Common use of Synopsis of Facts Clause in Contracts

Synopsis of Facts. This matter concerns the failure to timely issue a written determination for a provider dispute. In December 2017, a health care provider filed in paper form a provider dispute regarding a claim for health care services. The Plan received the dispute on January 2, 2018, and acknowledged receipt on January 4, 2018. Due to an administrative error, a resolution letter stating the pertinent facts and explaining the reasons for the Plan’s determination of the dispute was not sent to the provider.

Synopsis of Facts. This matter concerns the failure to timely issue a written determination for a provider dispute. In December 2017March 2018, a health care provider filed in paper form a provider dispute regarding a claim for health care services. The Plan received the dispute on January 2March 20, 2018, and acknowledged receipt on January 4March 27, 2018. Due to an administrative error, a A resolution letter stating the pertinent facts and explaining the reasons for the Plan’s determination of the dispute was not sent to the provideron June 6, 2018.

Synopsis of Facts. This matter concerns the failure to timely issue a written determination for a provider dispute. In December 2017April 2019, a health care provider filed in a paper form a provider dispute regarding a claim for health care services. The Plan received the dispute on January 2April 15, 20182019, and acknowledged receipt on January 4April 29, 20182019. Due to an administrative error, a A resolution letter stating the pertinent facts and explaining the reasons for the Plan’s determination of the dispute was not sent to the provideron July 30, 2019.

Synopsis of Facts. This matter concerns the failure to timely issue a written determination for a provider dispute. In December 2017August 2019, a health care provider filed in paper form a provider dispute regarding a claim for health care services. The Plan received the dispute on January 2August 17, 20182019, and acknowledged receipt on January 4August 22, 20182019. Due to an administrative error, a resolution letter stating the pertinent facts and explaining the reasons for the Plan’s determination of the The provider dispute was not sent routed to the providerclaims department, which sent a letter to the provider on November 12, 2019.