Common use of Informal Reconsideration Clause in Contracts

Informal Reconsideration. An Informal Reconsideration is the Member Provider’s telephone request to speak to Our Medical Director or a peer reviewer on the Member’s behalf about a Utilization Management decision that We have made. An Informal Reconsideration is typically based on submission of additional information or a peer-to-peer discussion. An Informal Reconsideration is available only for initial determinations that are requested within ten (10) days of the denial or Concurrent Review determinations. We will conduct an Informal Reconsideration within one (1) working day of the receipt of the request.

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an authorized Provider on the Member ProviderMember’s telephone request behalf, to speak to Our Medical Director medical director or a peer reviewer on the Member’s behalf about a Utilization Management decision that We have made. An Informal Reconsideration is typically based on submission of additional information or a peer-to-peer discussion. An Informal Reconsideration is available only for initial determinations that are requested within ten (10) days of the denial or Concurrent Review determinationsdetermination. We will conduct an Informal Reconsideration within one (1) working day of the Our receipt of the request.

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an authorized Provider on the Member ProviderMember’s telephone request behalf, to speak to Our Medical Director or a peer reviewer on the Member’s behalf about a Utilization Management decision that We have made. An Informal Reconsideration is typically based on submission of additional information or a peer-to-peer discussion. An Informal Reconsideration is available only for initial determinations that are requested within ten (10) days of the denial or Concurrent Review determinations. We will conduct an Informal Reconsideration within one (1) working day of the Our receipt of the request.

Informal Reconsideration. An Informal Reconsideration is the Member an authorized Provider’s telephone request to speak to Our the Claims Administrator’s Medical Director or a peer reviewer on the MemberPlan Participant’s behalf about a Utilization Management decision that We have the Claims Administrator has made. An Informal Reconsideration is typically based on submission of additional information or a peer-to-peer discussion. An Informal Reconsideration is available only for initial determinations that are requested within ten (10) days of the denial or Concurrent Review determinations. We The Claims Administrator will conduct an Informal Reconsideration within one (1) working day of the receipt of the request.

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an Authorized Provider on the Member ProviderMember’s telephone request behalf, to speak to Our Medical Director medical director or a peer reviewer on the Member’s behalf about a Utilization Management decision that We have made. An Informal Reconsideration is typically based on submission of additional information or a peer-to-peer discussion. An Informal Reconsideration is available only for initial determinations that are requested within ten (10) days of the denial or Concurrent Review determinationsdetermination. We will conduct an Informal Reconsideration within one (1) working day of the Our receipt of the request.

Informal Reconsideration. An Informal Reconsideration is the Member Provider’s telephone a request by telephone, made by an authorized Provider on Your behalf, to speak to Our Medical Director a UCD dental representative or a peer reviewer on the Member’s behalf about a Utilization Management decision that We have made. An Informal Reconsideration is typically based on submission of additional information or a peer-to-peer discussion. An Informal Reconsideration is available only for initial determinations that are requested within ten (10) days of the denial or Concurrent Review determinations. We will conduct an Informal Reconsideration within one (1) working day of the receipt of the request.

Informal Reconsideration. An Informal Reconsideration is the Member an authorized Provider’s telephone request to speak to Our the Claims Administrator’s Medical Director or a peer reviewer on the MemberPlan Participant’s behalf about a Utilization Management decision that We have the Claims Administrator has made. An Informal Reconsideration is typically based on submission of additional information or a peer-to-peer discussion. An Informal Reconsideration is available only for initial determinations that are requested within ten (10) days of the denial or Concurrent Review determinations. We The Claims Administrator will conduct conduc t an Informal Reconsideration within one (1) working day of the receipt of the request.

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an Authorized Provider on the Member ProviderMember’s telephone request behalf, to speak to Our Medical Director medical director or a peer reviewer on the Member’s behalf about a Utilization Management decision that We have made. An Informal Reconsideration is typically based on submission of additional information or a peer-peer- to-peer discussion. An Informal Reconsideration is available only for initial determinations that are requested within ten (10) days of the denial or Concurrent Review determinationsdetermination. We will conduct an Informal Reconsideration within one one‌‌‌ (1) working day of the Our receipt of the request.