Common use of Adverse Benefit Determination Due to Denial of an Enrollee’s Request to Dispute Financial Liability Clause in Contracts

Adverse Benefit Determination Due to Denial of an Enrollee’s Request to Dispute Financial Liability. The Contractor shall provide a written Notice of Adverse Benefit Determination to an Enrollee at the time of a decision to deny an Enrollee’s request to dispute financial liability, including as applicable cost sharing, copayments, premiums, deductibles, coinsurance and other Enrollee financial liabilities.