Process claims definition

Process claims means the determination of compensability and management of workers’ compensation claims by an Oregon certified claims examiner.
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Process claims means the receipt, review and payment of compensation for workers’ claims.
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Process claims means the receipt and review of, and payment of compensation on, workers' claims.
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Examples of Process claims in a sentence

  • Process claims incurred and timely submitted for reimbursement on or after the Effective Date, in the amount due under and in accordance with the terms of the HRA Plan.

  • CPC-0027 CPC Process claims with a manually assigned Diagnosis Related Group (DRG) for Medicare Part A long term acute care facilities, rehabilitation hospitals and critical access hospitals.

  • Process claims submitted by Long Beach Memorial Medical Center (Medical Center), and 36 affiliated physicians, for only those Eligible Persons brought by Orange County Paramedics to Medical 37 // 1 Center for trauma services or specialty services specifically negotiated by ADMINISTRATOR in 2 accordance with subparagraph IV.D.2. of Exhibit A to the Agreement.

  • Process claims and/or render legal, medical or technical support and advise ReliaStar Life relating to the processing, settlement and payment of claims.

  • C.3.3.6.2 Process claims and pay benefits provided to beneficiaries for whom the Dental Vendor is paid a premium up to the maximum benefit amounts allowed.

  • Process claims and determine the Plan benefits applicable to Covered Employees and their dependents (collectively, "Covered Persons"), including coordination of benefits, where applicable, in accordance with the terms of the Plan and as specified to Ameritas by Plan Sponsor, using Ameritas’ claim paying system as specified to Ameritas by Plan Sponsor.

  • Process claims submitted by Long Beach Memorial Medical Center (Medical Center), and 3 affiliated physicians, for only those Eligible Persons brought by Orange County Paramedics to Medical 4 Center for trauma services or specialty services specifically negotiated by ADMINISTRATOR in 5 accordance with subparagraph IV.D.2. of Exhibit A to the Agreement.

  • TIMELINESS OF CLAIMS PROCESSING A8.2.2.1 IV4.2.7.4 Process claims Process claims and encounter cycles every business day At the Commonwealth’s discretion, the Contractor may be assessed up to a maximum ten percent (10%) of the contracted monthly operational payment for services for each month of its failure to meet any of the above requirements.


More Definitions of Process claims

Process claims means the receipt, review and payment of compensation of claims of a worker.
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Process claims means the determination of compensability and management of
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Related to Process claims

  • DIP Claims means, collectively: (a) the TCEH DIP Claims; and (b) the EFIH First Lien DIP Claims.

  • Litigation Claims means the claims, rights of action, suits or proceedings, whether in law or in equity, whether known or unknown, that any Debtor or any Estate may hold against any Person or Entity, including, without limitation, the Causes of Action of the Debtors or their Estates, in each case solely to the extent of the Debtors’ or their Estates’ interest therein. A non-exclusive list of the Litigation Claims held by the Debtors as of the Effective Date will be Filed with the Plan Supplement, which will be deemed to include any derivative actions filed against any Debtor as of the Effective Date.

  • Tax Claims means any Claim against the Participating CCAA Parties (or any one of them) for any Taxes in respect of any taxation year or period ending on or prior to the applicable Filing Date, and in any case where a taxation year or period commences on or prior to the applicable Filing Date, for any Taxes in respect of or attributable to the portion of the taxation period commencing prior to the applicable Filing Date and up to and including the applicable Filing Date. For greater certainty, a Tax Claim shall include, without limitation, (a) any and all Claims of any Taxing Authority in respect of transfer pricing adjustments and any Canadian or non- resident Tax related thereto, and (b) any Claims against any BL/Wabush Released Party in respect of such Taxes;

  • Unsecured Claims means claims which are not secured by any property of the Debtor’s Estate and which are not part of any other class defined in this Plan.

  • Secured Claims means Claims held by “secured creditors” as defined in the CCAA, including Construction Lien Claims, to the extent of the Allocated Value of the Property securing such Claim, with the balance of the Claim being a Deficiency Claim, and amounts subject to section 6(6) of the CCAA;