Paid Claims without Supporting Documentation Clause Samples
The "Paid Claims without Supporting Documentation" clause establishes the conditions under which claims may be paid even if the usual supporting documents are not provided. Typically, this clause allows an insurer or responsible party to process and settle a claim based on available information or alternative forms of verification when standard documentation, such as receipts or invoices, cannot be produced by the claimant. This provision is particularly useful in situations where documents are lost, destroyed, or otherwise unobtainable, ensuring that legitimate claims are not unduly delayed or denied. Its core function is to facilitate timely claim resolution and prevent unnecessary hardship for claimants who are unable to provide full documentation due to circumstances beyond their control.
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Paid Claims without Supporting Documentation. Any Paid Claim for which Practitioner cannot produce documentation shall be considered an error and the total reimbursement received by Practitioner for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims with missing documentation is not permitted.
Paid Claims without Supporting Documentation. Any Paid Claim for which CHSI cannot produce documentation sufficient to support the Paid Claim shall be considered an error and the total reimbursement received by CHSI for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims with missing documentation is not permitted.
Paid Claims without Supporting Documentation. Any Paid Claim for which Prime cannot produce documentation shall be considered an error and the total reimbursement received by Prime for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims with missing documentation is not permitted.
Paid Claims without Supporting Documentation. Any Paid Claim for which ▇▇▇▇▇▇ cannot produce documentation shall be considered an error and the total reimbursement received by ▇▇▇▇▇▇ for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims without documentation is not permitted.
Paid Claims without Supporting Documentation. Any Paid Claim for which ▇▇. ▇▇▇▇▇▇ cannot produce documentation shall be considered an error and the total reimbursement received by ▇▇. ▇▇▇▇▇▇ for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims with missing documentation is not permitted.
Paid Claims without Supporting Documentation. Any Paid Claim for which Extendicare cannot produce documentation sufficient to support the Paid Claim shall be considered an error and the total reimbursement received by Extendicare for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims with missing documentation is not permitted.
Paid Claims without Supporting Documentation. Any Paid Claim for which Apria cannot produce documentation shall be considered an error and the total reimbursement received by Apria for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims with missing documentation is not permitted.
Paid Claims without Supporting Documentation. Any Paid Claim for which CareMed cannot produce documentation sufficient to support the Paid Claim shall be considered an error and the total reimbursement received by CareMed for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims with missing documentation is not permitted.
Paid Claims without Supporting Documentation. Any Paid Claim for which CCH cannot produce documentation sufficient to support the Paid Claim shall be considered an error and the total reimbursement received by CCH of New York for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims with missing documentation is not permitted.
Paid Claims without Supporting Documentation. Any Paid Claim for which ▇▇▇▇▇▇▇▇ cannot produce documentation sufficient to support the Paid Claim shall be considered an error and the total reimbursement received by ▇▇▇▇▇▇▇▇ for such Paid Claim shall be deemed an Overpayment. Replacement sampling for Paid Claims with missing documentation is not permitted.