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.”
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Examples of Claims detail in a sentence

  • Understanding human factor and human error issues with regards to incidents, including how to identify human factors involved and their underlying causes, and formulate effective corrective actions.

  • 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.

  • Claims detail information.(b) Accessing conditional payment in- formation through the Medicare Sec- ondary Payer Web portal—(1) Beneficiary access.

  • Mail or retail indicator Pharmacy Rx Claims detail files have already been released to proposers who have submitted the Use & Disclosure Form.

  • 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).

  • Claims detail status, amount paid, pended and active claims, payment detail and date and amount paid.

  • 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).

  • 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).

  • We are writing to formally request Commercial and Medicaid claims data for 2017, 2018, and 2019, inclusive of the following data components: Claims where last service date (medical) or prescription filled date (pharmacy) in the range 2017-01-01 to 2019-12-31 Claims detail for all services, including hospital, outpatient hospital and professional services.

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, without limitation, the reporting of claims to the insurance carriers and the management of the defense of claims.

  • Claims Agent means Kurtzman Carson Consultants LLC.

  • Table of Product Details means the table attached to these Terms and Conditions which contains the definitions in relation to each series of Securities.

  • 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 must complete and submit should that Claimant 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).

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

  • Part B If the participant is a minor, I (the minor participant’s parent) for and on behalf of my participating minor child, agree as follows: I agree here to waive and release, in advance, any claim or cause of action against the Released Parties that would accrue to my minor child for personal injury, including death, and property damage resulting from an inherent risk in the activity. NOTICE TO THE MINOR CHILD'S NATURAL GUARDIAN READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF THE RELEASED PARTIES USE REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD'S RIGHT AND YOUR RIGHT TO RECOVER FROM THE RELEASED PARTIES IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND THE RELEASED PARTIES HAVE THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM. To the extent allowed by applicable law, I agree to indemnify the Released Parties for any attorneys’ fees and costs incurred by them in defending a claim or suit brought by or on behalf of my child (whether that claim or suit is initiated by me, my child or another party) that an arbitrator or court determines is barred under applicable law, or, if the claim is withdrawn or dismissed.

  • Domestic content procurement preference ’ means all iron and steel used in the project are produced in the United States; the manufactured products used in the project are produced in the United States; or the construction materials used in the project are produced in the United States.

  • 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.

  • Claims Procedure Order means the Order under the CCAA establishing a claims procedure in respect of the Applicant, as same may be further amended, restated or varied from time to time.

  • Switched Access Detail Usage Data means a category 1101xx record as defined in the EMI iconectiv Practice BR 010-200-010.

  • 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

  • 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;