Common use of Level Appeal Clause in Contracts

Level Appeal. You or your authorized representative must file your appeal within 180 days of the adverse determination. Send your written request for review, including comments, documents, records and other information relating to the appeal, the reasons you believe you are entitled to benefits, and any supporting documents to: GHI Member Services Department 0000 00xx Xxxxxx Xxxxx P.O. Box 9463 Minneapolis, MN 00000-0000 Telephone: (000) 000-0000 Outside the metro area: 0-000-000-0000 We will notify the complainant within 10 days that we received the appeal, unless the appeal has been resolved to the complainant’s satisfaction within those 10 days. Upon request and at no charge to you, you will be given reasonable access to and copies of all documents, records and other information relevant to your complaint, and you may also present evidence and testimony as part of the appeals process.

Level Appeal. You or your authorized representative must file your appeal within 180 days of the adverse determination. Send your written request for review, including comments, documents, records and other information relating to the appeal, the reasons you believe you are entitled to benefits, and any supporting documents to: GHI Member Services Department 0000 00xx Xxxxxx Xxxxx P.O. Box 9463 Minneapolis, MN 00000-0000 Telephone: (000) 000-0000 Outside the metro area: 0-000-000-0000 We will notify the complainant within 10 days that we received the appeal, unless the appeal has been resolved to the complainant’s satisfaction within those 10 days. Upon request and at no charge to you, you will be given reasonable access to and copies of all documents, records and other information relevant to your complaint, and you may also present evidence and testimony as part of the appeals process.