Notice of Adverse Sample Clauses

Notice of Adverse. Benefit Determination means written notification to an Enrollee and written or verbal notification to a Provider when applicable, of an Adverse Benefit Determination that will be taken by the Contractor. Notice of Appeal Resolution means written notification to an Enrollee, and a Provider when applicable, of the Contractor’s resolution of an Appeal. Office of Recovery Services (ORS) means an agency within the Utah Department of Human Services. Other Disclosing Entity means any other Medicaid disclosing entity and any entity that does not participate in Medicaid but is required to disclose certain ownership and control information because of participation in any of the programs established under Title V, XVIII, or XX of the Social Security Act. This includes:
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Notice of Adverse. Benefit Determination means written notification to an Enrollee and written or verbal notification to a Provider when applicable, of an Adverse Benefit Determination that will be taken by the Contractor. Notice of Appeal Resolution means written notification to an Enrollee, and a Provider when applicable, of the Contractor’s resolution of an Appeal. NQF means the National Quality Forum. Office of Recovery Services (ORS) means an agency within the Department of Human Services.
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Notice of Adverse. Benefit Determination (NOABD), as outlined in California Code of 21 Regulations Title 9 Chapter 11 Section 1850.210 and Title 22, Section 50179 means to provide formal 22 written notification via hand-delivery or mail to Medi-Cal Members and faxed or mailed to the 23 ADMINISTRATOR when services are denied, modified, reduced, delayed, suspended or terminated as 24 specified by State standards.
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Notice of Adverse. At the time of either Borrower's first change in assets knowledge or notice, such Borrower shall immediately notify the Administrative Agent of any information that may adversely affect in any material manner the assets of either Borrower, including, but not limited to, the value or marketability of any Properties.
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Notice of Adverse. ACTION IPA shall promptly notify HMO in writing after receiving any written notice of any malpractice suit or arbitration action, or other suit or arbitration action with respect to Members naming or otherwise involving IPA Physician, IPA Hospital or IPA Ancillary Provider.
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Notice of Adverse. Benefit Determination Requirements 327 A.2.14.8 Medical History Information Requirements 327 A.2.14.9 PCP Profiling 327 A.2.15.1 Quality Management/Quality Improvement (QM/QI) Program 328 A.2.15.2 QM/QI Committee 330 A.2.15.3 Performance Improvement Projects (PIPs) 330 A.2.15.4 Clinical Practice Guidelines 331 A.2.15.5 NCQA Accreditation 332
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Notice of Adverse. Benefit Determination (NOABD) a) The denial or limited authorization of a requested service, including determinations based on the type or level of service, medical necessity, appropriateness, setting, or effectiveness of a covered benefit; b) The reduction, suspension, or termination of a previously authorized service; c) The denial, in whole or in part, of payment for a service; d) The failure of Contractor to provide services within the required timeliness standards issued by ACBHD; e) The failure to act within the required timeframes for standard resolution of grievances and appeals; or f) The denial of a client’s request to dispute financial liability, including cost sharing and other client financial liabilities. Contractor shall utilize the ACBHD NOABD templates in threshold languages and adhere to the ACBHD policy Notices of Adverse Benefit Determination for Medi-Cal Beneficiaries.
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Notice of Adverse. Impact The Seller shall provide the Purchaser with written notice of each of the following events promptly upon the Seller becoming aware of or having knowledge of such event: ( a ) the occurrence of any Seller Event of Default, or any event or circumstance which with notice or lapse of time or both would become a Seller Event of Default or may result in a Seller Event of Default ; (b) any material default by any party under or termination or threatened termination of any Material Contract; ( c ) the loss ofor material non - compliance with the terms of, or any threat ( whether or not in writing) by a Governmental Body to revoke or suspend, any Material Project Authorization ; ( d) any violation or suspected material violation of any Applicable Law by any Seller Group Member; ./
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Related to Notice of Adverse

  • Notice of Adverse Change Recipient shall promptly notify OBDD of any adverse change in the activities, prospects or condition (financial or otherwise) of Recipient or the Project related to the ability of Recipient to perform all obligations required by this Contract.

  • Notice of Adverse Claims Except for the claims and interests of the Secured Party and the Lien Grantor in the Securities, the Issuer does not know of any claim to, or interest in, the Securities. If any person asserts any lien, encumbrance or adverse claim (including any writ, garnishment, judgment, attachment, execution or similar process) against the Securities, the Issuer will promptly notify the Secured Party and the Lien Grantor thereof.

  • Notice of Material Adverse Effect The Company shall notify the Buyer (and any subsequent holder of the Debentures), as soon as practicable and in no event later than three (3) business days of the Company’s knowledge of any Material Adverse Effect on the Company. For purposes of the foregoing, “knowledge” means the earlier of the Company’s actual knowledge or the Company’s constructive knowledge upon due inquiry.

  • Notice of Suits, Adverse Events Furnish Agent with prompt notice of (i) any lapse or other termination of any Consent issued to any Borrower by any Governmental Body or any other Person that is material to the operation of any Borrower's business, (ii) any refusal by any Governmental Body or any other Person to renew or extend any such Consent; and (iii) copies of any periodic or special reports filed by any Borrower with any Governmental Body or Person, if such reports indicate any material change in the business, operations, affairs or condition of any Borrower, or if copies thereof are requested by Lender, and (iv) copies of any material notices and other communications from any Governmental Body or Person which specifically relate to any Borrower.

  • Notice of Material Adverse Change Firm agrees to notify Citizens in writing of any “Material Adverse Change” to Firm within ten (10) days of said change. A “Material Adverse Change” means: (i) a change in the business operations or financial condition of Firm which negatively impacts its capacity to meet its professional or financial obligations;

  • Absence of Adverse Changes From the date hereof until the Closing, there will have been no material adverse change in the financial or business condition of the Company.21

  • Notice of Decision If the Plan Administrator denies part or all of the claim, the Plan Administrator shall notify the claimant in writing of such denial. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial is based; (c) A description of any additional information or material necessary for the claimant to perfect the claim and an explanation of why it is needed; (d) An explanation of the Agreement’s review procedures and the time limits applicable to such procedures; and (e) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a) following an adverse benefit determination on review.

  • Notice of Default, Litigation and Material Adverse Effect Promptly, and in any event within three Business Days after any officer of Holdings or any of its Subsidiaries obtains knowledge thereof, notice of (i) the occurrence of any event which constitutes a Default or an Event of Default, (ii) any litigation or governmental investigation or proceeding pending against Holdings or any of its Subsidiaries (x) which, either individually or in the aggregate, has had, or would reasonably be expected to have, a Material Adverse Effect or (y) with respect to any Credit Document, or (iii) any other event, change or circumstance that has had, or would reasonably be expected to have, a Material Adverse Effect.

  • No Adverse Selection No selection procedures adverse to Noteholders have been employed in selecting the Contracts.

  • Determination of Adverse Consequences The Parties shall take into account the time cost of money (using the Applicable Rate as the discount rate) in determining Adverse Consequences for purposes of this §8. All indemnification payments under this §8 shall be deemed adjustments to the Purchase Price.

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