Reasonably relevant information definition

Reasonably relevant information means the minimum amount of itemized, accurate and material information generated by or in the possession of the provider related to the billed services that enables a claims adjudicator with appropriate training, experience, and competence in timely and accurate claims processing to determine the nature, cost, if applicable, and extent of the plan’s or the plan’s capitated provider’s liability, if any, and to comply with any government information requirements.
Sample 1Sample 2Sample 3
Reasonably relevant information means the minimum amount of itemized,
Sample 1

Examples of Reasonably relevant information in a sentence

  • Reasonably relevant information means the minimum amount of itemized, accurate and material information generated by or in the possession of the provider related to the billed services that enables a claims adjudicator to determine the nature, cost, if applicable, and extent of the payer’s liability, if any, and to comply with any governmental information requirements.

  • Reasonably relevant information means the minimum amount of itemized, accurate, and material information generated by or in the possession of the provider related to the billed services that enables a claims adjudicator to determine the nature, cost, if applicable, and extent of Humboldt IPA’s liability, if any, and to comply with any governmental information requirements.

  • Reasonably relevant information means the minimum amount of itemized, accurate, and material information generated by or in the possession of the provider related to the billed services that enables a claimsadjudicator to determine the nature, cost, if applicable, and extent of Humboldt IPA/Foundation’s liability, if any, and to comply with any governmental information requirements.

  • Yes 9.5 The IRO Team always give consideration to ensuring that all parents are encouraged to attend review meetings when appropriate.

Related to Reasonably relevant information

  • Client Information means any data, information, software or other materials that you provide to Red Hat under the Agreement.

  • Criminal history record information means records and data collected by criminal justice agencies

  • Information has the meaning specified in Section 10.07.

  • Commercially Sensitive Information means the Information (i) listed in the Commercially Sensitive Information Schedule; or (ii) notified to the Authority in writing (prior to the commencement of this Contract) which has been clearly marked as Commercially Sensitive Information comprised of information:

  • Sensitive Personal Information or “SPI” means the information categories listed at Tex. Bus. & Com. Code § 521.002(2).

  • Management Information means the information specified in the Monitoring Schedule.

  • Contact Information means information to enable an individual at a place of business to be contacted and includes the name, position name or title, business telephone number, business address, business email or business fax number of the individual;

  • Safeguard Policy Statement or “SPS” means ADB's Safeguard Policy Statement (2009);

  • Account Information means any information relating to the Account including without limitation to the Account number, Account balance or value, gross receipts, withdrawals and payments to or from the Account.

  • Authority's Confidential Information means all Personal Data and any information, however it is conveyed, that relates to the business, affairs, developments, trade secrets, know-how, personnel, and suppliers of the Authority, including all IPRs, together with all information derived from any of the above, and any other information clearly designated as being confidential (whether or not it is marked "confidential") or which ought reasonably be considered to be confidential;