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Common use of Allowable Charges Disputes Clause in Contracts

Allowable Charges Disputes. In the event that your Veterinary Provider charges an amount for Treatments in excess of those typically charged in your geographic area for identical Treatments or Professional Services or Treatments that are not Medically Necessary, we reserve the right to dispute the amount of the Allowable Charges to be reimbursed. Should we fail to resolve such disputes to your satisfaction, such disputes shall be resolved by means of the procedures listed in PART VIII – Claims, Appeals and Complaints, of the policy.

Appears in 2 contracts

Samples: Insurance Policy, Pet Health Insurance Policy

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Allowable Charges Disputes. In the event that your Your Veterinary Provider charges an amount for Treatments in excess of those typically charged in your Your geographic area for identical Treatments or Professional Services or Treatments that are not Medically Necessary, we We reserve the right to dispute the amount of the Allowable Charges to be reimbursed. Should we fail to resolve such disputes to your satisfaction, such disputes shall be resolved by means of the procedures listed in PART VIII – Claims, Appeals and Complaints, of the policy.

Appears in 1 contract

Samples: Pet Health Insurance Policy

Allowable Charges Disputes. In the event that your Veterinary Provider charges an amount for Treatments in excess of those typically charged in your geographic area for identical Treatments or Professional Services or Treatments that are not Medically Necessary, we reserve the right to dispute the amount of SAMPLE the Allowable Charges to be reimbursed. Should we fail to resolve such disputes to your satisfaction, such disputes shall be resolved by means of the procedures listed in PART VIII – Claims, Part VIII: Appeals and Complaints, Complaints of the policy.

Appears in 1 contract

Samples: Insurance Policy

Allowable Charges Disputes. In the event that your Veterinary Provider charges an amount for Treatments in excess of those typically charged in your geographic area for identical Treatments or Treatments, Professional Services or Treatments that are not Medically Necessary, we reserve the right to dispute the amount of the Allowable Charges to be reimbursed. Should we fail to resolve such disputes to your satisfaction, such disputes shall be resolved by means of the procedures listed in PART VIII – Claims, Appeals and Complaints, VIII: APPEALS AND COMPLAINTS of the policy.

Appears in 1 contract

Samples: Pet Health Insurance Policy

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Allowable Charges Disputes. In the event that your Veterinary Provider charges an amount for Treatments in excess of those typically charged in your geographic area for identical Treatments or Professional Services or Treatments that are not Medically Necessary, we reserve the right to dispute the amount of the Allowable Charges to be reimbursed. Should we fail to resolve such disputes to your satisfaction, such disputes shall be resolved by means of the procedures listed in PART VIII – Claims, Part VIII: Appeals and Complaints, Complaints of the policy.

Appears in 1 contract

Samples: Insurance Policy

Allowable Charges Disputes. In the event that your Veterinary Provider charges an amount for Treatments in excess of those typically charged in your geographic area for identical Treatments or Professional Services or Treatments that are not Medically Necessary, we reserve the right to dispute the amount of the Allowable Charges to be reimbursed. Should we fail to resolve such disputes to your satisfaction, such disputes shall be resolved by means of the procedures listed in PART VIII ‘Part IX Claims, Appeals and Complaints, of the policy.

Appears in 1 contract

Samples: Pet Insurance Policy

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