Claim file definition

Claim file means any retrievable electronic file, paper file or combination of both;
Claim file means any record either in its original form or as recorded by any process which can accurately and reliably reproduce the original material regarding the claim, its investigation, adjustment and settlement.
Claim file means any retrievable electronic file, paper file, combination of both, or any other media.

Examples of Claim file in a sentence

  • After the beneficiary is discharged from the hospital, the Medical Provider shall submit the Claim File containing the original documents like the, Proof of Identification, Claim Form, Discharge Summary, Investigation Reports, Bills and the Covering Letter, listing the contents of the File to Anyuta – TPA in Health Care AMHTPAIHPL, directly in case of Cashless Services or give it to the Policyholder along with a Certified Copy in case of Reimbursement, as the complete care and cost documents.

  • FILE MANAGEMENT‌ Documenting the Claim File - Properly documenting the claim file and activity file notes is an essential part of the claims process.


More Definitions of Claim file

Claim file means a data set composed of health care service level remittance information for all nondenied adjudicated claims un- der the terms of an insurance policy, health benefits plan or state labor and industries program including, but not limited to, covered medical services files, pharmacy files and dental files.
Claim file means a record either in its original form or as recorded by a process that can accurately and reliably reproducer the original material regarding a claim, its investigation, adjustment, and settlement.
Claim file means a record in paper or electronic form, or any combination, containing all of the information specified in section 10101.1 of Title 8 of the California Code of Regulations these regulations and all documents or entries related to the provision, payment, delay, or denial of benefits or compensation under Divisions 1, 4 or 4.5 of the Labor Code.
Claim file means any retrievable electronic file, microfilm/microfiche file, paper file, or any combination thereof;
Claim file means any retrievable electronic file, paper file, or combination of both;
Claim file means the Claim Form and all documents submitted relating to a Claim, along with relevant documents relating to the underlying Covered Policy on which the Claim is based, such as, to the extent applicable, correspondence relating to the Covered Policy and payment history on the Covered Policy.
Claim file and "Equity File" mean, with respect to each Loan, Claim or Equity, as applicable, all correspondence, notices and other agreements, instruments or documents, including the related Notes and Documents, but excluding any documentation that represents a privileged communication.