Claim Denial definition

Claim Denial means a determination of nonpayment by the
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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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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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Examples of Claim Denial in a sentence

  • Claim Denial: What notification will I receive if my claim is denied?If a claim for benefits is wholly or partly denied, You will be furnished with written notification of the decision.

  • Claim Denial: What notification will my beneficiary or I receive if a claim is denied?If a claim for benefits is wholly or partly denied, You or Your beneficiary will be furnished with written notification of the decision.

  • If an on-going course of treatment was previously approved for a specified period of time or number of treatments, and the claimant’s request to extend treatment is non-urgent, the claimant’s request shall be considered a new claim and decided in accordance with post-service or pre-service timeframes, as applicable.(d) Appeal of Claim Denial.

  • Claim Denial: What notification will my Beneficiary or I receive if a claim is denied?If a claim for benefits is wholly or partly denied, You or Your beneficiary will be furnished with written notification of the decision.

  • Claim Denial: If a claim for benefits is wholly or partly denied, You will be furnished with written notification of the decision.

  • The Notice of Pre-Service Claim Denial shall include an explanation of the denial, including: 1.

  • The Company’s Liability in case of Claim Denial: When a claim is reported to the Company and, for whatever reason, the Company denies liability, and as a result, the Insured or the Claimant presents such a claim to the court of law or arbitrator.

  • Any such payment shall fulfill Our responsibility for the amount paid.GBD-1200 H08 (10/08) (NC) Claim Denial: What notification will I receive if my claim is denied?If a claim for benefits is wholly or partly denied, You will be furnished with written notification of the decision.

  • Claim Denial AppealsIf a claim is denied in whole or in part, under the terms of this certificate, a request may be submitted to Us by a Covered Person or a Covered Person’s authorized representative for a full review of the 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.


More Definitions of Claim Denial

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 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. 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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Claim Denial is defined in Section 9.7.
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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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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 must complete and submit should that Claimant seek to share in a distribution of the Net Settlement Fund.

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

  • Warranty Claim means any claim for breach of Warranty;

  • 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 means with respect to a Lease any lien, encumbrance, adverse claim, default, expiration, failure, defect in or objection to real property title, other than Permitted Encumbrances, that alone or in combination with other defects renders Sellers’ title to the Lease less than Defensible Title.

  • 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.

  • Claims Objection Deadline means the later of: (a) the date that is 180 days after the Effective Date; and (b) such other date as may be fixed by the Bankruptcy Court, after notice and hearing, upon a motion Filed before the expiration of the deadline to object to Claims or Interests.

  • 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 time period during which Settlement Class Members may submit a Claim Form to the Settlement Administrator for review. The Claim Period shall run for a period of time ordered by the Court, and last at least one-hundred and twenty (120) calendar days from the date of the first publication of the Summary Settlement Notice or Class Notice, whether online, via print publication, or via press release, whichever is earlier.

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