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.
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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

  • Cooperation shall refer to those provisions set forth below in Paragraphs 41–42 of this Agreement and Paragraphs 1–9 in Appendix A.

  • Information has the meaning specified in Section 10.07.

  • 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.