Claim Review and Processing Sample Clauses

Claim Review and Processing a. All claims properly submitted for reimbursement will be reviewed on a rolling basis upon receipt by the Claims Administrator, which will be responsible for conditionally approving the claim by ensuring that all information and documentation required under this Settlement Agreement has been submitted. The Claims Administrator will submit those properly supported and conditionally approved claims to BMW NA for the Claim Validation Process, pursuant to Section III.D.2., below.
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Claim Review and Processing a. The Class Action Settlement Administrator shall receive and process the Claims, whether submitted electronically via the settlement website or by U.S. Mail, and the Class Action Settlement Administrator shall administer the review and processing of Claims. The Class Action Settlement Administrator shall have the authority to determine whether In-Database Claim Forms or Standard Claim Forms submitted by Class Members are complete and timely.
Claim Review and Processing. The Class Action Settlement Administrator shall receive and process the Claims, whether submitted electronically via the settlement website or by U.S. Mail, and the Class Action Settlement Administrator shall administer the review and processing of Claims. The Class Action Settlement Administrator shall have the authority to determine whether In-Warranty Claim Forms or Standard Claim Forms submitted by Class Members are complete and timely. If a Claim is deficient, the Class Action Settlement Administrator shall mail a notice deficiency letter to the Class Member requesting that the Class Member complete the deficiencies and resubmit the In-Warranty Claim Form or Standard Claim Form within forty-five (45) days of the date of the letter from the Class Action Settlement Administrator. If the Class Member fails to provide the requested documentation or information, that Claim shall be denied without further processing. The Class Action Settlement Administrator shall use their best efforts to complete their review of timely and completed In-Warranty Claim Forms or Standard Claim Forms within ninety (90) days of receipt. The Class Action Settlement Administrator’s review period for submitted In-Warranty Claim Forms or Standard Claim Forms shall not be required to commence any earlier than sixty (60) days after the occurrence of the Final Effective Date. Please note that the Class Action Settlement Administrator has the right to request verification of the information provided in the Claim Forms, including, but not limited to, receipt(s) or other supporting documentation. If the Class Member does not timely comply and/or is unable to produce documents to substantiate and/or verify the information on the Claim Form and the Claim is otherwise not approved, the Claim may be reduced or denied.
Claim Review and Processing. The Claims Administrator will review all properly submitted claims on a rolling basis upon receipt. The Claims Administrator will be responsible for conditionally approving the claim by ensuring that all information and documentation required under this Settlement Agreement has been submitted. Following the Effective Date, the Claims Administrator will submit those properly supported and conditionally approved claims to All-Clad for processing and benefit, as set forth below.
Claim Review and Processing. All Claims properly submitted for reimbursement will be reviewed on a rolling basis upon receipt by the Claims Administrator, which will be responsible for conditionally approving the claim by ensuring that all information and documentation required under this Settlement Agreement has been submitted and otherwise qualifies as an Eligible Repair. Thus, as part of its Claims review responsibilities, the Claims Administrator will be responsible for making sure (1) the Claim relates to a Class Vehicle, (2) the VIN number associated with the Claim matches the Settlement Class Member vehicle’s VIN number, (3) the Claim is for an Eligible Repair; (4) the Claim is not for a vehicle excluded from the Settlement Class; and (5) the Claim has not been submitted by someone excluded from the Settlement Class under the definition of Settlement Class Member (paragraph 1(II) herein). The Claims Administrator will submit those properly supported and conditionally approved claims to BMW NA for the Claim Validation Process, pursuant to paragraph 8, below.

Related to Claim Review and Processing

  • Claims Review Report The IRO shall prepare a Claims Review Report as described in this Appendix for each Claims Review performed. The following information shall be included in the Claims Review Report for each Discovery Sample and Full Sample (if applicable).

  • Problem Statement School bus fleets are aging, and our communities have poor air quality. Replacing school buses with zero emission school buses will address both of these issues.

  • Claims Review Findings a. Narrative Results.‌‌

  • Claims Review Population A description of the Population subject to the Claims Review.

  • Claims Processing BCBSM will process Provider's Clean Claims submitted in accordance with this Agreement in a timely fashion.

  • Ongoing Review and Revisions As set forth in Section 35.7, the Parties have agreed to the coordination and exchange of data and information under this Agreement to enhance system reliability and efficient market operations as systems exist and are contemplated as of the Effective Date. The Parties expect that these systems and the technology applicable to these systems and to the collection and exchange of data will change from time to time throughout the term of this Agreement. The Parties agree that the objectives of this Agreement can be fulfilled efficiently and economically only if the Parties, from time to time, review and, as appropriate, revise the requirements stated herein in response to such changes, including deleting, adding, or revising requirements and protocols. Each Party will negotiate in good faith in response to such revisions the other Party may propose from time to time. Nothing in this Agreement, however, shall require any Party to reach agreement with respect to any such changes, or to purchase, install, or otherwise implement new equipment, software, or devices, or functions, except as required to perform this Agreement.

  • TIMELINESS OF BILLING SUBMISSION The parties agree that timeliness of billing is of the essence to this Contract and recognize that the City is on a fiscal year. All xxxxxxxx for dates of service prior to July 1 must be submitted to the City no later that the first Friday in August of the same year.

  • Project Review A. Programmatic Allowances

  • Review Process A/E's Work Product will be reviewed by County under its applicable technical requirements and procedures, as follows:

  • Review Protocol A narrative description of how the Claims Review was conducted and what was evaluated.

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