Expedited Appeal. The accelerated process by which the Contractor must respond to an Appeal by an Enrollee if a denial of care decision by the Contractor may jeopardize life, health, or ability to attain, maintain, or regain maximum function, as determined by the Contractor.
Appears in 6 contracts
Expedited Appeal. The accelerated process by which the a Contractor must respond to an Appeal appeal by an Enrollee if a denial of care decision by the a Contractor may jeopardize life, health, health or ability to attain, maintain, maintain or regain maximum function, as determined by the Contractor.
Appears in 1 contract
Samples: Contract