Common use of Second Level Administrative Appeals Clause in Contracts

Second Level Administrative Appeals. After review of the first level appeal decision, if a Member is still dissatisfied, a written request to Appeal must be submitted within sixty (60) days of the first level Administrative Appeal decision. Requests submitted to UCD after sixty (60) days of the first level Administrative Appeal decision will not be considered. A Member Appeals Committee of persons not involved in previous decisions regarding the initial Adverse Benefit Determination will review the second level Administrative Appeals. The Committee’s decision is final and binding. The Committee’s decision will be mailed to the Member, his authorized representative, or a Provider authorized to act on the Member’s behalf, within five (5) days of the Committee meeting.

Second Level Administrative Appeals. After review of If You still disagree with the first level appeal administrative Appeal decision, if a Member is still dissatisfied, a written request to Appeal must be submitted within sixty (60) days of the first level Administrative administrative Appeal decision. Requests submitted to UCD after sixty (60) days of the first level Administrative administrative Appeal decision will not be considered. A Member Appeals Committee of persons not involved in previous decisions regarding the initial Adverse Benefit Determination will review the second level Administrative administrative Appeals. The Committee’s decision is final and binding. The Committee’s decision will be mailed to the MemberYou, his Your authorized representative, or a Provider authorized by You to act on the Member’s Your behalf, within five (5) days of the Committee meeting.

Second Level Administrative Appeals. After review of the first level appeal decision, if a Member is still dissatisfied, a written request to Appeal must be submitted within sixty (60) days of the first level Administrative Appeal decision. Requests submitted to UCD after sixty (60) days of the first level Administrative Appeal decision will not be considered. A Member Appeals Committee of persons not involved in previous decisions regarding the initial Adverse Benefit Determination will review the second level Administrative Appeals. The Committee’s decision is final and binding. The Committeecommittee’s decision will be mailed to the Member, his authorized representative, or a Provider authorized to act on the Member’s behalf, within five thirty (530) days of the Committee committee meeting.

Second Level Administrative Appeals. After review of the first level appeal administrative Appeal decision, if a Member is You are still dissatisfied, a written request to Appeal must be submitted within sixty (60) days of the first level Administrative administrative Appeal decision. Requests submitted to UCD after sixty (60) days of the first level Administrative administrative Appeal decision will not be considered. A Member Appeals Committee committee of persons not involved in previous decisions regarding the initial Adverse Benefit Determination will meet and review the second level Administrative Appealsadministrative Appeal. The Committeecommittee’s decision is final and binding. The Committeecommittee’s decision will be mailed to the MemberYou, his Your authorized representative, or a Provider authorized by You to act on the Member’s Your behalf, within five thirty (530) days of the Committee committee meeting.

Second Level Administrative Appeals. After review of the first level appeal administrative Appeal decision, if a Member is You are still dissatisfied, a written request to Appeal must be submitted within sixty (60) days of the first level Administrative administrative Appeal decision. Requests submitted to UCD after sixty (60) days of the first level Administrative administrative Appeal decision will not be considered. A Member Appeals Committee committee of persons not involved in previous decisions regarding the initial Adverse Benefit Determination will meet and review the second level Administrative administrative Appeals. The Committeecommittee’s decision is final and binding. The Committeecommittee’s decision will be mailed to the MemberYou, his Your authorized representative, or a Provider authorized by You to act on the Member’s Your behalf, within five thirty (530) days of the Committee committee meeting.