Sentences with phrase «practice claim payment»

Not exact matches

The settlement comes after Apple sued Qualcomm in January for $ 1 billion, claiming that the component manufacturer withheld contractually obligated payments in retaliation for Apple's cooperation with a Korean investigation into Qualcomm's business practices.

They maintain compliance to ensure submission of clean claims and steady inflow of payments to your healthcare practice.

Visits by home visit LCs or small group practices of IBCLCs, such as those provided here at Lactation Care, would like be «covered» but would require payment at the time of service and a reimbursement claim to be submitted by the family.

We are not talking here about a bit of sharp practice in Labour leaflets that claimed that the Conservatives wanted to take away free bus passes or winter fuel payments, and which were disowned by Gordon Brown.

Part of the research that any person should do about an insurance company is their claims payment practices.

Practice head Chris Potts is defending Transworld Payment Solutions UK and its liquidator in proceedings that have been filed in Curaçao by its former parent company First Curaçao International Bank (FCIB), which seeks to obtain a declaration that Transworld can not bring a claim in the UK against FCIB relating to the Bank's involvement in VAT carousel fraud as the matter has allegedly already settled.

In rejecting the practice group's claim, the New Jersey Supreme Court confirmed that the rule applies only to third - party policies, and held that the policy in question was not a third - party policy because the practice group, which owned the policy, was named as the beneficiary, and no payment obligation ran to the physician.

Upon applying under Exemption (a)(not practicing in Ontario) or Exemption (h)(estate trustee, etc.), LAWPRO provides $ 250,000 standard run - off coverage to cover the defence costs, indemnity payments and costs of repairs for claims that arise after retirement out of services provided while in practice or out of certain pro bono legal services that you are permitted to perform while on exemption.

Instead of the concept of «transactional decisions» used by the 2008 regs the Commissions propose that consumers must have entered a contract or made a payment following the misleading or aggressive practice in order to make a claim.

The firm's clients include multinational insurance companies and UK and foreign banks, and the practice's scope of work includes derivatives mis - selling claims; professional negligence; consumer credit and payment protection insurance claims; fraud; and contentious insolvency.

Our lawyers have a broad range of experience with project finance and lending, from drafting and negotiating contracts to resolving disputes over defect claims, payment and performance bonds, warranties and alleged deceptive trade practices.

Feb. 23, 1999), Judges Kottmyer and Gants, respectively, denied summary judgment where the corporate defendants had the right to control the physician's general activities, For instance, if the corporation determines the physician's method of payment, hours worked, place of practice, supervisory hierarchy, and practice guidelines or protocols, it can not claim that the physician was an independent contractor.

In 2012, MetLife, the largest life insurance company in the United States, agreed to pay $ 500 million to settle a multi-state investigation into unpaid claims payment practices.

How do I handle requests for such references?Thank you so much for your help!CherylCHERYL M. EARLE3407 Old Dobbin Road, Montgomery, Alabama 36116 - 1903Home Phone: [phone] Cell Phone: [phone] Fax: [phone] E-mail: [email protected] position managing legal discovery and document review with opportunity to assist attorneys with civil litigationBAR ADMISSIONAlabama State Bar, 1999LAW - RELATED EXPERIENCELaw Firm, AlabamaResearch Attorney for Special Projects, Mass Torts Department, November 2001 — February 2008 • Managed Multi-District Litigation (MDL) Document Depository (September 2002 to February 2008) o Reviewed more than 1 million pages of evidentiary documents for litigation purposes and for inclusion in electronic databaseso Coordinated document review assignments with attorneys at local depository and at other sites across the USo Retrieved, reviewed and coded documents in Concordance and Summation legal databaseso Prepared memoranda and spreadsheets providing detailed analysis of discovery materials • Aided attorneys and support staff with processing and preparation of personal injury claims and litigationo Conducted legal research and drafted pleadingso Conducted supplementary online research for additional documents and information pertinent to litigationo Assisted with preparation of correspondence to clients and referring attorneyso Contacted clients for additional information needed in case preparation, litigation, and potential settlementso Prepared and input case intakes and referrals into databaseLaw School, AlabamaStudent Intern, Alabama Disabilities Advocacy Program (ADAP), August 1996 — June 1997 • Participated in law school clinical program under third - year law student practice rule (as authorized by Alabama Supreme Court) o Assisted attorneys and advocates in cases involving mentally ill patients confined to state mental health facilitieso Interviewed clients in person (at state facilities) and over the phoneo Worked with clients, attorneys, and social workers to investigate and resolve issues concerning involuntary confinement and treatmento Aided in legal research on an appellate brief submitted to the U. S. Court of Appeals for the Eleventh Circuit (ruling granted in favor of our client) Faculty Research Assistant for Library Services, Bounds Law Library, March 1996 — June 1997 • Prepared research and teaching materials for law school faculty; worked 20 hours per week while matriculating 10 - 15 hours per semester) o Investigated copyright issues related to procuring and reproducing texts for academic useo Conducted legal research using WESTLAW, LEXIS and the InternetADDITIONAL RELEVANT EXPERIENCEManufacturing Company (MC), Montgomery, AlabamaAdministrative Assistant and Cost Analyst, Materials Purchasing Department, April 1999 — September 2001 • Assisted materials buyers in negotiating and preparing commodities contracts between raw materials suppliers and MC for manufacturing plants in the US and Mexicoo Assisted Legal Department at MC's corporate headquarters with coordination and preparation of documents for litigationo Notified and educated suppliers about MC's freight - on - board policy and its corresponding Uniform Commercial Code (UCC) provisions; result was the reduction of freight claims for both the company and its supplierso Prepared contracts and purchase orders for raw materials and capital projects involving plant maintenanceo Solicited price quotations from current vendors and established Excel spreadsheet format which simplified quote submission process and allowed MC to track and compare usage volumes and costs over timeo Prepared and analyzed cost reports used by materials buyers and production planners in purchasing decisions, including cost reductions, materials consolidation, and selection of vendorso Acted as liaison between vendors and the Purchasing, Transportation and Accounting Departments on issues concerning inbound freight, commercial carriers, and payment terms for commodities, resulting in reductions in freight costs and greater payment discounts for raw materialso Established online databases and printed directories for the Purchasing Department, allowing buyers to have easier and faster access to current vendor informationo Completed Year 2000 (Y2K) compliance project, which involved data collection and communication with MC's past, present, and potential materials suppliers and service providersNot - For - Profit Organization, AlabamaAdministrative Assistant, Combined Federal Campaign, September 1998 — January 1999 • Aided Campaign Director with 1998 Federal Campaigns (CFCs) in City 1 and City 2, which together generated nearly $ 700,000 for more than 1,000 local, national and international charitieso Prepared weekly reports on donations using WordPerfect, Microsoft Word, Excel and dBase IVo Wrote script for Talent Showcase at City 1's 1998 CFC Kickoffo Assisted Director with merger of the City 1 and City 2 CFCs in 1999Regional Bank, AlabamaAdministrative Assistant, Year 2000 (Y2K) Department, March — June 1998 • Worked with Vice President of Corporate Projects on short - term project for the bank's Y2K Departmento Analyzed and processed data on Y2K readiness for all branches of Bank throughout the southeastern USo Organized meetings for personnel of Banko Communicated with vendors of computer hardware, software, and office equipment to request information on Y2K complianceo Prepared compliance files for Federal Reserve auditso Prepared in - house memoranda and reports using Microsoft Word and ExcelRecord / Music Promotion Company, AlabamaRecord Pool Co-Founder; Office Manager, September 1990 — December 1991 • Co-founded record pool to enhance promotion of music in Alabama and the southeastern USo Procured and distributed records from major and independent labels for club, radio and mobile disc jockeyso Coordinated jointly sponsored promotional events with record companies, radio stations and clubso Designed, wrote, and published bi-weekly reports and brochures to inform the music industry of the progress and popularity of music and performers in the region, with specific focus on the Alabama music sceneMajor University, AlabamaGraduate Research Assistant, AUM Department of Marketing, June 1989 — August 1990 • Worked 13 - 20 hours per week as a research assistant to Marketing faculty while carrying a full course load in the MBA programo Analyzed consumer surveys used in academic researcho Assisted Conference Chairperson with coordination for Atlantic Marketing Association (AMA) annual meeting (October 1989) o Co-authored five - year index and classification of AMA Proceedings (published Fall 1991) EDUCATIONLaw School, AlabamaJuris Doctor (JD), 1997 • Scholarshipso Seybourn H. Lynne Scholarship, 1996 - 97o Dexter C. Hobbs Memorial Scholarship, 1995 - 96o E. W. Godbey Memorial Scholarship, 1994 - 95 • Honorso Who's Who Among American Law School Students, 1996 - 94o Arthur Davis Shores Award, 1997 • Activitieso Frederick Douglass Moot Court Team Manager, 1996 - 97 Southern Regional Competition, Second Place National Competition, Eighth Placeo John A. Campbell Moot Court Competition, Spring 1996o Black Law Students Association Delegate, BLSA National Convention, 1997 Co-Chairperson, Public Relations Committee, 1996 - 97 Chairperson, Public Relations Committee, 1995 - 96 BLSA President's Award, 1996 and 1997o American Bar Association, 1996 - 97 Entertainment and Sports Industries Forum Intellectual Property Section Law Student Divisiono LAWS Student Group Leader, 1995 - 96Major University, AlabamaMaster of Business Administration (MBA), 1990Bachelor of Science in Business Administration (B.S.B.A.), 1988 (Major: Marketing — Advertising and Promotion Track) • Honorso Dean's List • Activitieso National Student Advertising Competition Team, 1988 - 90 Seventh District Competition: Third Place, 1990o Marketing Club, 1987 - 90 Vice President — Career Development, 1988 - 89o Public Relations / Advertising (PR / AD) Club, 1988 - 90 Charter Member, 1988 Active in fund - raising and membership driveso Theater Guild, 1988 - 90 Screening Committee, 1989REFERENCESAvailable upon request

Busy practice is seeking a full time medical billing specialist with 3 - 5 years experience in Orthopedics and Pain Management working their claims for payment / resolution.

A: Medical Billing involves entering clinic and patient data into a practice management software for the purpose of submitting medical claims to insurances, post payments from insurance carriers and patients and run management reports.

Professional Experience Blue Cross of California (Pomona, CA) 2005 — Present Claims Examiner / Customer Service Representative • Research, analyze, code, and process claims for payment in a timely, accurate, and organized manner • Adjust, void, and reopen claims as needed to ensure proper adjudication • Resolve inquiries, issues, and adjustments regarding benefits, policies and contracts • Oversee and support special customer service and claims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory manaClaims Examiner / Customer Service Representative • Research, analyze, code, and process claims for payment in a timely, accurate, and organized manner • Adjust, void, and reopen claims as needed to ensure proper adjudication • Resolve inquiries, issues, and adjustments regarding benefits, policies and contracts • Oversee and support special customer service and claims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory manaclaims for payment in a timely, accurate, and organized manner • Adjust, void, and reopen claims as needed to ensure proper adjudication • Resolve inquiries, issues, and adjustments regarding benefits, policies and contracts • Oversee and support special customer service and claims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory manaclaims as needed to ensure proper adjudication • Resolve inquiries, issues, and adjustments regarding benefits, policies and contracts • Oversee and support special customer service and claims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory manaclaims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory management

Carolina Health Specialist (Myrtle Beach, SC) 09/1998 — 03/2000 Insurance Coordinator / Supervisor • Manage the billing of commercial, Medicare, and Medicaid claims to insurance carriers • Perform research, follow up, and appeals on unprocessed claims for payment adjudication • Serve as team trainer instructing junior associates in corporate policies and industry best practices • Create audit reports, manage time cards, and monitor weekly logs for team productivity • Oversee talent recruitment ensuring a highly qualified and effective team

79 DOS 99 Matter of DOS v. Pagano - disclosure of agency relationships; failure to appear at hearing; proper business practices; unauthorized practice of law; unearned commissions; vicarious liability; fraudulent practice; jurisdiction; ex parte hearing may proceed upon proof of proper service; DOS has jurisdiction after expiration of respondents» licenses as acts of misconduct occurred and the proceedings were commenced while the respondents were licensed; licensee fails to timely provide seller client with agency disclosure form prior to entering into listing agreement and fails to timely provide agency disclosure form to buyer upon first substantive contact; broker fails to make it clear for which party he is acting; broker violates 19 NYCRR 175.24 by using exclusive right to sell listing agreement without mandatory definitions of «exclusive right to sell» and «exclusive agency»; broker breaches fiduciary duties to seller clients by misleading them as to buyer's ability to financially consummate the transaction; broker breaches his fiduciary duty to seller by referring seller to the attorney who represented the buyers when he knew or should have known such attorney could not properly protect seller's interests; improper for broker to use listing agreements providing for broker to retain one half of any deposit if forfeited by buyer as such forfeiture clause could, by its terms, allow broker to retain part of the deposit when broker did not earn a commission; broker must conduct business under name as it appears on license; broker engaged in the unauthorized practice of law in preparing contracts for purchase and sale of real estate which did not contain a clause making it subject to the approval of the parties» attorneys and were not a form recommended by a joint bar / real estate board committee; broker demonstrated untrustworthiness and incompetency in using sales contract which purported to change the terms of the listing agreement to include a higher commission; broker demonstrated untrustworthiness and incompetency in using contracts of sale which were unclear, ambiguous, vague and incomplete; broker failed to amend purchase agreement to reflect amendment to increase deposit amount; broker demonstrated untrustworthiness in back - dating purchase agreements; broker demonstrated untrustworthiness in participating in scheme to have seller hold undisclosed second mortgage and to mislead first mortgagee about the purchaser's financial ability to purchase; broker demonstrated untrustworthiness by claiming unearned commission and filing affidavit of entitlement for unearned commission; DOS fails to establish by substantial evidence that respondent acted as undisclosed dual agent; corporate broker bound by the knowledge acquired by and is responsible for acts committed by its licensees within the actual or apparent scope of their authority; corporate and individual brokers» licenses revoked, no action taken on application for renewal until proof of payment of sum of $ 2,000.00 plus interests for deposits unlawfully retained