Post-Service Claim definition

Post-Service Claim means a claim for payment for medical care that already has been provided.
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Post-Service Claim means any Claim for Benefits under a Health Benefit Plan regarding payment of benefits that is not considered a Pre-Service Claim or an Urgent Care Claim.
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Post-Service Claim means any claim for a benefit that is not a Pre-Service Claim. Rescission means, as used in this attachment, a cancellation or discontinuance of coverage that has retroactive effect, except to the extent it is attributable to a failure to pay required premiums or contributions towards the cost of coverage.
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Examples of Post-Service Claim in a sentence

  • In the case of a Post-Service Claim, CareFirst BlueChoice shall notify the Member of the CareFirst BlueChoice’s Adverse Benefit Determination within a reasonable period of time, but not later than 30 days after receipt of the claim.

  • The form will give You instructions for filing the Post-Service Claim.

  • In the case of a Post-Service Claim, CareFirst shall notify the Member of the CareFirst’s Adverse Benefit Determination within a reasonable period of time, but not later than 30 days after receipt of the claim.

  • An appeal of an Adverse Benefit Determination with respect to a Post-Service Claim may be submitted to AvMed’s Member Engagement Center, at the address listed in Appeal of a Pre-Service Claim, above.

  • We will notify You within thirty (30) calendar days after receipt if additional information is necessary to process the Post-Service Claim.


More Definitions of Post-Service Claim

Post-Service Claim means any claim for a benefit that is not a Pre-Service Claim.
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Post-Service Claim means any Claim for a Plan benefit that is not a Claim involving Urgent Care or a Pre-Service Claim, or in other words, a Claim that is a request for payment under the Plan for covered medical services already received by the Claimant.
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Post-Service Claim means a request for a claims decision for services that have been provided.
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Post-Service Claim means any Claim for Benefits under a Group Health Plan regarding payment of benefits that is not considered a Pre-Service Claim.
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Post-Service Claim means any claim for a benefit that is not a pre-service claim or urgent care claim.
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Post-Service Claim means any claim for a benefit under the Plan that is not an Urgent Care Claim or a Pre- service Claim as defined.
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Post-Service Claim means any claim relating to medical benefits that have already been received.
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