Common use of Beginning Your Appeal Clause in Contracts

Beginning Your Appeal. If you wish to Appeal an Adverse Benefit Determination, Adverse Health Care Treatment Decision, or Adverse Benefit Determination not involving a Health Care Treatment Decision, you must submit your Appeal to Health Options within 180 days from the date of the decision you wish to Appeal. If you do not submit an Appeal within this time limit, you will lose your right to Appeal the decision unless the delay is reasonable under the circumstances and does not negatively prejudice Health Options’ rights. You will need to give us specific information about your Appeal, including:

Beginning Your Appeal. If you wish to Appeal an Adverse Benefit Determination, Adverse Health Care Treatment Decision, or Adverse Benefit Determination not involving a Health Care Treatment Decision, you must submit your Appeal to Health Options within 180 days from the correspondence date of the decision you wish to Appeal. If you do not submit an Appeal within this time limit, you will lose your right to Appeal the decision unless the delay is reasonable under the circumstances and does not negatively prejudice Health Options’ rights. You will need to give us specific information about your Appeal, including:

Beginning Your Appeal. If you wish to Appeal an Adverse Benefit Determination, Adverse Health Care Treatment Decision, or Adverse Benefit Determination not involving a Health Care Treatment Decision, you must submit your Appeal to Health Options within 180 days from the date of the decision you wish to Appeal. If you do not submit an Appeal within this time limit, you will lose your right to Appeal the decision unless the delay is reasonable under the circumstances and does not negatively prejudice Health Options’ rights. You will need to give us specific information about your Appeal, including: