Processing of Claims. The Secretary of State shall establish the criteria and processes for submitting claims under this program. Such criteria shall include requirements that all claims:
(1) Contain a face sheet that summarizes each expenditure made by the categories set forth in Paragraph D of Exhibit A ‘Scope of Work’;
(2) Include the total amount of the claim;
(3) Include the agreement number on the face sheet;
(4) Identify whether additional claims are expected to be submitted;
(5) Include the hourly charge of any contractor for which a claim is made for their time;
(6) Include the hourly wage or monthly salary of any employee for which a claim is made for their salaries;
(7) Include signed Contractor HAVA Activity Reports, please see sample which is Exhibit G, for each employee and contractor’s employee for whom reimbursement for time is being claimed. (Vendors who receive payment from HAVA funds are required to submit timesheets for any work paid for as time and materials); Requests for reimbursement for personnel costs, whether regular county employees or temporary staff, should be backed up with HAVA timesheets. However, sensitive personal identifying information (PII) should not be included. If the County uses a computer-based payroll system that is coded to reflect time spent on HAVA and non-HAVA projects, the County does not need to submit time sheets. However, for any request for reimbursement for personnel services, the County must submit a summary that shows the type of staff, numbers of positions claimed and time spent on each type of HAVA-related project, along with the costs of payroll and benefits for those hours. The County must also verify that coded electronic payroll records are kept on file and are available for Secretary of State questions and audit purposes, and
(8) Include a copy of the contract with the contractor if the contractor’s invoice does not describe the activities undertaken in such a manner that the State can determine whether the activities comply with the provisions of this Agreement.
Processing of Claims. We agree to make reasonable efforts to process all claims for benefits for services and/or supplies provided to State Health Plan Members submitted by you, within thirty (30) days of our receipt of all necessary information. Except for retroactive adjustments to eligibility records pursuant to Section 4.6, we agree that we will not retroactively deny payment of properly submitted claims that have been pre-authorized through our utilization management processes, so long as our authorization was not based on a material misrepresentation knowingly provided by you, a State Health Plan Member, or other provider. Further, we represent that we have established billing, claim submission, and claim processing procedures to comply with the provisions of N.C.G.S. § 58-3-225, entitled “Prompt Claim Payments Under Health Benefit Plans.” You acknowledge and agree not to hold claims for processing by us at a later date unless specifically directed to do so by us.
Processing of Claims. The Secretary of State shall establish the criteria and processes for submitting claims under this program. Such criteria shall include requirements that all claims:
(1) Contain a face sheet that summarizes each expenditure made by the categories set forth in Paragraph C of Exhibit A ‘Scope of Work’;
(2) Include the total amount of the claim;
(3) Identify whether additional claims are expected to be submitted;
(4) Include the hourly charge of any contractor for which a claim is made for their time;
(5) Include the hourly wage or monthly salary of any employee for which a claim is made for their salaries;
(6) Include signed Contractor HAVA Activity Reports, please see sample which is Exhibit G, for each employee and contractor’s employee for whom reimbursement for time is being claimed. (Vendors who receive payment from HAVA funds are required to submit timesheets for any work paid for as time and materials); and
(7) Include a copy of the contract with the contractor if the contractor’s invoice does not describe the activities undertaken in such a manner that the State can determine whether the activities comply with the provisions of this Agreement.
Processing of Claims. 1. The Competent Institution of a Contracting State which receives a claim for a benefit under the legislation of the other Contracting State will:
(a) record receipt and stamp the claim with the date of receipt;
(b) verify the claimant's identity and validate the personal details contained in the claim form from the official records or on the basis of the documents supplied by the claimant;
(c) check for completeness and, if incomplete, arrange for outstanding details to be obtained;
(d) make certified copies of original documentation, as required, to support the claim;
(e) complete a liaison form in respect of that claim indicating, in particular, periods of Australian working life residence or Czech creditable periods;
(f) send the claim form, original or certified copies of documents necessary to establish the claim, a copy of its own decision on benefit if it has been made and the liaison form to the Competent Institution of the other Contracting State.
2. The Competent Institution of the other Contracting State will subsequently determine the claimant’s eligibility and notify its decision to the Competent Institution of the first Contracting State. Along with its decision, it will also transmit, if necessary or upon request, to the Competent Institution of the first Contracting State:
(a) details of the creditable periods/periods of Australian working life residence completed under the applicable legislation; and
(b) any other available documentation that may be necessary for the Competent Institution of the first Contracting State to establish the claimant’s eligibility for a benefit from the first Contracting State.
3. The type of information to be verified by the Competent Institutions and the method of verification will be mutually determined by the Liaison Bodies of the two Contracting States.
Processing of Claims. Fund LLC shall use reasonable efforts to approve or disapprove each Claim within thirty (30) days after receipt of the Claim and all required supporting information. Upon reasonable prior notice, Landlord shall promptly provide Fund LLC with access to the Unit to inspect damage to the Unit. The Fund LLC makes no guarantee of payment of any Claim. The processing of any Claim must be processed by the Fund LLC with no opportunity for appeal except in limited cases of clear and manifest error. Otherwise, determinations made by the Fund LLC are considered final.
Processing of Claims. Monmouth County shall process and accept claims for reimbursement and shall pay eligible claims. All requests for expenditure reimbursement must be submitted to Monmouth County (using the forms and process prescribed by Monmouth County) on a cost reimbursement basis.
Processing of Claims. 1. A Competent Institution or liaison agency receiving a claim will (a) stamp or mark the claim with the date of receipt; and
Processing of Claims. 1. Settlement Class Members seeking reimbursement must complete and submit a Claim Form to the Settlement Administrator, postmarked or submitted online on or before the 90th day after the deadline for completion of mailing notice to Settlement Class Members. The notice will specify this deadline and other relevant dates described herein. The Claim Form must be verified by the Settlement Class Member with a statement that his or her claim is true and correct, to the best of his or her knowledge and belief, and is being made under penalty of perjury. Notarization shall not be required. The Settlement Class Member must submit reasonable documentation that the out-of-pocket expenses and charges claimed were actually injured and more likely than not arose from the Data Security Incident. Failure to provide required supporting documentation shall result in denial of the out-of-pocket portion of the claim.
Processing of Claims. 1. The agency of a Contracting Party which receives a claim for benefits payable under the legislation of the other Contracting Party shall, without delay, by means of a liaison form send the application form to the liaison agency or the agency of the other Contracting Party in accordance with the Article 19 of the Agreement together with all available documentary evidence and information that the agency of the latter Contracting Party may require to establish the claimant’s eligibility.
2. The agency of the latter Contracting Party shall, without delay, provide the appropriate agency of the former Contracting Party either direct or through the liaison agency, with such evidence and other available information as may be required to complete action on the claim by means of a liaison form.
3. As soon as a decision has been taken under the legislation which applies, the agency shall notify the claimant giving information about review and appeal procedures and time related limits set down by the legislation administered by that agency; the agency shall also advise the agency of the other Contracting Party of the details of the decision, by means of a liaison form.
4. The agency of a contracting Party with which a claim for benefits has been filed shall verify the information pertaining to the claimant and his family members. The type of information to be verified shall be agreed upon by the liaison agencies of both Contracting Parties.
5. The agencies shall inform each other by means of a liaison form of the award, review, suspension or withdrawal of pensions or benefits under the Agreement.
Processing of Claims. 10.1. Neither the Insured nor any other person on his/her behalf shall be entitled to express their readiness to accept their fault or effect any payments whatsoever without a written consent of the Insurer. According to this Insurance Contract, the Insured shall assign to the Insurer the right to consider and settle on his/her behalf any claim or complaint notwithstanding the stage or instance of consideration thereof, as well as to bring the claim or represent the Insured’s interests in the court. The Insurer shall have a xxxxx xxxxxxx in the selection of the form and strategy of the claim settlement and it shall be an obligation of the Insured to provide the Insurer with all required information or assistance in the settlement of these cases.
10.2. If it is impossible to reach an agreement with the third person as to the amount of losses, the Insurer shall be entitled to request for the engagement of an independent expert. The expert’s costs shall be attributed to the losses and indemnified within the limit of liability specified in the Insurance Contract.
