Claim Dispute definition

Claim Dispute means a dispute involving a payment of a claim, denial of a claim, or imposition of a sanction or reinsurance.
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Claim Dispute means a dispute, filed by a provider or CONTACTOR as applicable, involving payment of a claim, denial of a claim, or imposition of a sanction.
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Claim Dispute has the meaning ascribed to such term in Section 10.9(b).
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Examples of Claim Dispute in a sentence

  • The Contractor’s dispute process for subcontractors and non-contracted providers includes a claim dispute process and access to the State’s fair hearing process as outlined in Attachment F2, Provider Claim Dispute Standards.

  • The Contractor shall remain responsible for compliance with all requirements set forth in Attachments F1, Enrollee Grievance System Standards, F2, Provider Claim Dispute Standards, and 42 CFR Part 438 Subpart F.

  • The Claim Dispute Notice shall set forth in reasonable detail the principal basis for the dispute of any claim made by Parent in the Officer’s Claim Certificate.

  • The Claim Dispute Notice shall set forth in reasonable detail the principal basis for the dispute of any claim made in the relevant Claim Certificate.

  • You only have one opportunity for a Level II appeal per claim.o Provider Request for Reconsideration and Claim Dispute form is REQUIRED and must be filled out completely and correctly.


More Definitions of Claim Dispute

Claim Dispute has the meaning set forth in Schedule 8.D.
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Claim Dispute means a dispute involving a payment of a claim, denial of a claim, imposition of a sanction or reinsur- ance.
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Claim Dispute shall have the meaning set forth in Section 5.07(b).
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Claim Dispute means a dispute of a payment, denial or recoupment of the payment of a claim, or imposition of a sanction, by ADHS. All Contractor Claim Disputes with ADHS shall be resolved in accordance with the process set forth in the ADHS Policy and Procedures Manual section on Contractor and Provider Claim Disputes.
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Claim Dispute has the meaning set forth in Section 10.5(a).
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Claim Dispute means any written dispute and supporting evidence submitted by a Claimant pursuant to Paragraph 5(f) of this Agreement.
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Claim Dispute means a disagreement involving a payment of a claim, denial of a claim,
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