Common use of Service Authorization Decisions Not Reached Within Required Time Frames Clause in Contracts

Service Authorization Decisions Not Reached Within Required Time Frames. In the event that the Contractor fails to make a Service Authorization decision within the proscribed time frames, such failure shall constitute a denial of services and shall be considered an adverse Action. The Contractor is required send out a Notice of Action to the Enrollee and the Provider on the day that the time frame expires.

Service Authorization Decisions Not Reached Within Required Time Frames. In the event that the Contractor fails to make a Service Authorization decision within the proscribed time frames, such failure shall constitute a denial of services and shall be considered an adverse Action. The Contractor is required send out a Notice of Action to the Enrollee and the Provider on the day that the time frame expires.

Service Authorization Decisions Not Reached Within Required Time Frames. In the event that the Contractor fails to make a Service Authorization decision within the proscribed time frames, such failure shall constitute a denial of services and shall be considered an adverse ActionAdverse Benefit Determination. The Contractor is required send out a Notice of Action Adverse Benefit Determination to the Enrollee and the Provider on the day that the time frame expires.

Service Authorization Decisions Not Reached Within Required Time Frames. In the event that the Contractor fails to make a Service Authorization decision within the proscribed time frames, such failure shall constitute a denial of services and shall be considered an adverse ActionAdverse Benefit Determination. The Contractor is required send out a Notice of Action fit Determination to the Enrollee and the Provider on the day that the time frame expires.

Service Authorization Decisions Not Reached Within Required Time Frames. In the event that the Contractor fails to make a Service Authorization decision within the proscribed time frames, such failure shall constitute a denial of services and shall be considered an adverse Action. The Contractor is required send out a Notice of Action Adverse Benefit Determination to the Enrollee and the Provider on the day that the time frame expires.

Service Authorization Decisions Not Reached Within Required Time Frames. In the event that the Contractor fails to make a Service Authorization decision within the proscribed time frames, such failure shall constitute a denial of services and shall be considered an adverse ActionAdverse Benefit Determination. The Contractor is required to send out a Notice of Action Adverse Benefit Determination to the Enrollee and the Provider on the day that the time frame expires.

Service Authorization Decisions Not Reached Within Required Time Frames. In the event that the Contractor fails to make a decision on a Service Authorization decision Request within the proscribed time frames, such failure shall constitute a denial of services and shall be considered an adverse Action. The Contractor is required send out a Notice of Action to the Enrollee and the Provider on the day that the time frame expires.