General Legal Provisions. You will be provided with a written response to a complaint within 30 business days of the date the complaint was received. This time limit may be extended by mutual agreement between you and us. Any extension will not exceed 30 business days from the date of the agreement. Any such agreement must be in writing. Sample If a complaint requires the review of medical records, the date of receipt will be the date we receive all necessary information. If we do not respond to an informal inquiry within 3 business days, the date of receipt will be the fourth business day following the date we receive the informal inquiry. No complaint shall be deemed received until actual receipt of the complaint at the appropriate address or telephone number listed above. If we do not act on a complaint concerning benefits under this contract within 30 business days, plus any extension of time mutually agreed upon in writing by you and us, the complaint will be deemed to be resolved your favor.
Appears in 2 contracts
Samples: Individual Medical Policy, Individual Medical Policy
General Legal Provisions. SAMPLE You will be provided with a written response to a complaint within 30 business days of the date the complaint was received. This time limit may be extended by mutual agreement between you and us. Any extension will not exceed 30 business days from the date of the agreement. Any such agreement must be in writing. Sample If a complaint requires the review of medical records, the date of receipt will be the date we receive all necessary information. If we do not respond to an informal inquiry within 3 business days, the date of receipt will be the fourth business day following the date we receive the informal inquiry. No complaint shall be deemed received until actual receipt of the complaint at the appropriate address or telephone number listed above. If we do not act on a complaint concerning benefits under this contract within 30 business days, plus any extension of time mutually agreed upon in writing by you and us, the complaint will be deemed to be resolved your favor.
Appears in 1 contract
Samples: Individual Medical Policy
General Legal Provisions. You will be provided with a written response to a complaint within 30 business days of the date the complaint was received. This time limit may be extended by mutual agreement between you and us. Any extension will not exceed 30 business days from the date of the agreement. Any such agreement must be in writing. Sample If a complaint requires the review of medical records, the date of receipt will be the date we receive all necessary information. If we do not respond to an informal inquiry within 3 business days, the date of receipt will be the fourth business day following the date we receive the informal inquiry. No complaint shall be deemed received until actual receipt of the complaint at the appropriate address or telephone number listed above. If we do not act on a complaint concerning benefits under this contract within 30 business days, plus any extension of time mutually agreed upon in writing by you and us, the complaint will be deemed to be resolved your favor.
Appears in 1 contract
Samples: Individual Medical Policy