Claim Disputes. Provider may, for a period of ninety (90) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER shall reimburse Provider the amount of the underpayment within thirty (30) days provided documentation substantiates the payment error. After the ninety (90) day period has expired, payment of that claim is final and may not be disputed for any reason.
Claim Disputes. The result of the Covered Person claim dispute process shall be binding on Provider, per State Medicaid Grievance System requirements. For this Appendix, State Medicaid Grievance System means Arizona Administrative Code Title 9 Chapter 34 et. seq.
Claim Disputes. If a Tenant disputes a Claim, including after Claim payment has taken place, then the responsibility for resolving such a dispute will lie solely with Tenant and Company. Obligo will play no role in assessing the correctness or legality of any Claim, nor will it play a role in assessing the merit of Xxxxxx’s reason for dispute. Obligo will not be liable for any damages resulting from incorrect or illegal Claims, nor from unmerited disputes by Tenants. Obligo may, in its sole discretion, communicate with Company and Tenant regarding a Claim or a dispute, but in doing so would not be assuming any responsibility for the resolution of a dispute, nor liability for the outcome of the dispute. If a dispute is resolved in favor of a Tenant, then Company shall be responsible to refund the Claim or portion thereof to or for the account of Tenant.
Claim Disputes. Should you have a dispute concerning your premium or about a claim, you should contact the company first. If the dispute is not resolved, you may contact the Texas Department of Insurance. DISPUTAS POR XXXXXX DE SEGUROS O RECLAMACIONES: Si tiene una disputa relacionada con su prima de seguro o con una reclamación, usted debe comunicarse con la compañía primero. Si la disputa no es resuelta, usted puede comunicarse con el Departamento de Seguros de Texas.
Claim Disputes. 25 SECTION 6.08 Remedies Exclusive.............................................26 ARTICLE VII
Claim Disputes. Facility may, for a period of 90 (ninety) days from the receipt of payment of a claim, review the payment and provide to INSURER written notice of any perceived underpayment. INSURER will reimburse Facility the amount of the underpayment within 30 (thirty) days provided documentation substantiates the payment error. After the 90 (ninety) day period has expired, payment of that claim is final and may not be disputed for any reason. This Agreement is effective upon the date of execution by USA. For and on behalf of: For and on behalf of: USA MANAGED CARE ORGANIZATION, INC. 000 Xxxxxxx xx Xxxxx Xxxxxxx Xxxxx Xxxxxx, Xxxxx 00000 Date Date Signature Signature Printed Name Printed Name Title Title EXHIBIT A COST CONTAINMENT GUIDELINES
Claim Disputes. The extent of coverage under the group benefit policies referred to in this Article shall be governed by the terms and conditions set forth in said policies and plan documents. Any questions concerning coverage shall be resolved in accordance with the terms and conditions in said policy or plan document and shall not be subject to the grievance procedure set forth in the collective bargaining agreement. However, the Employer agrees to investigate any disputes over benefit plan coverage raised by employees and to assist employees in resolving such disputes with the appropriate insurance carrier or Plan Administrator. In addition, the Employer will aggressively enforce any contracts with insurance carriers or plan administrators to assure that employees get the benefits required under the relevant insurance contracts and/or plan documents.
Claim Disputes. (a) Within 30 days of its receipt from Fortress of written notice under Section 6.06 above regarding a Fortress Group Claim and the amount of Fortress Group Damages related thereto, Capstead shall deliver to Fortress written notice containing specific objections (prepared in good faith) to the nature of the Fortress Group Claim or the amount of Fortress Group Damages
Claim Disputes. (a) Within 30 days of its receipt from Fortress of written notice under Section 6.06 above regarding a Fortress Group Claim and the amount of Fortress Group Damages related thereto, Capstead shall deliver to Fortress written notice containing specific objections (prepared in good faith) to the nature of the Fortress Group Claim or the amount of Fortress Group Damages specified in the original notice. In such event, Fortress and Capstead shall work in good faith during the next 30 days toward resolving any such objections. If a resolution is reached within such 30 days, the Fortress Group shall be indemnified for the amount so agreed upon in accordance with the other terms and conditions of this Agreement.
Claim Disputes. (a) Within thirty (30) days of its receipt of written notice from the Corporation under Section 8.5 above regarding a Corporation Claim and the amount of Corporation Group Damages related thereto, the Investors shall deliver to the Corporation written notice containing specific objections (prepared in good faith) to the nature of the Corporation Claim or the amount of Corporation Group Damages specified in the original notice. In such event, the Investors and the Corporation shall work in good faith during the next thirty (30) days toward resolving any such objections. If a resolution is reached within such thirty (30) days, the Corporation Group shall be indemnified for the amount so agreed upon in accordance with the other terms and conditions of this Agreement.
