Common use of NOTICE TO ENROLLEE PROCEDURES Clause in Contracts

NOTICE TO ENROLLEE PROCEDURES. Upon receipt of the following type of complaints; 1) anytime that the MCO denies access to a referral; 2) denies or reduces benefits or services; 3) determines that a requested benefit is not covered by the MCO's benefit package, the MCO shall send a notice to the Enrollee. The notice shall describe:

NOTICE TO ENROLLEE PROCEDURES. Upon receipt of the following type of complaints; 1) anytime that the MCO denies access to a referral; 2) denies or reduces benefits or services; 3) determines that a requested benefit is not covered by the MCO's benefit package, the MCO MCO) shall send a notice to the Enrollee. The notice shall describe:

NOTICE TO ENROLLEE PROCEDURES. Upon The MCO shall send a notice to the Enrollee upon receipt of the following type types of complaints; complaints anytime the MCO: 1) anytime that the MCO denies access to a referral; 2) denies or reduces benefits or services; 3) determines that a requested benefit is not covered by the MCO's benefit package, the MCO shall send a notice to the EnrolleeBenefit Package. The notice shall describe:

NOTICE TO ENROLLEE PROCEDURES. Upon receipt of the following type of complaints; 1) anytime that the MCO denies access to a referral; 2) denies or reduces benefits or services; 3) determines determines, that a requested benefit is not covered by the MCO's benefit package, the MCO shall send a notice to the Enrollee. The notice shall describe: