Common use of Responsiveness to FEHB Member Requests for Reconsideration Clause in Contracts

Responsiveness to FEHB Member Requests for Reconsideration. required standard: For 100 percent of written XXXX disputed claim requests received for the given time period, within 30 days after receipt by the Carrier, the Carrier shall affirm the denial in writing to the FEHB member, pay the claim, provide the service, or request additional information reasonably necessary to make a determination.

Responsiveness to FEHB Member Requests for Reconsideration. required standard: For 100 percent the number of written XXXX disputed claim requests received for the given time period, within 30 days after receipt by the Carrier, times the Carrier shall affirm responds (affirms the denial in writing to the FEHB member, pay pays the claim, provide provides or authorizes coverage of the service, or request requests additional information reasonably necessary to make a determination) within 30 days to a request for reconsideration of a disputed claim divided by the total number of requests for reconsideration of disputed claims received. required standard: The Carrier shall respond to 100 percent of written FEHB disputed claim requests within 30 days after receipt by the Carrier.

Responsiveness to FEHB Member Requests for Reconsideration. required standard: For 100 percent the number of written XXXX disputed claim requests received for the given time period, within 30 days after receipt by the Carrier, times the Carrier shall affirm responds (affirms the denial in writing to the FEHB member, pay pays the claim, provide provides or authorizes coverage of the service, or request requests additional information reasonably necessary to make a determination) within 30 days to a request for reconsideration of a disputed claim divided by the total number of requests for reconsideration of disputed claims received. required standard: The Carrier shall respond to100 percent of written XXXX disputed claim requests within 30 days after receipt by the Carrier.

Responsiveness to FEHB Member Requests for Reconsideration. required standardREQUIRED STANDARD: For 100 percent of written XXXX disputed claim requests received for the given time period, within 30 days after receipt by the Carrier, the Carrier shall affirm the denial in writing to the FEHB member, pay the claim, provide or authorize coverage of the service, or request additional information reasonably necessary to make a determination.