Claims Substantiation Sample Clauses

Claims Substantiation. The Plan Administrator may require the Participant to furnish a bill, receipt, cancelled check, or other written evidence or certification of payment or of obligation to pay Health Care Expenses. The Provider will reimburse the Participant from the general assets of the Sponsors for expenses that it determines are Health Care Expenses up to the balance in the Participant’s HRA Account at such intervals as the Plan Administrator may deem appropriate (but not less frequently than quarterly). The Plan Administrator reserves the right to verify to its satisfaction all claimed Health Care Expenses prior to reimbursement. Each request for reimbursement shall include the following information: (1) the amount of the Health Care Expense for which reimbursement is requested; (2) the date the Health Care Expense was incurred; (3) a brief description and the purpose of the Health Care Expense; (4) the name of the person for whom the Health Care Expense was incurred and, if such person is not the Participant requesting reimbursement, the relationship of the person to such Participant; (5) the name of the person, organization or other provider to whom the Health Care Expense was or is to be paid; (6) a statement that the Participant has not been and will not be reimbursed for the Health Care Expense by insurance or otherwise, and has not been allowed a deduction in a prior year (and will not claim a tax deduction) for such Health Care Expense under Code Section 213; and (7) A written bill from an independent third party stating that the Health Care Expense has been incurred and the amount of such expense and, at the discretion of the Plan Administrator, a receipt showing payment has been made. Expenses eligible for coverage under any medical, HMO, dental, or vision care plans in which the Participant or his or her Dependents are enrolled must be submitted first to all appropriate claims administrators for such plans before submitting the expenses to the Provider for reimbursement under the Plan. A Participant who is entitled to payment or reimbursement under a health care reimbursement account in a cafeteria plan under Code Section 125 must receive his or her maximum annual reimbursement under the health care reimbursement account in the cafeteria plan before he or she is entitled to any reimbursement under this Plan. Claims will be paid in the order in which they are filed with the Provider and will be charged to the HRA Account of the Participant who submits the claim...
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Claims Substantiation. 3.3.1 Implementer represents that it has adequately substantiated all claims made as part of the Work according to the requirements of state and federal law. Implementer shall substantiate claims made in all Program Materials. Claims include, but are not limited to, statements about the energy efficiency, safety, reliability, or performance of a piece of equipment or category of energy efficiency Measures. 3.3.2 For each Program Material submitted to Administrator for review and approval, Implementer shall identify all claims, and shall submit to Administrator written evidence and data to substantiate the claims. If Administrator determines that the evidence or data that Implementer has submitted to Administrator is inadequate to substantiate the claim, then Implementer shall either provide additional evidence or data that in Administrator’s discretion is adequate to substantiate the claim, or redraft or eliminate the claim so that the data and evidence, in Administrator’s discretion, adequately supports the claims made.
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Claims Substantiation. Implementer represents that it has adequately substantiated all claims made as part of the Authorized Work according to the requirements of California and federal law. Implementer shall substantiate claims made in all program materials, including but not limited to: program descriptions, web sites, fact sheets, brochures, and advertisements (“Program Materials”). Claims include, but are not limited to, statements about the energy efficiency, safety, reliability, or performance of a piece of equipment or category of energy efficiency measures. For each Program Material, Implementer shall identify all claims, and shall have written evidence and data to substantiate the claim. Implementer shall provide the claims and claims substantiation to the IOU or CPUC Agreement Representative within five (5) business days of a request. If IOU or the CPUC Agreement Representative determines that the evidence or data that Implementer has submitted to IOU is inadequate to substantiate the claim, then Implementer shall either provide additional evidence or data, that in IOU’s or CPUC’s sole discretion is adequate to substantiate the claim, or redraft or eliminate the claim so that the data and evidence, in the IOU or CPUC Agreement Representative’s sole discretion, adequately supports the claims made. Implementer agrees to indemnify and hold IOU and its parent company, and the CPUC, harmless from and against all liabilities, costs and damages arising out of or related to claims that are inadequately substantiated. Implementer further agrees to pay any judgment or reasonable settlement offer resulting from a suit or demand, and pay any reasonable attorney’s fees incurrent by IOU or CPUC in defense of such a suit.
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Claims Substantiation. Implementer represents it will adequately substantiate all claims made about the Work in accordance with the laws and to insure none of its claims are false, misleading or inaccurate. Implementer shall substantiate marketing or technological claims made in all Program Marketing Materials. Claims include, but are not limited to, statements about the energy efficiency, safety, reliability, or performance of a piece of equipment or category of energy efficiency measures. All claims must be approved by PG&E’s PM. If PG&E’s PM determines the claim, evidence or supporting data fails to substantiate the claim, PG&E in its sole discretion may require the claim be re-stated or eliminated altogether. 18.1 For any used photography or quotes, Implementer must obtain the owner, author, or the individual’s prior written approval for any such use. In these instances, Implementer will reach out to PG&E to contact the PG&E marketing team.
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Claims Substantiation. (A) CCSE represents that it has adequately substantiated all claims made as part of the Authorized Work according to the requirements of California and federal law. CCSE shall substantiate claims made in all program materials, including but not limited to: program descriptions, web sites, fact sheets, brochures, and advertisements (“Program Materials”). Claims include, but are not limited to, statements about the energy efficiency, safety, reliability, or performance of a piece of equipment or category of energy efficiency measures. (B) For each Program Material, CCSE shall identify all claims, and shall have written evidence and data to substantiate the claim. CCSE shall provide the claims and claims substantiation to the CITY Agreement Representative within five (5) business days of a request. If CITY determines that the evidence or data that CCSE has submitted is inadequate to substantiate the claim, then CCSE shall either provide additional evidence or data, that in CITY’s sole discretion is adequate to substantiate the claim, or redraft or eliminate the claim so that the data and evidence, in CITY’s sole discretion, adequately supports the claims made. (C) CCSE agrees to indemnify, defend and hold CITY harmless from and against all liabilities, costs and damages arising out of or related to claims that are inadequately substantiated. CCSE further agrees to pay any judgment or reasonable settlement offer resulting from a suit or demand, and pay any reasonable attorney’s fees incurred by CITY in defense of such a suit.
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Claims Substantiation. Implementer represents it will adequately substantiate all claims made about the Work in accordance with the laws and to insure none of its claims are false, misleading or inaccurate. Implementer shall substantiate marketing or technological claims made in all Program Marketing Materials. Claims include, but are not limited to, statements about the energy efficiency, safety, reliability, or performance of a piece of equipment or category of energy efficiency measures. All claims must be approved by PG&E’s PM. If PG&E’s PM determines the claim, evidence or supporting data fails to substantiate the claim, PG&E in its sole discretion may require the claim be re-stated or eliminated altogether.
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Claims Substantiation. Implementer represents it will adequately substantiate all claims made about the Work in accordance with the laws and to insure none of its claims are false, misleading or inaccurate. Implementer shall substantiate marketing or technological claims made in all Program Marketing Materials. Claims include, but are not limited to, statements about the energy efficiency, safety, reliability, or performance of a piece of equipment or category of energy efficiency measures. All claims must be approved by PG&E’s PM. If PG&E’s PM determines the claim, evidence or supporting data fails to substantiate the claim, PG&E in its sole discretion may require the claim be re-stated or eliminated altogether. San Xxxx Obispo County MSA No.4400010290 18.1 For any used photography or quotes, Implementer must obtain the owner, author, or the individual’s prior written approval for any such use. In these instances, Implementer will reach out to PG&E to contact the PG&E marketing team.
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Related to Claims Substantiation

  • Claims Submission Unless otherwise prohibited by federal or state law, Provider will submit Clean Claims for all Covered Services to BCBSM within one hundred eighty (180) days of the date of service.

  • Medical Verification The Town may require medical verification of an employee’s absence if the Town perceives the employee is abusing sick leave or has used an excessive amount of sick leave. The Town may require medical verification of an employee’s absence to verify that the employee is able to return to work with or without restrictions.

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

  • Delays and Complaints Delivery delays and service complaints will be monitored on a continual basis. Documented inability to perform under the conditions of the contract, via the Complaint to Vendor process (PUR 7017 form) contemplated for this Contract, may result in default proceedings and cancellation.

  • Claims Administration An employee will be required to comply with any and all rules and regulations and/or limitations established by the carrier or applicable third party administrator and contained in the policy, and employees and their dependents shall look solely to such carrier or third party administration for the adjudication of the payment of any and all benefits claims.

  • Claims Handling If a credible claim is made or threatened, for which Newegg is entitled to indemnification from Seller including without limitation the filing of a lawsuit against Newegg, or the receipt of a demand or notice by Newegg or Newegg elects to defend any claim for which Newegg is entitled to indemnification: 12.2.1. Newegg shall have the right to engage counsel of its choosing that Newegg deems, in its sole discretion, to be necessary for a competent defense of the suit; 12.2.2. Newegg shall pay all legal fees and expenses incurred in defense of the claim or suit as they become due. Seller shall reimburse Newegg for such fees and expenses within thirty (30) days from date of invoice or debit memo from Newegg. After thirty (30) days, Newegg will be entitled to deduct any unpaid invoice or debit memo amount from any amounts owed by Newegg to Seller. This shall not apply to any judgment or settlement amount, which amounts Newegg shall be entitled to notify, invoice or debit Seller's account at any time. 12.2.3. In the event a claim is made or a suit is filed directly against Newegg, and Newegg is defending such claim or suit, then Newegg, in its sole discretion, may settle the claim or suit. If Seller is defending the claim or suit, Seller may not settle the claim of suit absent the written consent of Newegg unless such settlement (i) includes a release of all claims pending against Newegg; (ii) contains no admission of liability or wrongdoing by Newegg; and (iii) imposes no obligations upon Newegg other than an obligation to stop selling any infringing items. Newegg agrees to provide reasonable assistance to Seller, at Seller's expense, regarding such claim or action.

  • Procurement Related Complaints and Administrative Review 49.1 The procedures for making a Procurement-related Complaint are as specified in the TDS. 49.2 A request for administrative review shall be made in the form provided under contract forms.

  • Grievance Investigations Where an employee has asked or is obliged to be represented by the Institute in relation to the presentation of a grievance and an employee acting on behalf of the Institute wishes to discuss the grievance with that employee, the employee and the representative of the employee will, where operational requirements permit, be given reasonable leave with pay for this purpose when the discussion takes place in the headquarters area of such employee and leave without pay when it takes place outside the headquarters area of such employee.

  • Claims and Review Procedures 6.1 For all claims other than Disability benefits:

  • Medical Examination Where the Employer requires an employee to submit to a medical examination or medical interview, it shall be at the Employer's expense and on the Employer's time.

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