Common use of Standard External Review Clause in Contracts

Standard External Review. Within four months after the date of receipt of a notice of an adverse determination or final adverse determination, a member or the member’s authorized representative may file a request for an external review with the Director. Within one business day after the date of receipt of a request for external review, the Director shall send a copy of the request to us. The addresses for the Director of Insurance follow: Illinois Department of Insurance Office of Consumer Health Insurance External Review Unit 000 X. Xxxxxxxxxx Street Springfield, IL 62767 (000) 000-0000 Toll-free phone (000) 000-0000 Fax number Xxx.xxxxxxxxxxxxxx@xxxxxxxx.xxx xxxxx://xx.xxxxxxxxx.xxxxxxxx.xxx/xxxxxxxxxxxxx.xxx Within five business days following the date of receipt of the external review request, we shall complete a preliminary review of the request to determine whether: