Claims Paid definition

Claims Paid means the dollar amount of Wellmark’s payment for Incurred Claims.

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Claims Paid means, of the applicable Recognized Charges, the amount payable and paid to Facility by the applicable Payor.

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

Examples of Claims Paid in a sentence

• The HEBP shall advise Comal County by e-mail or facsimile, at an e-mail address or facsimile number to be furnished by Comal County prior to the effective date of this Transfer Payment Agreement, of the amount of Net Claims Paid pursuant to this Agreement for which reimbursement has not been previously made by Comal County to the HEBP.

• If Incurred Claims prior to the date Wellmark is notified of the coverage termination have been paid and are not or cannot be recouped, Account shall be responsible for the monthly premium or the Claims Paid prior to the date Wellmark is notified of the coverage termination.

• Staff Fringe Benefits include Social Security Matching, Medicare Tax Expense – Employer, State Retirement, DROP Retirement DP Plan, Sick Payout-USPS, Vacation Payout-USPS, FICA Savings, State Health –Employer, and State Life – Employer, Worker's Compensation - Claims Paid, Unemployment Compensation - Claims Paid and Waivers for Fundable FTEs Exem, Parental Leave and Medical Leave.

• Louisiana - AUTHORIZED CLAIM AMOUNT (or) Claims Paid will not be deducted from any refund that is owed to YOU.

• Crescent's agreements with Payor or TPA shall generally state that, except in circumstances that are extraordinary or beyond the control of Facility, all ▇▇▇▇▇▇▇▇ by Facility will be considered final unless Facility requests adjustments in writing within ninety (90) days after the Facility receives the applicable Claims Paid with respect to such billing.

More Definitions of Claims Paid

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 all payments made by a health carrier

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 the basis on which benefits may be made available to Members as stated in Rule 6.4;

Claims Paid means claims that are calculated as prescribed in the carrier’s Statement of Revenue and Expenses, or its equivalent, which is a required component of the annual statement filing.

Claims Paid means the amount of Wellmark’s payment on behalf of the Account for Incurred Claims.

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.