Submission and Payment of Claims. The Escrow Agent shall release Settlement Funds from the Qualified Settlement Fund to Class Counsel for the benefit of Qualifying Class Members and Class Counsel will cause the Claims Administrator to distribute the Settlement Funds from the Qualified Settlement Fund to Qualifying Class Members, consistent with the payment provisions set forth in Section 6 and Exhibits A and H.
Submission and Payment of Claims. The Provider shall submit all claims for processing and Alliance shall process and pay claims in accordance with the terms set forth in Attachment J, which are attached hereto and incorporated herein. Participating Providers shall not submit claim or encounter data for services covered by Alliance directly to the Department.
Submission and Payment of Claims. A. Claims - Unless otherwise mutually agreed, a claim for loss may be filed with the Company on the appropriate form provided by the Company within sixty (60) days after the Insured has conveyed title to the property pursuant to an Approved Sale and shall be accompanied by such documents and other information as are reasonably requested by the Company. The Company shall not unreasonably withhold the approval necessary for such an Approved Sale.
Submission and Payment of Claims. 8.4.1. Fourteen (14) calendar days after the Effective Date, the Escrow Agent shall re- lease all funds remaining in the Settlement Fund to Class Counsel for the benefit of the Settlement Class.
Submission and Payment of Claims. Unless otherwise instructed, or required by state or federal law, Provider shall submit Claims to Plan, subject to any applicable HIPAA requirements, using appropriate and current Coded Service Identifier(s), within one hundred eighty (180) days for HMO Colorado and three hundred sixty five (365) days for all other products from the date the Health Services are rendered or Plan will refuse payment. If Plan is the secondary payor, the one hundred eighty (180) or three hundred sixty five (365) day period will not begin until Provider receives notification of primary payor's responsibility.
Submission and Payment of Claims. 31.1. Medical Consultation Subclass (Subclass 1)
Submission and Payment of Claims. Provider shall xxxx Plan within twelve (12) months from the date Health Services are rendered or Plan may refuse payment. Provider shall submit Claims, with current Coded Service Identifier(s), on the Centers for Medicare and Medicaid Services 1500 (CMS-1500) promulgated by the National Uniform Claim Committee (“NUCC”), or any successor forms promulgated by the NUCC. In addition, all Claims submitted by Provider must also meet any additional billing requirements as set forth in the provider manual. The provider manual provides additional guidance regarding billing requirements (e.g., clarification on billing procedures for special circumstances such as when Plan is secondary). Provider shall furnish, on request, all information reasonably required by Plan to verify and substantiate the Health Services provided by the Provider and the Provider Charges for such Health Services. Plan reserves the right to review all information concerning statements submitted by Provider when necessary.
Submission and Payment of Claims
