Common use of Final Adverse Benefit Determination Clause in Contracts

Final Adverse Benefit Determination. An Adverse Benefit Determination that is upheld after the internal appeal process. If the time period allowed for the internal appeal elapses without a determination by Alliant, then the internal appeal will be deemed to be a Final Adverse Benefit Determination.

Appears in 5 contracts

Samples: Group Health Care Contract, Group Health Care Contract, Certificate of Coverage

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Final Adverse Benefit Determination. An Adverse Benefit Determination that is upheld after the internal appeal process. If the time period allowed for the internal theinternal appeal elapses without a determination by Alliant, then the internal appeal will be deemed to be a Final Adverse Benefit Determination.

Appears in 1 contract

Samples: Certificate of Coverage

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