Run-Out Claims definition

Run-Out Claims means a Claim for medical expenses incurred by a Member during the term of the Contract, which is received by the Contractor after termination of the Contract and within sixteen (16) months from the date that the health care services relating to such Claim were rendered.
View Source
Run-Out Claims means the employee healthcare claims that were incurred, but not submitted, processed and paid under the ASO Agreement prior to the rejection date of the ASO Agreement, if any.
View Source
Run-Out Claims means those claims incurred for Covered Services performed prior to the termination of this Agreement, but not yet paid and/or not submitted for payment to BlueCross prior to the termination of this Agreement, where the date a claim is “incurred” is the date the particular service was rendered or the supply was furnished
View Source

Examples of Run-Out Claims in a sentence

  • Run-Out Claims – All claims presented and adjudicated after the end of a specified time period where the health care service was provided before the end of the specified time period.

  • Continue the administration of claims incurred prior to the effective ending date of this Contract for a period of twelve months after the termination date (Run-Out Claims) including but not limited to claims processing, claims reporting, bank reconciliation reports, claim appeals, etc.

  • Following (i) termination of this Agreement, except pursuant to Section 1.iii and 1.iv; (ii) termination of a Plan benefit option or (iii) termination of eligible Members, if any required fees have been paid in full, CHLIC shall process Run-Out Claims for the applicable Run-Out Period (Refer to Schedule of Financial Charges for applicable fees and Run-Out Period).

  • If Administrator is to process Run-Out Claims, the accumulator data will be provided one (1) time after the Claims Run-Out agreement expires.

  • The administration of the processing of Run-Out Claims by BlueCross following termination of this Agreement will be subject to Employer’s continued timely and sufficient funding of claims payments.

  • The administration of the processing of Run-Out Claims by Contract Administrator following termination of this Agreement will be subject to Plan Sponsor’s continued reimbursement of Contract Administrator for all Paid Claims in a timely manner and shall continue for the Run-Out Period.

  • In such event, the procedures and obligations described in the Agreement, to the extent applicable, shall survive the termination of the Agreement and remain in effect with respect to such Run-Out Claims.

  • Run-Out Claims Processing or Run-Out means ODS will continue to process claims and otherwise provide administrative services with regard to claims Incurred prior to the date of termination of this Agreement.

  • From and after the Closing, Buyer shall provide the administrative services set forth in Schedule 1.3 hereto ("Run- Out Services") with respect to claims incurred by Seller in the Business prior to Closing ("Run-Out Claims), using ▇▇▇▇▇▇▇ TXEN Corporation, the Seller's current claims processing vendor ("TXEN").

  • Run-Out Claims will be funded from the estimated terminal reserve funding specified in the medical rate pages, herein incorporated by reference.


More Definitions of Run-Out Claims

Run-Out Claims means a Claim for medical expenses incurred by a Member during the term of the Contract, which is received by the contractor after termination of the Contract and within sixteen (16) months from the date that the health care services relating to such Claim were rendered.
View Source
Run-Out Claims means claims that are incurred but not reported prior to the termination of the Agreement or termination of a Participant. The run-out period shall end ninety (90) days after the expiration or termination of this Agreement.
View Source
Run-Out Claims means Claims incurred but where no payment has been issued by Contract Administrator prior to the date of termination of this Agreement, whether or not claims for such services have been submitted before the date of termination, or Claim Payments for such services have been made by Contract Administrator, as of the date of termination. "Run-Out Claim(s)" includes adjustments after the date of termination with respect to Claims initially processed prior to the date of termination. For purposes of this Agreement, the date a claim is “incurred” is, for outpatient claims, the date the particular service was rendered or the supply, such as durable medical equipment and pharmacy drugs, was furnished, and, for inpatient hospital claims, the date of admission to the hospital. “Run-Out Period” means the period of time mutually agreed to by both parties during which the Contract Administrator will process Run-Out Claims.
View Source

Related to Run-Out Claims

  • Unresolved Claims has the meaning set forth in Section 7.6(c).

  • Tax Claims means any Claim against the Participating CCAA Parties (or any one of them) for any Taxes in respect of any taxation year or period ending on or prior to the applicable Filing Date, and in any case where a taxation year or period commences on or prior to the applicable Filing Date, for any Taxes in respect of or attributable to the portion of the taxation period commencing prior to the applicable Filing Date and up to and including the applicable Filing Date. For greater certainty, a Tax Claim shall include, without limitation, (a) any and all Claims of any Taxing Authority in respect of transfer pricing adjustments and any Canadian or non- resident Tax related thereto, and (b) any Claims against any BL/Wabush Released Party in respect of such Taxes;

  • Litigation Claims means the claims, rights of action, suits or proceedings, whether in law or in equity, whether known or unknown, that any Debtor or any Estate may hold against any Person or Entity, including, without limitation, the Causes of Action of the Debtors or their Estates, in each case solely to the extent of the Debtors’ or their Estates’ interest therein. A non-exclusive list of the Litigation Claims held by the Debtors as of the Effective Date will be Filed with the Plan Supplement, which will be deemed to include any derivative actions filed against any Debtor as of the Effective Date.

  • Deficiency Claim Amount has the meaning set forth in Section 5.5(a).

  • Professional Fee Claims means all Administrative Claims for the compensation of Professionals and the reimbursement of expenses incurred by such Professionals through and including the Effective Date to the extent such fees and expenses have not been paid pursuant to the Interim Compensation Order or any other order of the Bankruptcy Court. To the extent the Bankruptcy Court denies or reduces by a Final Order any amount of a Professional’s requested fees and expenses, then the amount by which such fees or expenses are reduced or denied shall reduce the applicable Professional Fee Claim.