claim form


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claim form

(klām fōrm)
Document that gives necessary information about patient, treating provider, and coded treatment, including charges; filed for payment of benefits by carrier of dental insurance.
[L. forma, shape, contour]
References in periodicals archive ?
After the Department of Health and Human Services (HHS) Office of Inspector General (OIG) released a report recommending that CMS work to ensure that device identifier information is captured on Medicare claim forms, CMS made a series of conflicting statements about the proposed policy.
Product holders who either voted against this consumer redress scheme, or did not vote at all, will still receive a compensation claim form and are entitled to claim compensation.
Natural England have indicated that the claim forms will be sent out in March.
Performers: the claim form should be sent to the area team which manages the list entry of the performer at the time that the claim is made.
Chances are that even if your only contact with your doctor is for the occasional check-up, you too have run up against the medical-form frenzy-- perhaps filling out multiple claim forms for a single procedure, battling insurance company clerks over how much they owe you, attempting to prove that your claim is valid, or waiting months for a reimbursement if it comes at all.
But in the rest of the UK, performers--and locums in particular --have to search for a contractor who is willing to take on the administrative burden of signing the claim form and then receiving the grant and passing it on to the performer.
But the council insisted "service" of documents had not taken place correctly as the claim form submitted by Mr Joicey's legal team was a colour photocopy and not the original.
In order to begin a claim, an employee has to complete an official claim form and file it with the ET office nearest to the place where he worked (or continues to work).
I was in this same position myself some 12 months ago, where it was necessary for me to have a claim form filled in by my GP stating just what was wrong with me, and for how long I was expected to remain unfit for work.
Northern Rail admitted that, until recently, it was up to its passengers to ask for a compensation claim form if their train was delayed, but insisted that practice had now changed.
Provide the employee with a claim form as soon as possible.