Processing Policies Clause Samples

Processing Policies. The dental care guidelines for the DeltaCare USA plan explain to Contract Dentists what services are covered under this Contract. Contract Dentists will use their professional judgment to determine which services are appropriate for the Enrollee. Services performed by the Contract Dentist that fall under the scope of Benefits of this Contract are provided subject to any Copayments. If a Contract Dentist believes that an Enrollee should seek treatment from a specialist, the Contract Dentist contacts Delta Dental for a determination of whether the proposed treatment is a covered benefit. Delta Dental will also determine whether the proposed treatment requires treatment by a specialist. An Enrollee may contact Delta Dental’s Customer Service Center at ▇▇▇-▇▇▇-▇▇▇▇ for information regarding the dental care guidelines for DeltaCare USA.
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Processing Policies policies approved by Delta Dental, as may be amended from time to time, to be used in processing claims for payment or review, and processing treatment plans for Prior Authorization or Predetermination. Most frequently used Processing Policies are contained in the terms, conditions, exclusions, and limitations described in this Appendix.
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Processing Policies. Policies approved by DDPOK’s Board of Directors, as amended from time to time, to be used in processing treatment plans for predetermination of benefits and for claim adjudication payment. Said processing policies may be provided, upon request without charge, as a separate document, by DDPOK.
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Processing Policies. Policies approved by Delta’s Board of Directors, as amended from time to time, to be used in processing treatment plans for Predetermination of Benefits and for payment.
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Processing Policies. Delta Dental’s policies and guidelines used for Pre- Treatment Estimate and payment of Claims. The Processing Policies may be amended from time to time. A period outside of the Open Enrollment Period in which you or your Dependent can obtain coverage under This Plan due to a qualifying life event. The amount a Dentist bills to Delta Dental for a specific treatment or service. A Participating Dentist cannot charge you or your Dependents for the difference between this amount and the Maximum Approved Fee.
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Processing Policies. Delta Dental’s policies and guidelines used for Pre-Treatment Estimate and payment of claims. The Processing Policies may be amended from time to time.
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Processing Policies. Delta Dental’s policies and guidelines used for Pre- Treatment Estimate and payment of Claims. The Processing Policies may be amended from time to time. A period outside of the Open Enrollment Period in which you or your Dependent can obtain coverage under This Plan due to a qualifying life event. The amount a Dentist bills to Delta Dental for a specific treatment or service. A Participating Dentist cannot charge you or your Dependents for the difference between this amount and the Maximum Approved Fee. Summary of Dental Plan Benefits A description of the specific provisions of your group dental coverage. The Summary of Dental Plan Benefits is and should be read as a part of this Certificate, and supersedes any contrary provision of this Certificate. This Plan The dental coverage established for Members pursuant to this Certificate and your Summary of Dental Plan Benefits.
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Processing Policies policies approved by Northeast Delta Dental, as may be amended from time to time, to be used in processing claims for payment or review, and processing treatment plans for Predetermination. Processing Policies are approved by the Contract Holder by signing the Group Contract. Most frequently used Processing Policies are contained in the terms, conditions and limitations described in this DPD.
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Related to Processing Policies

  • SMOKING POLICY Smoking on the Premises is: (check one)

  • Accounting Policies There has been no change in accounting policies or practices of the Company since December 31, 2019, other than as disclosed in the Company Financial Statements.

  • NON-SMOKING POLICY CONTRACTOR shall establish a written non-smoking policy 11 shall specify that the facility is “smoke free” and that designated smoking areas are outside the visiting 12 areas at the facility.

  • Critical Accounting Policies The section entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in the Time of Sale Prospectus and the Prospectus accurately and fairly describes (i) the accounting policies that the Company believes are the most important in the portrayal of the Company’s financial condition and results of operations and that require management’s most difficult subjective or complex judgment; (ii) the material judgments and uncertainties affecting the application of critical accounting policies and estimates; (iii) the likelihood that materially different amounts would be reported under different conditions or using different assumptions and an explanation thereof; (iv) all material trends, demands, commitments and events known to the Company, and uncertainties, and the potential effects thereof, that the Company believes would materially affect its liquidity and are reasonably likely to occur; and (v) all off-balance sheet commitments and arrangements of the Company and its Controlled Entities, if any. The Company’s directors and management have reviewed and agreed with the selection, application and disclosure of the Company’s critical accounting policies as described in the Registration Statement, the Time of Sale Prospectus and the Prospectus and have consulted with its independent accountants with regards to such disclosure.

  • No Smoking Policy Due to the increased risk of fire, increased maintenance costs, and the health effects of secondhand smoke, the Lessor is adopting the following No-Smoking Policy, which prohibits smoking inside the unit rented by Lessee(s), property and any common interior areas, including but not limited to hallways, laundry rooms, stairways, and elevator, within all living units, and within 10 feet of building(s) including entry ways, porches, balconies and patios. This policy applies to all residents, guests, and visitors.