Claims Paid definition

Claims Paid means the dollar amount of Wellmark’s payment for Incurred Claims.
Claims Paid means, of the applicable Recognized Charges, the amount payable and paid to Facility by the applicable Payor.
Claims Paid means all payments made by a health carrier

Examples of Claims Paid in a sentence

  • ACS cumulative Claims Paid were reset for the current reporting period.

  • Id. After deducting the payments to the Claims Paid in Full, 95% of the remaining balance of the Net Settlement Fund will be distributed pro rata to Authorized Claimants whose Distribution Amount calculates to $200.00 or more.

  • Claims Paid by Third Parties The Debtors or the Reorganized Debtors, as applicable, shall reduce a Claim, and such Claim (or portion thereof) shall be disallowed without an objection to such Claim having to be Filed and without any further notice to or action, order, or approval of the Bankruptcy Court, to the extent that the Holder of such Claim receives a payment on account of such Claim from a party that is not a Debtor or Reorganized Debtor (or other Distribution Agent), as applicable.

  • Lines 1.1and 1.2 – Claims Paid During the Year on Claims Incurred Prior to and During Current Year Represents net payments made during the year less the change in amounts still recoverable from reinsurance.

  • PROGRAM NOTES: 100 75 50 25 0 Recipient Claims Paid for Autism Services for the Last 12 Months The Medicaid Autism Waiver, provides services for individuals from birth through age seven.


More Definitions of Claims Paid

Claims Paid means the basis on which benefits may be made available to Members as stated in Rule 6.4;
Claims Paid means a dollar amount determined in accordance with statutory annual statement reporting . . . .”506 Residual reserve, in turn, is calculated as 3.3 percent of the combination of paragraphs (i), (iii), and (iv) of the total losses incurred definition.507
Claims Paid means the amounts paid for the covered employees of an employer by an insurer, health care center, hospital service corporation, medical service corporation or other entity as specified in subsection (b) of this section for medical services and supplies and for prescriptions filled, but does not include expenses for stop-loss coverage, reinsurance, enrollee educational programs or other cost containment programs or features, administrative costs or profit.
Claims Paid means, for Incurred Claims, the amount for which liability is discharged by Contractor’s payment on behalf of DAS without regard to the Incurred Date. This amount is calculated by deducting from the Covered Charges, any amounts attributable to Provider Savings, deductibles, coinsurance, and Contract Limitations. The amount of Claims Settled during the Rating Period is determined by the date of Contractor’s check or remittance.
Claims Paid means a payment made by the INSURER on behalf of the INSURED pursuant to a judgment, or by way of repair or settlement of a CLAIM.
Claims Paid. ™ means a “Claim” arising out of an “Occurrence,”
Claims Paid means a dollar amount determined in accordance with statutory annual statement reporting and consistent with N.J.A.C. 11:20-8.5(c), adjusted as required by this subchapter.