Common use of Appeal Hearing Clause in Contracts

Appeal Hearing. Level II 1. The Member has thirty (30) days from the notification of the Level I decision to request a Level II appeal hearing. 2. Within ten (10) days of receipt of a written request for a Level II appeal hearing, the HMO will provide the Member filing the request with an acknowledgement letter. 3. The Regional Grievance Unit will review all of the information submitted and gather any additional information necessary to prepare and render a decision about the grievance. If there is insufficient information available to make a decision the Regional Grievance Unit will, within ten

Appears in 4 contracts

Samples: Certificate of Coverage, Certificate of Coverage, Group Agreement

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