Claims Processing definition

Claims Processing. The first sentence of Section VI, Claims Processing of the Contract shall be deleted and replaced as follows: "The Florida Blue shall provide claims processing services on behalf of the Group Health Plan." Revision To Section VI. entitled "Records and Reports": In order for GHP to be able to comply withits obligations under the HIPAA-AS Privacy and Security Rules and for Employer and Florida Blue to be able to comply with their obligations hereunder, the terms and conditions of Section VI, Records and Reports of the Contract, and any subsequent amendments made thereto by the parties, shall be made subject to this Contract.
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Claims Processing means the process followed to pay, settle or reject one or more Claims, whether through their full payment, partial payment, denial of payment, or a combination thereof.
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Examples of Claims Processing in a sentence

  • Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇.▇.

  • Department of State Health Services Claims Processing Unit, MC ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇.▇.

  • Department of State Health Services Claims Processing Unit, MC 1940 ▇.▇.

  • For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 ▇.▇.

  • For submission by mail, use address below: Department of State Health Services Claims Processing Unit ▇.▇.

  • If by mail, Grantee shall submit to: Department of State Health Services Claims Processing Unit ▇.▇.

  • Voucher and supporting documentation shall be mailed or submitted by fax or electronic mail to DSHS Claims Processing Unit at the address/number below, and also sent via email to ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇, DSHS Contract Management Section, at ▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, and to the Immunization Unit at ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇.

  • Key personnel include: Executive Director (as defined in Attachment A, Article 4), Medical Director (as defined in Attachment A, Article 4), Member Services Manager, Service Coordination Manager (STAR+PLUS only), Management Information Systems Manager, Claims Processing Manager, Provider Network Development Manager, Benefit Administration and Utilization Management Manager, Quality Improvement Manager, Behavioral Health Services Manager, Financial Functions Manager, and Reporting Manager.

  • Voucher and supporting documentation shall be mailed or submitted by fax or electronic mail to DSHS Claims Processing Unit at the address/number below, and to the Immunization Section at ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇.

  • The Provider must: ensure that any of its Personnel that are required to submit claims for payment, have successfully completed Claims Processing Training prior to submission of any claim for payment to the Department by them; and when requested by the Department, provide evidence that the relevant Personnel have successfully completed Claims Processing Training.

Related to Claims Processing

  • Claims processing services means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include:

  • Claims Process means the process for Settlement Class Members’ submission of Claims, as described in Section III.

  • Data Processing shall have the same meaning as set out in the DPA.

  • processing aid means any substance not consumed as a food ingredient by itself, intentionally used in the processing of raw materials, foods or their ingredients, to fulfil a certain technological purpose during treatment or processing and which may result in the unintentional but technically unavoidable presence of residues of the substance or its derivatives in the final product, provided that these residues do not present any health risk and do not have any technological effect on the finished product;

  • Claims Administration means the processing of claims made under the Shared Policies, including the reporting of claims to the insurance carriers, management and defense of claims and providing for appropriate releases upon settlement of claims.