Common use of Preauthorization Appeal Clause in Contracts

Preauthorization Appeal. If Your Appeal relates to a Preauthorization request, We will decide the Appeal within 30 calendar days of receipt of the Appeal request. Written notice of the determination will be provided to You (or Your designee), and where appropriate, Your Provider, within two (2) business days after the determination is made, but no later than 30 calendar days after receipt of the Appeal request.

Appears in 53 contracts

Samples: Preferred Provider Organization Contract, Preferred Provider Organization Contract, Preferred Provider Organization Contract

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Preauthorization Appeal. If Your Appeal relates to a Preauthorization request, We will decide the Appeal within 30 calendar days of receipt of the Appeal request. Written notice of the determination will be provided to You (or Your designee), ) and where appropriate, appropriate Your Provider, Provider within two (2) business days after the determination is made, but no later than 30 calendar days after receipt of the Appeal request.

Appears in 12 contracts

Samples: Participating Provider Organization Insurance Policy, Insurance Policy, Insurance Policy

Preauthorization Appeal. If Your Appeal relates to a Preauthorization request, We will decide the Appeal within 30 15 calendar days of receipt of the Appeal request. Written notice of the determination will be provided to You (or Your designee), and where appropriate, Your Provider, within two (2) business days after the determination is made, but no later than 30 15 calendar days after receipt of the Appeal request.

Appears in 2 contracts

Samples: Preferred Provider Organization Contract, Preferred Provider Organization Contract

Preauthorization Appeal. If Your Appeal relates to a Preauthorization request, We will decide the Appeal within 30 calendar 15calendar days of receipt of the Appeal request. Written notice of the determination will be provided to You (or Your designee), and where appropriate, Your Provider, within two (2) business days after the determination is made, but no later than 30 15 calendar days after receipt of the Appeal request.

Appears in 1 contract

Samples: Preferred Provider Organization Contract

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Preauthorization Appeal. If Your Appeal relates to a Preauthorization request, We will decide the Appeal within 30 calendar days of receipt of the Appeal request. Written notice of the determination will be provided to You (or Your designee), and where appropriate, Your Provider, within two (2) business days after the determination is made, but no later than 30 calendar days after receipt of the Appeal request.

Appears in 1 contract

Samples: Subscriber Contract

Preauthorization Appeal. If Your Appeal relates to a Preauthorization request, We we will decide the Appeal within 30 calendar days of receipt of the Appeal request. Written notice of the determination will be provided to You (or Your designee), and where appropriate, Your Provider, within two (2) business days after the determination is made, but no later than 30 calendar days after receipt of the Appeal request.

Appears in 1 contract

Samples: Subscriber Contract

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