Insurance Segment definition

Insurance Segment means the business segment of the Company consisting of its core insurance Subsidiaries, including Arch Insurance Group Inc. and its Subsidiaries, and any other insurance Subsidiary of the Company that becomes an Employer in accordance with Section 8.1 hereof.
Insurance Segment means the insurance business segment of the Company and its Subsidiaries.

Examples of Insurance Segment in a sentence

  • They are the Transaction Header Segment and the Insurance Segment.

  • The segments include the Transaction Header Segment, Patient Segment, Insurance Segment, Claim Segment, Prescriber Segment, COB/Other Payments Segment, DUR/PPS Segment, Pricing Segment, and Prior Authorization Segment.

  • Details concerning these fields can be found on page 2.10.6. For submission of a Nursing Home Override the provider must resubmit the original transaction with an entry in the Eligibility Clarification Code (309-C9) field on the Insurance Segment.

  • For multiple claims, all segments repeat for each claim up to a maximum of four claims except for the Transaction Header Segment, Patient Segment and Insurance Segment.

  • Details concerning these fields can be found on page 2.10.8. For submission of an excess income/spenddown override, the provider must resubmit the original transaction with an entry in the Eligibility Clarification Code (309-C9) field on the Insurance Segment and the Patient Paid Amount (433-DX) field on the Pricing Segment.

  • The rest of the segments in the request (such as Patient Segment, Insurance Segment, Claim Segment, Response Status Segment, Response Claim Segment, Etc.) are variable segments with variable fields (where applicable) and variable field lengths.

  • Retail pharmacies that wish to trigger claim-based crossovers to Medigap when billing in the NCPDP format should enter the Medigap claim-based COBA ID in the 301-C1 (Group ID) portion of the Transmission Insurance Segment in the NCPDP format version D.0. The beneficiary’s Medigap policy number is reported in the 359-2A (Medigap ID) portion of the Insurance Segment of the NCPDP format version D.0. It should be noted that no development for missing or incomplete information will be done by the DME MAC.

  • The NCPDP D.0 has added a provider accept assignment indicator field as element 361-2D in the Transmission Insurance Segment.

  • The following lists the segments available in a Reversal Transaction (transaction code B2) for version D.0 Reversal Transaction Header Segment: Mandatory in all cases Reversal Insurance Segment: Optional Reversal Claim Segment: Mandatory Field #NCPDP Field NameValue M/O/R/S 111-AMSegment Identification07M455-EMPrescription/Service Reference Number Qualifier M402-D2Prescription/Service Reference Number M436-E1Product/Service ID Qualifier M407-D7Product/Service ID M456-ENAssociated Prescription/Service Ref.

  • Transaction Header Segment – Mandatory Insurance Segment – MandatoryPatient Segment – Required*For Emergency/Natural Disaster claims, enter the current ZIP code of displaced patient in conjunction with Prior Authorization Type Code (461-EU) and Prior Auth ID Submitted (462-EV) field.

Related to Insurance Segment

  • Insurance score means a number or rating that is derived from an algorithm, computer application, model, or other process that is based in whole or in part on credit information for the purposes of predicting the future insurance loss exposure of a consumer.

  • Insurance Schedule means Schedule 3 attached hereto.

  • Group long-term care insurance means a long-term care insurance policy which is delivered or issued for delivery in this State and issued to:

  • Long-term care insurance means group insurance that is authorized by the retirement system for retirants, retirement allowance beneficiaries, and health insurance dependents, as that term is defined in section 91, to cover the costs of services provided to retirants, retirement allowance beneficiaries, and health insurance dependents, from nursing homes, assisted living facilities, home health care providers, adult day care providers, and other similar service providers.

  • Blanket insurance policy means a group policy covering a defined class of

  • life insurance business means the business of providing or undertaking to provide policy benefits under life policies;

  • long-term insurance business means the business of providing or undertaking to provide policy benefits under long-term policies, but does not include -

  • insurance business means one or more aspects of the business of selling, issuing or underwriting insurance or reinsurance.

  • Primary Insurance Policy Each policy of primary mortgage guaranty insurance or any replacement policy therefor with respect to any Mortgage Loan.

  • Special Primary Insurance Policy Any Primary Insurance Policy covering a Mortgage Loan the premium of which is payable by the Trustee pursuant to Section 4.04(a), if so identified in the Mortgage Loan Schedule. There are no Special Primary Insurance Policies with respect to any of the Mortgage Loans.

  • Insurance carrier means every insurance carrier duly

  • group insurance means blanket insurance and franchise insurance and any other forms of group insurance.

  • Insurance Contract means a contract (other than an Annuity Contract) under which the issuer agrees to pay an amount upon the occurrence of a specified contingency involving mortality, morbidity, accident, liability, or property risk.

  • Insurance Coverage Contractor shall, at Contractor’s sole expense, procure, maintain and keep in force for the duration of this Contract the following insurance conforming to the minimum requirements specified below. Unless specified herein or otherwise agreed to by the City, the required insurance shall be in effect prior to the commencement of work by Contractor and shall continue in force as appropriate until the latter of:

  • variable insurance contract means a contract of life insurance under which the interest of the purchaser is valued for purposes of conversion or surrender by reference to the value of a proportionate interest in a specified portfolio of assets.

  • Life Insurance Policy has the meaning given in Section 6.11.

  • Insurance Regulator means, with respect to any jurisdiction, the Governmental Authority charged with the supervision of insurance companies in such jurisdiction.

  • Insurance Report means an insurance report in respect of the Insurances confirming that such Insurances are placed with such insurers, insurance companies and/or clubs in such amounts, against such risks and in such form as acceptable to the Agent (acting on the instructions from the Finance Parties) and comply with the requirements under Clause 26.3 (Insurance) and the GIEK Guarantee prepared by Bank Assure Insurance Services Inc., or such other reputable insurance advisor approved by the Agent, and dated on or about 11 June 2010 and addressed to, and capable of being relied upon by, the Finance Parties.

  • Standard Hazard Insurance Policy means a fire and casualty extended coverage insurance policy in such amount and with such coverage as required by this Agreement.

  • Insurance Affordability Program means a program that is one of the following:

  • Health-care-insurance receivable means an interest in or claim under a policy of insurance which is a right to payment of a monetary obligation for health-care goods or services provided.

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Coverage or “Covering”) shall mean that the developing, making, using, offering for sale, promoting, selling or importing of a given compound, formulation or product would infringe a Valid Claim of an issued patent in the absence of a license under such Valid Claim. The determination of whether a compound, formulation or product is Covered by a particular Valid Claim shall be made on a country-by-country basis.

  • Insurance Cover means the aggregate of the maximum sums insured under the insurance taken out by the Contractor pursuant to Article 20, and includes all insurances required to be taken out by the Contractor under Clauses 20.1 and 20.9 but not actually taken, and when used in the context of any act or event, it shall mean the aggregate of the maximum sums insured and payable or deemed to be insured and payable in relation to such act or event;

  • Franchise insurance means an individual insurance policy provided through a

  • Flood Insurance Study means the official report provided by the Federal Insurance Administration that includes flood profiles, the Flood Insurance Rate Map, the Flood Boundary and Floodway Map, and the water surface elevation of the base flood.