MetaGlossary.com: Claim Form

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Keywords: Enrollee, Dentist, Dispensing, Dental, Dwc

Related Terms: Aso, Msn, Benefits, Benefit Package, Eligibility, Enrollee, Indemnity Plan, Member, Fiscal Intermediary, Predetermination, Abn, Assignment Of Benefits, Clean Claim, Coordination Of Benefits, Cob, Covered Benefit, Explanation Of Benefits, Explanation Of Medicare Benefits, Eomb, Medicare Summary Notice, Covered Services, Eob, Major Medical, Claims Review, Evidence Of Coverage, Administrative Services Only, Indemnity Benefits, Third-Party Administrator, Msp, Indemnity Plans, Primary Payer, Secondary Payer, Medical Benefits, Medical Expense Insurance, Medicare Supplement Plan, Covered Expenses, Basic Benefits, Health Benefit Plan, Covered Charges, Out-Of-Network Benefits, Third Party Administrator, Covered Service, Schedule Of Benefits, Certificate Of Creditable Coverage, Hcfa-1500, Nonduplication Of Benefits, Hcfa 1500, Certificate Of Coverage, Covered Expense, Self-Funded Plan

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The "Employees' Claim for Workers' Compensation Benefits" form (DWC-FORM 1) is a State of California document used by employees to file for Workers' Compensation benefits. A claim form must be given to an injured worker whenever the employer has knowledge of a work-related injury or when requested by an employee. The claim form need not be given for first aid injuries.

http://www.ucsc.edu/matman/risk/Manual/Glossary.htm

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the form used to file for benefits under a dental benefit program; includes sections for the patient, and the dentist to complete.

http://www.dentalinsurance.com/di/web/home/Glossary/C.aspx

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A document that an insured person must complete as a part of the filing process. The form will usually ask specific questions relating to the medical treatment, previous history, etc.

http://hartshorn.colostate.edu/glossary.htm

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a form to use when filing a claim

http://wordnet.princeton.edu/perl/webwn?s=claim+form

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