Common use of Claim Review Procedure Clause in Contracts

Claim Review Procedure. The purpose of the Claim Review Procedure ---------------------- is to provide a method by which a Claimant may have a reasonable opportunity to appeal a denial of a Claim for Benefits to the Insurer for a full and fair review. To accomplish that purpose, the Claimant or his duly authorized representative: 1. May request a review upon written application to the Insurer; 2. May review pertinent Plan documents; and 3. May submit issues and comments in writing to the Insurer. A Claimant (or his duly authorized representative) shall request a review by filing a written application for review with the Insurer at any time within 60 days after receipt by the Claimant of written notice of the denial of his Claim for Benefits.

Claim Review Procedure. The purpose of the Claim Review ---------------------- Procedure ---------------------- is to provide a method by which a Claimant may have a reasonable opportunity to appeal a denial of a Claim for Benefits to the Insurer for a full and fair review. To accomplish that purpose, the Claimant or his duly authorized representative: 1. May request a review upon written application to the Insurer; 2. May review pertinent Plan documents; and 3. May submit issues and comments in writing to the Insurer. A Claimant (or his duly authorized representative) shall request a review by filing a written application for review with the Insurer at any time within 60 days after receipt by the Claimant of written notice of the denial of his Claim for Benefits.