Claim for Benefits or Claim. a request for treatment benefit or payment benefits made by an Insured in accordance with the Company's procedure for filing Claims. A Claim includes both Pre-Service Claims and Post-Service Claims. A Claim must have sufficient information upon which to base a decision regarding benefits according to all of the provisions of the Contract.
Appears in 4 contracts
Samples: www.sclhealth.org, www.sclhealth.org, www.sclhealth.org