Claims Processor definition

Claims Processor means the Person or Persons from time to time appointed to fulfill the functions of the “Claims Processor” under, and in accordance with the terms of, this Agreement (so long as such Person or Persons continues to serve in such capacity).
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Claims Processor means and refer to SOUTHERN SCRIPTS or a pharmacy Claims Processor with which SOUTHERN SCRIPTS may contract. The Claims Processor shall provide Claims processing, eligibility verification and other mutually agreed upon administrative and reporting services for Plans in connection with the administration of their respective pharmacy benefits.
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Claims Processor means a person who underwrites, processes, validates or adjudicates health
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Examples of Claims Processor in a sentence

  • The Eligible Claimant or his/her Counsel may not intentionally withhold records from the Claims Processor already in their possession or obtained as a result of ordering the records.

  • However, none of the Released Parties or the Claims Processor shall have any Liability for any failure to do so.

  • The Claims Processor shall be authorized to make final and binding determinations under this Agreement with the authority of an Arbitrator under the Federal Arbitration Act.

  • The Claims Processor and the Escrow Agent shall agree to a written procedure for the auditing of the reasonable and necessary administrative costs and expenses of the Settlement Program and for the receipt and review of such audit reports.

  • No payment or distribution of funds shall issue from a Released Party or the Claims Processor to any Third Party for resolution of Liens.


More Definitions of Claims Processor

Claims Processor means United or a third party pharmacy claims processor with which United may contract.
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Claims Processor means Capital Rx or a third-party pharmacy claims processor with which Capital Rx may contract.
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Claims Processor means and refer to Administrator or a third party claims processor with which Administrator may contract, which, in either case, will provide claims adjudication, processing and/or payment of Prescription Claims, eligibility verification of Members (from eligibility data supplied by United or its designee) and/or other administrative and reporting services for United in connection with the administration of the Benefit Plans.
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Claims Processor means: Epiq Class Action and Claims Solutions, which shall establish a trust that shall be treated at all times as a “qualified settlement fund” within the meaning of Treas. Reg. § 1.468B-1, et seq. (the “Qualified Settlement Fund” as defined below). References herein to actions and responsibilities of the Claims Processor shall be to those actions and responsibilities it shall take in its position as administrator of the Qualified Settlement Fund.
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Claims Processor means a person who underwrites, processes, validates or adjudicates health benefit claims.
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Claims Processor means and refer to MAKORX or a pharmacy Claims Processor with which MAKORX may contract. The Claims Processor shall provide Claims processing, eligibility verification and other mutually agreed upon administrative and reporting services for Plans in connection with the administration of their respective pharmacy benefits.
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Claims Processor means: NECA-IBEW Family Medical Care Plan office staff.
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