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
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)