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:
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. 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. The Competent Institution of a Contracting State which receives a claim for a benefit under the legislation of the other Contracting State will:
Processing of Claims. As a general practice, the Asbestos Trust shall review its claims files on a regular basis.
Processing of Claims. The processing of claims hereunder will be by Ramsell or, at its option, by a third party Claims Administrator designated by Ramsell . All claims shall be submitted in a format approved by Ramsell and shall contain such information as Ramsell requires for its administration of the Program.
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.
Processing of Claims. Delta Dental of Colorado is the entity responsible for receiving and processing claims for members enrolled in a Delta Dental of Colorado dental benefit plan.
