Review of Claim Forms Sample Clauses

Review of Claim Forms. The Claims Administrator shall initially review all Claim Forms to determine if the form is filled out completely and is signed properly. If the Claim Form is incomplete or is not signed properly, the Claims Administrator shall return the Claim Form to the claimant and the claimant shall be given thirty (30) days from the date of that mailing within which to return to the Claims Administrator the Claim Form completed and/or signed properly. The failure of a claimant to complete, sign and return his or her Claim Form within thirty (30) days shall result in a denial of his or her claim.
Review of Claim Forms. The Settlement Administrator will be responsible for reviewing all claims to determine their validity. The Settlement Administrator will reject any claim that does not comply in any material respect with the instructions on the Claim Form or the terms of paragraphs 9.01, above, or is submitted after the Claims Deadline.
Review of Claim Forms. The Claims Administrator shall have the authority to determine whether a Claim Form is valid, timely, and complete and whether Settlement Class members are eligible for a Settlement Payment.
Review of Claim Forms. The Settlement Administrator 9 will review Claim Forms submitted by Settlement Class Members to determine 10 whether they are eligible for a Settlement Payment.
Review of Claim Forms. The Settlement Administrator may reject a Claim Form, or any part of a claim for a payment reflected therein, where the Person submitting the Claim Form does not appear on the Damages Class List. In addition, the Settlement Administrator is obliged to employ reasonable procedures to screen claims for abuse or fraud and deny Claim Forms where there is evidence of abuse or fraud. The Settlement Administrator must determine whether a Claim Form submitted by a Damages Settlement Subclass Member is an Approved Claim and may reject Claim Forms that fail to comply with the instructions thereon or the terms of this Agreement, after giving the claimant a reasonable opportunity to provide any requested missing information. In no event may any Damages Settlement Subclass Member have more than fourteen days after being noticed by the Settlement Administrator of any question or deficiency in the submitted Claim Form to answer such question or cure such deficiency.
Review of Claim Forms. The Settlement Administrator will review 19 Claim Forms submitted by Settlement Class Members to determine whether they are eligible for a 20 Settlement Payment.
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Review of Claim Forms. The Settlement Administrator will review and evaluate each Claim Form for validity, timeliness, and completeness. The Settlement Administrator will use adequate and customary procedures and standards to assess the Claim Forms, including, but not limited to, using unique security identifiers or control numbers assigned to each Settlement Class member; screening Claim Forms for a valid invoice number or control number; screening for duplicate claims; screening for incomplete or inaccurate claims; and reviewing Claim Forms for evidence of fraud. The Settlement Administrator may request additional information from Settlement Class members as necessary to validate Claim Forms, including but not limited to instances of suspected fraud. The Settlement Administrator shall use its best efforts to approve or deny all claims within 120 days of the Effective Date. The Settlement Administrator’s decision regarding whether a Claim Form states a Valid Claim is final and binding, except that Class Counsel and the Froedtert Defendants shall have the right to audit claims and to challenge the Settlement Administrator’s decision by motion to the Court.

Related to Review of Claim Forms

  • Claim Form i. Within 15 days after receiving a notice of a claim, you or your Dental Provider will be provided with a Claim Form to make claim for Benefits. To make a claim, the form should be completed and signed by the Provider who performed the services, and by the patient (or the parent or guardian if the patient is a minor), and submitted to the address above.

  • Payment of Claims A. If advance payment of all or a portion of the Grant funds is permitted by statute or regulation, and the State agrees to provide such advance payment, advance payment shall be made only upon submission of a proper claim setting out the intended purposes of those funds. After such funds have been expended, Grantee shall provide State with a reconciliation of those expenditures. Otherwise, all payments shall be made thirty five (35) days in arrears in conformance with State fiscal policies and procedures. As required by IC § 4-13-2-14.8, all payments will be by the direct deposit by electronic funds transfer to the financial institution designated by the Grantee in writing unless a specific waiver has been obtained from the Indiana Auditor of State.

  • Submission of Claims 39 If Provider submits claims for Services rendered under this Contract, the following 40 requirements shall apply:

  • Claims Submission We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.

  • Settlement of Claims The Company’s obligation to make the payments provided for in this Agreement and otherwise to perform its obligations hereunder shall not be affected by any circumstances, including, without limitation, any set-off, counterclaim, recoupment, defense or other right which the Company may have against the Executive or others.

  • Notice and contest of claims In the event that either Party receives a claim or demand from a third party in respect of which it is entitled to the benefit of an indemnity under this Article 38 (the "Indemnified Party") it shall notify the other Party (the "Indemnifying Party") within 15 (fifteen) days of receipt of the claim or demand and shall not settle or pay the claim without the prior approval of the Indemnifying Party, which approval shall not be unreasonably withheld or delayed. In the event that the Indemnifying Party wishes to contest or dispute the claim or demand, it may conduct the proceedings in the name of the Indemnified Party, subject to the Indemnified Party being secured against any costs involved, to its reasonable satisfaction.

  • WAIVER OF CLAIMS AND INDEMNITY AGREEMENT In consideration of the Releasees accepting my application for a Season Pass and permitting my use of the lifts, ski runs, trails, terrain parks, race courses, restaurants, day lodge, parking, access roads and other ski area facilities (hereinafter “the premises”), I hereby agree as follows:

  • Notice of Claims If the City or Contractor receives notice of any claim or circumstances which could give rise to an indemnified loss, the receiving Party shall give written notice to the other Party within 30 days. The notice must include the following:

  • Defense of Claims The Company will be entitled to participate in the Proceeding at its own expense. The Company shall be entitled to assume the defense of any Proceeding with counsel consented to by Indemnitee (such consent not to be unreasonably withheld) upon the delivery by the Company to Indemnitee of written notice of the Company’s election to do so. After delivery of such notice, consent to such counsel by Indemnitee and the retention of such counsel by the Company, the Company will not be liable to Indemnitee under this Agreement for any fees or expenses of counsel subsequently incurred by Indemnitee with respect to such Proceeding; provided that (i) Indemnitee shall have the right to employ separate counsel in respect of any Proceeding at Indemnitee’s expense and (ii) if (A) the employment of counsel by Indemnitee has been previously authorized in writing by the Company or (B) Indemnitee shall have reasonably concluded upon the advice of counsel that there is a conflict of interest between the Company and Indemnitee in the conduct of the defense of such Proceeding, then in each such case the fees and expenses of Indemnitee’s counsel shall be at the Company’s expense. The Company shall not settle any action, claim or Proceeding (in whole or in part) which would impose any Expense, judgment, fine, penalty or limitation on Indemnitee without Indemnitee’s prior written consent, such consent not to be unreasonably withheld. Indemnitee shall not settle any action, claim or Proceeding (in whole or in part) which would impose any Expense, judgment, fine, penalty or limitation on the Company without the Company’s prior written consent, such consent not to be unreasonably withheld.

  • Status of Claims The CONSULTANT shall give prompt written notice to the LPA any claims made for damages against the CONSULTANT resulting from Services performed under this Contract and shall be responsible for keeping the LPA currently advised as to the status of such claims. The CONSULTANT shall send notice of claims related to work under this Contract to:

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