Common use of Notification of Precertification and Other Pre Clause in Contracts

Notification of Precertification and Other Pre. Service Claim Determinations Precertification of Covered Services, when required under this Agreement, and all other Pre-service Claims including requests to extend a previously approved course of treatment will be processed and notice of the Plan’s determination, whether adverse or not, will be given to the Member within the following time frames unless otherwise extended by the Plan for reasons beyond its control: