Calculating Time Periods. The period of time within which a benefit determination initially or on review is required to be made shall begin at the time a claim or request for review is filed in accordance with the procedures of the Agreement, without regard to whether all the information necessary to make a benefit determination accompanies the filing. In the event that a period of time is extended due to the failure of a claimant to submit information necessary to decide a claim or review, the period for making the benefit determination shall be tolled from the date on which the notification of the extension is sent to the claimant until the date on which the claimant responds to the request for additional information.
Calculating Time Periods. For purposes of this Part B, the period of time within which an Adverse Benefit Determination is required to be made shall begin at the time a claim is filed in accordance with CareFirst BlueChoice procedures. The time is counted regardless to whether all the information necessary to make a benefit determination accompanies the filing. In the event that a period of time is extended due to a Member's failure to submit information necessary to decide a claim, the period for making the benefit determination shall be tolled from the date on which the notification of the extension is sent to the Member until the date on which the Member responds to the request for additional information.
Calculating Time Periods. For purposes of paragraph E. herein the period of time within which a benefit determination is required to be made shall begin at the time a claim is filed, without regard to whether all the information necessary to make a benefit determination accompanies the filing. In the event that a period of time is extended as permitted pursuant to paragraph E.2 above due to a Member's failure to submit information necessary to decide a claim, the period for making the benefit determination shall be tolled from the date on which the Notification of the extension is sent to the Member until the date on which the Member responds to the request for additional information.
Calculating Time Periods. For purposes of Section H. herein, the period of time within which a Grievance Decision shall be made begins at the time a Grievance is received by the Plan or the Plan’s Designee, without regard to whether all the information necessary to make a benefit determination on review accompanies the filing. In the event that a period of time is extended as permitted pursuant to paragraph H.2 herein due to a Member’s, the Member’s Representative’s or Health Care Provider 's failure to submit information necessary to decide a claim, the period for making the benefit determination on review shall be tolled from the date on which the Notification of the extension is sent to the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member until the date on which the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member responds to the request for additional information.
Calculating Time Periods. For purposes of Section I. herein, the 60-working day period within which a benefit determination on review shall be made, subject to any extension granted pursuant to paragraph I.2 above, begins at the time an Appeal is received by the Plan or the Plan’s Designee, without regard to whether all the information necessary to make an Appeal Decision accompanies the filing.
Calculating Time Periods. In calculating any time period prescribed or allowed by this Agreement, the day of the act or event from which the time period begins to run is not included and the last day of the time period is included.
Calculating Time Periods. Time to submit or report under the MLS Rules & Regulations is counted as business days. Time to correct violations is counted as business days. Time for payment of a fine or filing a request for a hearing is calculated as calendar days.
Calculating Time Periods. The period of time within which a benefit determination is required to be made shall begin at the time a claim is initially filed in accordance with Section 11.5(a).
Calculating Time Periods. In calculating any time periods under this Agreement:
a) the first day of the period shall not be taken into account, but the last one shall;
b) the non-juridical days, i.e. Saturdays, Sundays and public holidays, shall be taken into account; and
c) whenever the last day is a non-juridical day, the period shall be extended to the next juridical day.
Calculating Time Periods. In computing any time period prescribed or allowed by this Contract, the 286. day of the act or event from which the time period begins to run is not included and the last day of the time 287. period is included. Contract acceptance occurs on the date that the signed Contract (and any incorporated 288. counter offer) is delivered to and received by the appropriate Broker. Example: Acts that must be performed 289. within three (3) days of Contract acceptance must be three (3) full days (i.e. – if Contract acceptance is 290. Friday, the act must be performed by 11:59 p.m. on Monday).
