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A provider dispute is a written notice from the non-participating provider to Health Net that: Challenges, appeals or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted or contested. Challenges a request for reimbursement for an overpayment of a claim.

Once you've shown supporting evidence, the bank or card issuer reviews the evidence provided by you and the customer, and makes a decision on the dispute. If the dispute is found to be valid, the bank may reverse the transaction and credit the customer's account. If invalid, the transaction remains in place.

A $350 administrative fee ?paid? in ance with Q4 of this document is considered ?paid,? regardless of whether the certified IDR entity has remitted those fees to the Departments before August 3, 2023, and the certified IDR entity should remit those fees to the Departments.

Under the patient-provider dispute resolution process, an uninsured (or self-pay) consumer, or their authorized representative, may initiate the dispute process. This process brings in an independent third-party called a dispute resolution entity to determine the appropriate amount the consumer must pay.

Retention is a percentage (often 5%) of the amount certified as due to the contractor on an interim certificate, that is deducted from the amount paid and retained by the client. The purpose of retention is to ensure that the contractor properly completes the activities required of them under the contract.

A certified check is a personal check that the payer's bank has certified to be legitimate and has earmarked the funds for the check. It's a type of ?official? payment. People often confuse certified checks with cashier's checks.

CERTIFIED Definition & Legal Meaning A qualification or attribute meaning to being officially attested or authoritatively confirmed as being genuine or true as represented, or complying or meeting specified requirements or standards.