Claims detail definition

Claims detail means a report of information generated by a computer or any other means concerning claims submitted to the Medicaid program. Also see “Payment rRecord.”
Sample 1Sample 2Sample 3

Examples of Claims detail in a sentence

  • The analysis will be conducted at the Encounters and Claims detail (line item) data element level.

  • A weekly Claims detail shall be provided to the facility liaison.

  • Please repost these files so that we may meet all the criteria of this question.Answer: See Exhibits referencing Eligibility and Medical / Rx Claims detail posted to the secure website, providing you have executed the Non-disclosure Agreement, NDA (see “NOTE” above).

  • Please provide the monthly subscriber counts.Answer: See Exhibits referencing Eligibility and Medical / Rx Claims detail posted to the secure website, providing you have executed the Non-disclosure Agreement, NDA (see “NOTE” above).

  • Would you please provide the medical and RX claim repricing files.Answer: See Exhibits referencing Eligibility and Medical / Rx Claims detail posted to the secure website, providing you have executed the Non-disclosure Agreement, NDA (see “NOTE” above).

  • Provide a report, indicating the number of members, the number of claims and the claim dollars by each proposed network separately for Inpatient Facility, Outpatient Facility and Professional by zip code..."Answer: See Exhibits referencing Eligibility and Medical / Rx Claims detail posted to the secure website, providing you have executed the Non-disclosure Agreement, NDA (see “NOTE” above).

  • Other added features are the Supplementary and Collateral Claims detail wherein the collateral and supplementary claims received will be reflected on this portion.

  • For the tabs that you identify that we need to complete, can we just add our responses (Y / N) next to each drug in the last column (column H in this case in all the exhibits)?Answer: See Exhibits referencing Eligibility and Medical / Rx Claims detail posted to the secure website, providing you have executed the Non-disclosure Agreement, NDA (see “NOTE” above).

  • At Participating Group’s expense, request and direction, Caremark may provide detailed electronic files or Claims detail reports to Participating Group’s designated third-party service provider subject to such third-party’s execution of Xxxxxxxx’s form confidentiality agreement.

Related to Claims detail

  • 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.

  • Claims Administration means the processing of claims made under the Shared Policies, including the reporting of claims to the insurance carriers, management and defense of claims and providing for appropriate releases upon settlement of claims.

  • Claims Agent means Kurtzman Carson Consultants LLC.

  • Security Details means any security procedure you follow or use to give or authorise an instruction, confirm your identity or access a Device or certain functionality on that Device (for example a passcode, access code, security code, or biometric data such as a fingerprint).

  • Claims Made Policies has the meaning set forth in Section 5.01(b).

  • Notice and Claims Agent means Prime Clerk LLC.

  • Part 2 means Part 2 of the withdrawal agreement or (as the case may be) Part 2 of the EEA EFTA separation agreement, so far as the Part in question applies to and in the United Kingdom;

  • 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.

  • SAP Application(s) means all Packages (i.e. all Software and Third Party Software) licensed under the Agreement and/or SAP cloud services for which Customer has a valid subscription, excluding User Interfaces for ERP, SAP Technology Solutions and all database Packages.

  • Third Party Applications means online, Web-based applications and offline software products that are provided by third parties and are identified as third-party applications, including but not limited to those listed on the AppExchange and the Reseller Application.

  • Secondary emissions means emissions which occur as a result of the construction or operation of a major stationary source or major modification, but do not come from the major stationary source or major modification itself. For the purposes of this chapter, “secondary emissions” must be specific, well-defined, and quantifiable, and must impact the same general areas as the stationary source modification which causes the secondary emissions. “Secondary emissions” includes emissions from any offsite support facility which would not be constructed or increase its emissions except as a result of the construction or operation of the major stationary source or major modification. “Secondary emissions” does not include any emissions which come directly from a mobile source, such as emissions from the tailpipe of a motor vehicle, from a train, or from a vessel.

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

  • Loan Detail means the information set forth in Annex A-1 and Annex A-2 to the Prospectus Supplement. “Diskette” shall mean the information set forth on the diskette attached to the Prospectus.

  • Settlement Procedures Timetable For offers to purchase Certificated Notes accepted by the Company, Settlement Procedures A through F set forth above shall be completed as soon as possible following the trade but not later than the respective times (New York City time) set forth below: Settlement Procedure Time ---------- ----

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

  • Part B means the program component of IDEA that requires states to find, identify, locate, evaluate, and serve children with disabilities from three to twenty-one years of age.

  • 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.

  • Agreement Details means the schedule attached to the front of these Terms setting out the variable information related to this agreement such as Your details and other information related to the Room Building means the accommodation building identified in the Agreement Details in which the Room is located.

  • Switched Access Detail Usage Data means a category 1101xx record as defined in the EMI Telecordia Practice BR 000-000-000.

  • Administrative Claims Bar Date means the deadline for Filing requests for payment of Administrative Claims, which: (a) with respect to Administrative Claims other than Professional Fee Claims, shall be 30 days after the Effective Date; and (b) with respect to Professional Fee Claims, shall be 45 days after the Effective Date.

  • Claims Officer means the individual or individuals appointed by the Monitor pursuant to the Amended Claims Procedure Order;

  • Clinical evaluation means a systematic and planned process to continuously generate, collect, analyse and assess the clinical data pertaining to a device in order to verify the safety and performance, including clinical benefits, of the device when used as intended by the manufacturer;

  • Part A Direct Award Criteria

  • Program Details means the specific details provided to Influencer by Brand, including, but not limited to, compensation, program dates, branding guidelines, general and specific responsibilities of Influencer and Brand. Influencer may engage in multiple Program Details, each governed by this Agreement. This Program Details are hereby incorporated by reference into this Agreement. If any provisions of the Program Details conflict with this Agreement, then the Program Details will control.

  • Third Party Reports With respect to any Mortgaged Property, the related Appraisal, Phase I environmental report, Phase II environmental report, seismic report or property condition report, if any.

  • Customs Administration means the competent authority that is responsible under the law of a Party for the administration of customs laws and regulations;