ineligible claim
[/ɪnˈɛlɪdʒəbəl kleɪm/]
nounpl: ineligible claims
reclamação inelegível
1. A claim that does not meet the required criteria, conditions, or qualifications for approval, coverage, or acceptance
The insurance company rejected the claim as ineligible because it fell outside the policy coverage period.
A companhia de seguros rejeitou a reclamação como inelegível porque estava fora do período de cobertura da apólice.
2. In legal or administrative contexts, a request for compensation or benefit that fails to satisfy eligibility requirements established by law, regulation, or policy
The applicant's ineligible claim was denied due to lack of proper documentation.
A reclamação inelegível do solicitante foi negada devido à falta de documentação adequada.
In Brazil, this term is predominantly used in insurance claims processing and legal dispute resolution. In the USA, it is common in health insurance, workers' compensation, and social security benefit determinations. The concept reflects strict regulatory compliance in both countries' administrative systems.
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