Concurrent Care. For benefit determinations relating to care that is being received at the same time as the determination, such notice will be provided no later than 24 hours after re ceipt of your Claim for benefits. An appeal is an oral or written request for review of an Adverse Benefit Determ ination (as defined below) or an adverse action by the Plan, its employees or a Provider.
Appears in 11 contracts
Samples: Health Care Benefit Program, Health Care Benefit Program, Health Care Benefit Program
Concurrent Care. For benefit determinations relating to care that is being received at the same time as the determination, such notice will be provided no later than 24 hours after re re- ceipt of your Claim for benefits. An appeal is an oral or written request for review of an Adverse Benefit Determ Determ- ination (as defined below) or an adverse action by the Plan, its employees or a Provider.
Appears in 2 contracts
Samples: Health Care Benefit Program, Health Care Benefit Program
Concurrent Care. For benefit determinations relating to care that is being received at the same time as the determination, such notice will be provided no later than 24 hours after re ceipt receipt of your Claim for benefits. An appeal is an oral or written request for review of an Adverse Benefit Determ ination Determination (as defined below) or an adverse action by the Plan, its employees or a Provider.
Appears in 2 contracts
Samples: Health Care Benefit Program, Health Care Benefit Program
