Common use of Informal Reconsideration Clause in Contracts

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an authorized Provider on the Member’s behalf, to speak to Our medical director or a peer reviewer 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 determination. We will conduct an Informal Reconsideration within one (1) working day of Our receipt of the request.

Informal Reconsideration. An Informal Reconsideration is the Member Provider’s telephone request to speak to Our Medical Director or a request by telephone, made by an authorized Provider peer reviewer on the Member’s behalf, to speak to Our medical director or a peer reviewer 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 determinationdeterminations. We will conduct an Informal Reconsideration within one (1) working day of Our the receipt of the request.

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an authorized Provider on the MemberProvider’s behalf, telephone request to speak to Our medical director the Claims Administrator’s Medical Director or a peer reviewer on the Plan 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 determinationdeterminations. We The Claims Administrator will conduct an Informal Reconsideration within one (1) working day of Our the receipt of the request.

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an authorized Authorized Provider on the Member’s behalf, to speak to Our medical director or a peer reviewer 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 determination. We will conduct an Informal Reconsideration within one (1) working day of Our receipt of the request.

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an authorized Provider on the Member’s behalf, to speak to Our medical director Medical Director or a peer reviewer 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 determinationdeterminations. We will conduct an Informal Reconsideration within one (1) working day of Our receipt of the request.

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an authorized Provider on the MemberProvider’s behalf, telephone request to speak to Our medical director the Claims Administrator’s Medical Director or a peer reviewer on the Plan 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 determinationdeterminations. We The Claims Administrator will conduct conduc t an Informal Reconsideration within one (1) working day of Our the receipt of the request.

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an authorized Authorized Provider on the Member’s behalf, to speak to Our medical director or a peer reviewer 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 determination. We will conduct an Informal Reconsideration within one (1) working day of Our receipt of the request.one‌‌‌

Informal Reconsideration. An Informal Reconsideration is a request by telephone, made by an authorized Provider on the Member’s Your behalf, to speak to Our medical director a UCD dental representative or a peer reviewer 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 determination. We will conduct an Informal Reconsideration within one (1) working day of Our receipt of the request.