • Payment Default has the meaning set forth in Section 5.4(a) of the Indenture.

  • Premium payment plan means a benefit plan whereby state and

  • Non-Payment Default means any event (other than a Payment Default) the occurrence of which entitles one or more Persons to accelerate the maturity of any Designated Senior Indebtedness.

  • Monthly Payment The scheduled monthly payment of principal and interest on a Mortgage Loan.

  • Interest Payment Determination Date means the Interest Accrual Period End Date at the end of each Interest Accrual Period; provided that the Interest Payment Determination Date with respect to the final Interest Accrual Period will be the Rate Cut-off Date.

  • Payment Plan means the schedule of payment prescribed in Schedule C;

  • Monthly Payment Amount means, with respect to each Payment Date, a payment equal to the amount of interest which has accrued during the related Interest Accrual Period, computed at the Interest Rate.

  • Payment Ahead means, with respect to a Precomputed Receivable and a Collection Period, any Excess Payment (not representing, when added to any Deferred Prepayment with respect to such Precomputed Receivable, a prepayment in full of such Precomputed Receivable) which the Servicer, in accordance with its customary servicing practices, will apply towards the payment of Scheduled Payments due in one or more future Collection Periods.

  • lump sum payment period means the period measured in weeks of salary, for which payment has been made to facilitate the transition to retirement or to other employment as a result of the implementation of various programs to reduce the size of the Public Service. The lump sum payment period does not include the period of severance pay, which is measured in a like manner.

  • Prepaid Monthly Payment Any Monthly Payment received prior to its scheduled Due Date, which is intended to be applied to a Mortgage Loan on its scheduled Due Date and held in the related Custodial Account for P&I until the Withdrawal Date following its scheduled Due Date.

  • Payment Processor means any Person providing Payment Processing services in connection with another Person’s sale of goods or services, or in connection with any charitable donation.

  • Monthly Payment Date means the Payment Date (as defined in the Mortgage Loan Documents).

  • Untimely payment means a payment to a subcontractor that is more than 90 days past due under the terms and conditions of a subcontract for supplies and services for which the Government has paid the prime contractor.

  • Payment Notice has the meaning assigned to it in Section 8.06(c).

  • Payment Item means each check, draft or other item of payment payable to a Borrower, including those constituting proceeds of any Collateral.

  • Balloon Payment shall have the meaning assigned to such term in the Servicing Agreement or such other analogous term used in the Servicing Agreement.

  • Document Defect As defined in Section 2.03(a).

  • Erroneous Payment Deficiency Assignment has the meaning assigned to it in Section 14.14(d).

  • Lump Sum Payment means, collectively, the lump-sum payments that may be payable to Executive pursuant to the first sentence of Subsection 6(b)(iii) and pursuant to Subsection 6(c)(ii)(B).