Claims Processing. HEBP will receive claims, enter claims data into the claims processing system, determine whether benefits are payable in accordance with the Plan Administrator’s specifications, provide utilization review, apply allowable amount determinations, and administer coordination of benefits with other plans, when appropriate. HEBP will use its best efforts to correctly process claims and pay benefits in accordance with information provided by the Plan Administrator.
Appears in 7 contracts
Samples: Administrative Services Agreement, Administrative Services Agreement, Administrative Services Agreement
