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;
Proper claim means a claim for which indemnification is provided pursuant to the terms of this Agreement.
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.

Examples of Proper claim in a sentence

  • 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 construction begins with the language of the claims themselves.

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

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

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

  • Converse Inc., 183 F.3d 1369, 1374 (Fed.Cir.1999) ("Proper claim construction ...

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

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

  • Proper claim interpretation derives from consideration of the relevant patent-related documents.


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.--

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, with respect to a product, any Third Party claim, suit, action, proceeding, liability or obligation involving any actual or alleged death or bodily injury arising out of or resulting from the use of such product.

  • Infringement Claim means a third party claim alleging that the Equipment manufactured by Motorola or the Motorola Software directly infringes a United States patent or copyright.

  • Cure Claim means a monetary Claim based upon the Debtors’ defaults under any Executory Contract or Unexpired Lease at the time such contract or lease is assumed by the Debtors pursuant to section 365 of the Bankruptcy Code.

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

  • Relevant Claim means a civil claim made in respect of any of the following—

  • 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.

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

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

  • 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.

  • Intellectual Property Claim any claim or assertion (whether in writing, by suit or otherwise) that a Borrower’s or Subsidiary’s ownership, use, marketing, sale or distribution of any Inventory, Equipment, Intellectual Property or other Property violates another Person’s Intellectual Property.

  • 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 12.3.

  • 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.