Appeal of a Post-Service Claim. A Claimant may appeal an Adverse Benefit Determination with respect to a Post-Service Claim within 365 days of receiving the Adverse Benefit Determination. 1) AvMed shall notify the Claimant of the determination on review not later than 60 days after receipt of the Claimant’s request. An appeal of an Adverse Benefit Determination with respect to a Post-Service Claim may be submitted to XxXxx’s Member Relations Department, at the address listed in Section 13.3a.ii.
Appears in 9 contracts
Samples: Large Group Choice Plan Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
