Second Appeal Sample Clauses

Second Appeal. If You disagree with Our decision in the first appeal, You may request a second review. This request must be made within thirty (30) days of the date of the First Appeal decision communication. An impartial Medical Director selected by the Company, or its authorized administrator, who has not been a part of Your Pet’s veterinary team previously, who has not been part of the First Appeal; and who has not been involved in the Claim process, will conduct the second review. The Company or its authorized administrator will provide the decision to the named insured within five (5) business days of receiving the second review report.
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Second Appeal. If you disagree with our decision in the first appeal, you may request further appeal via an external review. A request for a Second Appeal must be made within thirty (30) days of the date of issuance of our First Appeal decision to you. An impartial Veterinarian selected by Embrace, who is independent of Embrace, and the Insured, who is not controlled by us, and who has not been a part of your Pet’s veterinary team previously, will conduct an external review. Embrace will provide the decision to the Insured within three (3) working days of receiving the independent Veterinarian’s report.
Second Appeal i. If you disagree with our decision in the first appeal, you may request further appeal via an external review.
Second Appeal. You may request a Second Appeal review (preferably in writing) if our denial was upheld during the First Appeal review process. Your Second Appeal review will be reviewed by a dentist in the same or similar specialty as your treating dentist. You must submit your request for a Second Appeal review within one hundred and eighty (180) calendar days of the date of the First Appeal determination letter. Upon request for a Second Appeal review, we will provide you with the opportunity to inspect the dental file and add information to the file. You will receive written notification of a determination on a Second Appeal dental review within fifteen (15) calendar days of receipt of the appeal request and all necessary documentation.
Second Appeal. 5.1 If the NSTG is not satisfied with the outcome of the First Appeal, they have the right to submit a Second Appeal.
Second Appeal. A person has thirty (30) days to appeal the decision of the Planning Commission to District Court. (See Utah Code 10-9a-801)

Related to Second Appeal

  • Decision and Appeal Within five school business days after receiving the Complaint Manager’s report, the Superintendent shall mail his or her written decision to the Complainant and the accused by first class U.S. mail as well as to the Complaint Manager. All decisions shall be based upon the preponderance of evidence standard. Within 10 school business days after receiving the Superintendent’s decision, the Complainant or the accused may appeal the decision to the Board by making a written request to the Complaint Manager. The Complaint Manager shall promptly forward all materials relative to the complaint and appeal to the Board. Within 30 school business days, the Board shall affirm, reverse, or amend the Superintendent’s decision or direct the Superintendent to gather additional information. Within five school business days after the Board’s decision, the Superintendent shall inform the Complainant and the accused of the Board’s action. For complaints containing allegations involving the Superintendent or Board member(s), within 30 school business days after receiving the Complaint Manager’s or outside investigator’s report, the Board shall mail its written decision to the Complainant and the accused by first class U.S. mail as well as to the Complaint Manager. This policy shall not be construed to create an independent right to a hearing before the Superintendent or Board. The failure to strictly follow the timelines in this grievance procedure shall not prejudice any party.

  • Disputes and Appeals (1) If the Company disputes an action, finding, or decision of FCIC under this Agreement, the Company shall seek a final administrative decision regarding such action, finding, or decision in accordance with the provisions of 7 C.F.R. § 400.169 before seeking judicial review.

  • Grievances and Appeals a. If you have questions about any pediatric dental services received, please first discuss the matter with your Dental Provider. However, if you continue to have concerns, please call Delta Dental’s Customer Service Center. You can also email questions by accessing the “Contact Us” section of the dental plan website at xxx.xxxxxxxxxxxxxx.xxx.

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