Claim Denial definition

Claim Denial means a determination of nonpayment by the
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Claim Denial means our notification to you, after our receipt of a Claim,that we will not pay the Claim due to the application of an exclusion listed in Section 5, or the breach of one or more provisions of this Master Policy. A Rescission under Section 2 shall not be considered a Claim Denial.
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Claim Denial means written notification by the Company to the Insured that it will not pay a Claim filed in connection with a specified Covered Loan due to breach of one or more specified provisions of this Policy.
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Examples of Claim Denial in a sentence

  • You will be provided with the identity and qualifications of any medical or vocational expert whose advice was considered, whether or not it was used in making the initial Claim Denial.

  • Notice of Claim Denial – Adverse Benefit Determination (ABD)In the event any claim for Benefits Beyond Medicare (see page 9-10) is denied, in whole or in part, Anthem Blue Cross will notify the Member of such denial in writing within 30 days.

  • If the Settlement Class Member does not provide the materials identified in the Claims Administrator’s email, or fails to respond to the Claims Administrator’s email, the Claims Administrator will issue a Notice of Claim Denial, which will be subject to the meet-and-confer process described in Paragraph 3(C)(vii) above.

  • Additional details for how to register and log on can be found online at medstarfamilychoice.com/maryland-providers/ provider-resources.Provider Appeal of MedStar Family Choice Claim Denial Claims Payment Dispute MedStar Family Choice has a form for your convenience called the Claims Payment Dispute Form.

  • Via "My Privi", the User can send a request for a Special Order, access at any time the summary of his/her Order, his/her membership subscription, and the number of PriviCoins accumulated.From "My Privi", the User can adjust the settings of the Platform, such as the display language, configure the consent regarding GDPR law in EU.In case of questions or doubts, the User can contact the Platform from this space.

  • Within five (5) business days of its receipt of each warranty claim, iSecureTrac shall issue and deliver to DISTRIBUTOR either (i) a return authorization for each Defective Product, or (ii) a written denial of such warranty claim, accompanied by an explanation therefor ("Claim Denial").

  • JABC is incorporated under the Societies Act of British Columbia and is a registered charity under the Income Tax Act.

  • Any warranty claim not rejected by iSecureTrac in a Claim Denial timely delivered to DISTRIBUTOR within the aforementioned time period shall be deemed accepted by iSecureTrac on such date, and the requirement for a return authorization therefor shall be waived.

  • Bosch and Class Counsel shall then have an opportunity to review the Valid Claims and the Notices of Claim Denial and request a meet and confer should they decide to challenge any Valid Claims or Notices of Claim Denial.

  • Our exclusion of coverage pursuant to Section 5 prior to your submission of a Claim shall be considered a Company Initiated Cancellation.Exclusion of coverage pursuant to Section 5 after submission of a Claim shall be considered a Claim Denial.


More Definitions of Claim Denial

Claim Denial is defined in Section 9.7.
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Claim Denial means a determination by Radian not to pay a Claim after a Claim has been submitted on a Subject Loan. For the avoidance of doubt, a Curtailment shall not be considered a Claim Denial.
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Claim Denial. With respect to a claim for benefits under this Agreement, the Bank shall review and make all decisions related to claim approvals or claim denials.
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Claim Denial means notification by the Company to the Insured, after the Company’s receipt of a Claim, that it will not pay the Claim due to the application of an exclusion listed in Section 6, or the breach of one or more provisions of this Master Policy. In the event of a Claim Denial, the Company shall return to the Insured all Premium received with respect to the affected Loan after the earlier of the date of the Default, or the event which triggered the Claim Denial. A Rescission under Section 3 shall not be considered a Claim Denial.
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Claim Denial means a written and dated notice from the Claim Administrator to a Settlement Class Member who submitted a Claim Form stating the following: (a) a statement that the Claim or some portion of it is not a Valid Claim; (b) the reason(s) for that determination;
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Claim Denial. With respect to a claim for benefits under said Policy, the Insurer shall be the entity which reviews and makes decisions on claim denials according to the terms of the Policy.
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Related to Claim Denial

  • Claim Deadline means the last date by which a Claim submitted to the Settlement Administrator by a Settlement Class Member must be postmarked or submitted electronically, which will be ninety (90) Days after the Notice Deadline. All Claims postmarked or submitted electronically at the Settlement Website on or before the Claim Deadline shall be timely, and all Claims postmarked or submitted electronically at the Settlement Website after the Claim Deadline shall be untimely and barred from entitlement to any Settlement Relief.

  • Claim Form or “Proof of Claim Form” means the form, substantially in the form attached hereto as Exhibit 2 to Exhibit A, that a Claimant or Settlement Class Member must complete and submit should that Claimant or Settlement Class Member seek to share in a distribution of the Net Settlement Fund.

  • Claims Objection Bar Date means the deadline for objecting to a Claim, which shall be on the date that is the later of (a) 180 days after the Effective Date and (b) such other period of limitation as may be specifically fixed by the Debtors or the Reorganized Debtors, as applicable, or by an order of the Bankruptcy Court for objecting to Claims.

  • Claim Notice has the meaning set forth in Section 8.4(a).

  • Indemnity Claim has the meaning set forth in Section 8.3.

  • Claims Notice has the meaning set forth in Section 9.3(a).

  • Claims Bar Date means the applicable bar date by which Proofs of Claim must be Filed, as established by: (a) the Bar Date Order; (b) a Final Order of the Bankruptcy Court; or (c) the Plan.

  • Claim Certificate shall have the meaning set forth in Section 8.6(a).

  • Claim Amount means the amount calculated in accordance with Section 6.2 of this Policy.

  • Environmental Defect Notice shall have the meaning set forth in Section 12.1(a).

  • Warranty Claim means a claim for breach of any of the Warranties.

  • Environmental Defect means, with respect to any given Asset, a material violation of Environmental Laws in effect as of the Effective Time in the jurisdiction in which such Asset is located.

  • Title Defect as used herein shall mean any encumbrance, encroachment, irregularity, defect in or objection to Seller’s title to the Leases and Xxxxx (excluding Permitted Encumbrances) which would result in Seller not having Defensible Title.

  • Review Package A package of documents consisting of a memorandum outlining the analysis and recommendation (in accordance with the Servicing Standard) of the Master Servicer or the Special Servicer, as the case may be, with respect to the matters that are the subject thereof, and copies of all relevant documentation.

  • Title Defect Notice shall have the meaning set forth in Section 11.2(a).

  • Claim Objection Deadline means the first Business Day that is 180 days after the Effective Date, as may be extended by order of the Bankruptcy Court.

  • Expected Claim Notice means a notice that, as a result of a legal proceeding instituted by or written claim made by a third party, an Indemnified Party reasonably expects to incur Damages for which it is entitled to indemnification under Article VI.

  • Defect Notice shall have the meaning specified in Section 3.2 of this Agreement.

  • Claims Objection Deadline means the deadline for objecting to a Claim against a Debtor, which shall be on the date that is the later of (a) 180 days after the Effective Date and (b) such other period of limitation as may be fixed by the Debtors or the Reorganized Debtors, as applicable, or by an order of the Court for objecting to such Claims.

  • Claims Bar Date Order means that certain order entered by the Bankruptcy Court establishing the Claims Bar Date.

  • Indemnity Notice shall have the meaning specified in Section 9.3(b).

  • Rejection Claim means a Claim arising from the rejection of an Executory Contract or Unexpired Lease pursuant to section 365 of the Bankruptcy Code.

  • Claim Period means the period of time during which a Settlement Class Member must submit a Claim Form to be eligible to receive a Cash Benefit or Billing Credit Option as part of the Settlement. The Claim Period shall commence not later than thirty (30) days after the Preliminary Approval Date, as defined herein, and shall conclude not more than ninety (90) days after it commences.

  • Liability Claim has the meaning set forth in Section 7.2(a).

  • Deficiency Claim Date means, with respect to any Distribution Date, the fourth Business Day immediately preceding such Distribution Date.

  • Direct Claim has the meaning set forth in Section 8.05(c).