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Clauses
Standard Appeals Process
Snippet group

Common use of Standard Appeals Process Clause in Contracts

Related Clauses

Appeals Process
Appeals Procedure
Grievance and Appeals Unit
Claims Process
Review Process
Review and Selection Process
COMPLAINT AND GRIEVANCE PROCEDURE
CENTRAL GRIEVANCE PROCEDURE
Grievance Procedure - Party
Complaints Procedure

Parent Clauses

Information to Enrollees
Overall System
PERFORMANCE EVALUATION
Grievance and Appeal System
INSURANCE
Required Content of Notice of Action
Attachment to Notice of Action –Written Appeal Request Form
Delivery Network
Introductory Provisions
Required Content of Notice of Adverse Benefit Determination

Sub-Clauses

Timing
Authority to File
Timeframes for Appeal Resolution and Notification
Procedures
Format and Content of Notice of Appeal Resolution
Duration of Continued Disputed Services and Enrollee Responsibility
Reversed Appeal Decisions
Continuation of Services During Appeals
Reversed Appeal Resolutions
Continuation of Disputed Services During the Appeals Process

Standard Appeals Process.

Appears in 18 contracts

Samples: medicaid.utah.gov, medicaid.utah.gov, medicaid.utah.gov

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