Common use of Notice of Adverse Benefit Determination Clause in Contracts

Notice of Adverse Benefit Determination. In accordance with Article XI, Section D.1, the PO shall provide written notice of an adverse benefit determination to the member when a decision is made to: Deny or limit a member’s request for a service ; Terminate, reduce, or suspend any currently authorized service; or Deny payment for services.

Notice of Adverse Benefit Determination. In accordance with Article XI, Section D.1XI.D.1, the PO shall provide written notice of an adverse benefit determination to the member when a decision is made to: : a. Deny or limit a member’s request for a service ; service; b. Terminate, reduce, or suspend any currently authorized service; or or c. Deny payment for services.

Notice of Adverse Benefit Determination. In accordance with Article XI, Section D.1, the PO shall provide written notice of an adverse benefit determination to the member when a decision is made to: Deny or limit a member’s request for a service service; Terminate, reduce, or suspend any currently authorized service; or Deny payment for services.

Notice of Adverse Benefit Determination. In accordance with Article XI, Section D.1, the PO shall provide written notice of an adverse benefit determination to the member when a decision is made to: : a. Deny or limit a member’s request for a service ; ; b. Terminate, reduce, or suspend any currently authorized service; or or c. Deny payment for services.