Common use of Notice of Adverse Benefit Determination Clause in Contracts

Notice of Adverse Benefit Determination. A written notice from the Contractor to a member to advise the member of an Adverse Benefit Determination. A Notice of Adverse Benefit Determination shall comply with the requirements in Section 3.15.2 of this Contract.

Appears in 3 contracts

Samples: Master Service Agreement, Master Service Agreement, Medicaid Managed Care Master Service Agreement

AutoNDA by SimpleDocs

Notice of Adverse Benefit Determination. A The written notice from described in Section 14.4.3, in which the Contractor to a member to advise notifies both the member Enrollee and the Provider of an Adverse Benefit Determination. A Notice of Adverse Benefit Determination shall comply with the requirements in Section 3.15.2 of this Contract.

Appears in 1 contract

Samples: Contract for Provision of Health Services (Triple-S Management Corp)

AutoNDA by SimpleDocs
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!