Proper claim definition

Proper claim means a claim for reimbursement of incurred expenses supported by all requisite documentation and complete in all respects for processing for payment;
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Proper claim means a notarized claim for reimbursement of incurred expenses for travel supported by all requisite documentation and complete in all respects for processing for payment, in accordance with the State Travel Reimbursement Act, and covers periods of travel beginning November 1, 1986, or later.
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Proper claim means a claim for which indemnification is provided pursuant to the terms of this Agreement.
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Examples of Proper claim in a sentence

  • Proper claim settlement is the end result of a life insurance contract.

  • Proper claim construction requires an examination of the intrinsic evidence of record, including the claims of the patent language, the specification, and the prosecution history.

  • Proper claim settlement is the end result of an insurance contract.

  • Proper claim construction requires an examination of the intrinsic evidence of the record, including the claims, the specification, and, if in evidence, the prosecution history.

  • Proper claim construction requires an examination of the intrinsic evidence of record, including the claim language, the specification, and the prosecution history.

  • Proper claim means a claim that is filed timely and meets all other claim filing requirements specified by the plan, program, or insurer.

  • Proper claim interpretation is achieved by reading the claims in the context of the specification and in the context of the “prosecution history” (the back and forth negotiations of the claim language between the patent applicant and the patent office).

  • The court has already construed the word "adjacent" to mean "close to, lying near, next to, or adjoining." Proper claim construction requires that, where possible, the same word be given the same meaning throughout the claims.

  • Converse Inc., 183 F.3d 1369, 1374 (Fed.Cir.1999) ("[P]roper claim construction, however, demands interpretation of the entire claim in context, not a single element in isolation").

  • Proper claim construction requires an examination of the intrinsic evidence of the record, including the claims of the patent language, the specification, and the prosecution history.


More Definitions of Proper claim

Proper claim means a claim that is filed timely and meets all other claims filing requirements specified by the TPP. (See §3328.1.) while incurred expenses are equal to 100 percent of the Medicare fee schedule amount. Therefore, in order to properly determine the incurred expenses which are to be applied to the $750 annual limit on incurred expenses, Medicare payment amounts, including secondary payment amounts, must be multiplied by a factor of 1.25 (1.00 (100 percent of fee schedule amount) divided by .8 (80 percent payable by Medicare after deduction for coinsurance) = 1.25).EXAMPLE: An individual received services from an independently practicing physical therapist for which the therapist charged $500. None of the individual's $100 Part B deductible had been met. A TPP allowed the charges in full and paid $400 (80 percent of $500). The Medicare fee schedule amount for the services was also $500. The first $100 in charges paid by the TPP is applied to the Part B deductible. The secondary Medicare benefit calculated in accordance with §3328.20 is $100. The$750 fee schedule limit on incurred expenses for services by independently practicing physical therapists is charged with the $100 credited to the Part B deductible plus$125 (1.25 x the $100 Medicare payment). Thus, $525 of the $750 limit is still unmet. 3329. MSP - GENERAL PROVISIONS APPLICABLE TO INDIVIDUALS COVERED BY GROUP HEALTH PLANS (GHP) AND LARGE GROUP HEALTH PLANS (LGHP)3329.1 General.--
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Related to Proper claim

  • AWR Claim means any complaint or claim to a tribunal or court made by or on behalf of the Agency Worker against the Hirer and/or the Employment Business for any breach of the AWR;

  • IPR Claim means any claim of infringement or alleged infringement (including the defence of such infringement or alleged infringement) of any IPR, used to provide the Services or as otherwise provided and/or licensed by the Supplier (or to which the Supplier has provided access) to the Authority in the fulfilment of its obligations under this Framework Agreement;

  • Indemnity Claim has the meaning set forth in Section 8.3.

  • Product Liability Claim means a Claim of a Third Party (other than a Claim arising out of use of the Product in a clinical trial) that (i) arises as a result of the use of the Product during the Term that results in personal injury or death or (ii) is in anticipation of or intended to prevent or forestall personal injury or death as a result of the use of the Product during the Term.

  • Infringement Claim has the meaning set forth in Section 8.2(a).

  • Cure Claim means a Claim (unless waived or modified by the applicable counterparty) based upon a Debtor’s defaults under an Executory Contract or an Unexpired Lease assumed by such Debtor under section 365 of the Bankruptcy Code, other than a default that is not required to be cured pursuant to section 365(b)(2) of the Bankruptcy Code.

  • Tax Claim has the meaning set forth in Section 6.05.

  • Liability Claim has the meaning set forth in Section 7.2(a).

  • Relevant Claim means a Warranty Claim or any claim by any Investor for indemnification or pursuant to any other provision of this Agreement.

  • Contingent Claim means any Claim, the liability for which attaches or is dependent upon the occurrence or happening of, or is triggered by, an event, which event has not yet occurred, happened or been triggered as of the date on which such Claim is sought to be estimated or an objection to such Claim is filed, whether or not such event is within the actual or presumed contemplation of the holder of such Claim and whether or not a relationship between the holder of such Claim and FairPoint now or hereafter exists or previously existed.

  • Third Person Claim has the meaning specified in Section 11.4(a).

  • Expected Claim Notice means a notice that, as a result of a legal proceeding instituted by or written claim made by a third party, an Indemnified Party reasonably expects to incur Damages for which it is entitled to indemnification under Article VI.

  • Third party claimant means any individual, corporation, association, partnership, or other legal entity asserting a claim against any individual, corporation, association, partnership, or other legal entity insured under an insurance policy or insurance contract.

  • Third Party Infringement Claim has the meaning set forth in Section 23.5.1.

  • Direct Claim has the meaning set forth in Section 8.05(c).

  • Third Party Claim has the meaning set forth in Section 8.3.

  • Third Party Claim Notice shall have the meaning set forth in Section 6.5(a).

  • Urgent Care Claim means a claim for medical care or treatment where making a non-urgent care decision: (a) could seriously jeopardize the life or health of the claimant or the ability of the claimant to regain maximum function, as determined by an individual acting on behalf of the plan applying the judgment of a prudent layperson who possesses an average knowledge of health and medicine; or (b) in the opinion of a physician with knowledge of the claimant’s medical condition, would subject the claimant to severe pain that cannot be adequately managed without the care.

  • Contested Claim means any Tax, Indebtedness or other claim or liability (i) the validity or amount of which is being diligently contested in good faith, (ii) for which adequate reserve, or other appropriate provision, if any, as required in conformity with GAAP shall have been made, and (iii) with respect to which any right to execute upon or sell any assets of the Company or of any of its Subsidiaries has not matured or has been and continues to be effectively enjoined, superseded or stayed.

  • Intellectual Property Claim means the assertion by any Person of a claim (whether asserted in writing, by action, suit or proceeding or otherwise) that any Borrower’s ownership, use, marketing, sale or distribution of any Inventory, Equipment, Intellectual Property or other property or asset is violative of any ownership of or right to use any Intellectual Property of such Person.

  • Rejection Claim means a Claim arising from the rejection of an Executory Contract or Unexpired Lease pursuant to section 365 of the Bankruptcy Code.

  • Claim Notice has the meaning set forth in Section 8.4(a).

  • Claimed Amount means the amount of any Damages incurred or reasonably expected to be incurred by the Indemnified Party.

  • Indemnification Claim has the meaning set forth in Section 8.4(a).

  • Third Party IP Claim has the meaning given to it in clause E8.7 (Intellectual Property Rights).

  • Disputed Claim means any Claim that is not Allowed.