Retrospective claim definition

Retrospective claim or "post-service claim" means any claim for a health plan
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Retrospective claim or "post-service claim" means any claim for a health plan benefit that is not a pre-service or concurrent claim.
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Retrospective claim or "post­service claim" means any claim for a health plan benefit that is not a pre­service or concurrent claim.
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Examples of Retrospective claim in a sentence

  • We may provide the determination by telephone or electronic transmission, but will provide a written determination within three working days of the initial telephonic or electronic notification.⚫ Retrospective (claim) Appeal: 30 calendar days after receipt of appeal.

  • We may provide the determination by telephone or electronic transmission, but will provide a written determination within three working days of the initial telephonic or electronic notification.• Retrospective (claim) Appeal: 30 calendar days after receipt of appeal.

  • A pre-service claim is a claim or request for a service that you or your provider must precertify with EmblemHealth under the terms of your program.• Retrospective claim appeals.

Related to Retrospective claim

  • Administrative Claim means a Claim for costs and expenses of administration of the Estates under sections 503(b), 507(a)(2), 507(b), or 1114(e)(2) of the Bankruptcy Code, including: (a) the actual and necessary costs and expenses incurred on or after the Petition Date of preserving the Estates and operating the businesses of the Debtors; (b) Allowed Professional Fee Claims in the Chapter 11 Cases; and (c) all fees and charges assessed against the Estates under chapter 123 of title 28 of the United States Code, 28 U.S.C. §§ 1911-1930.