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 April 2019, a health care provider filed a paper provider dispute regarding a claim for health care services. The Plan received the dispute on April 15, 2019, and acknowledged receipt on April 29, 2019. A resolution letter stating the pertinent facts and explaining the reasons for the Plan’s determination was sent on July 30, 2019.

Synopsis of Facts. This matter concerns the failure to timely issue a written determination for a provider dispute. In April 2019December 2017, a health care provider filed in paper form a paper provider dispute regarding a claim for health care services. The Plan received the dispute on April 15January 2, 20192018, and acknowledged receipt on April 29January 4, 20192018. A 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 on July 30, 2019to the provider.

Synopsis of Facts. This matter concerns the failure to timely issue a written determination for a provider dispute. In April August 2019, a health care provider filed in paper form a paper provider dispute regarding a claim for health care services. The Plan received the dispute on April 15August 17, 2019, and acknowledged receipt on April 29August 22, 2019. A resolution The provider dispute was routed to the claims department, which sent a letter stating to the pertinent facts and explaining the reasons for the Plan’s determination was sent provider on July 30November 12, 2019.

Synopsis of Facts. This matter concerns the failure to timely issue a written determination for a provider dispute. In April 2019March 2018, a health care provider filed in paper form a paper provider dispute regarding a claim for health care services. The Plan received the dispute on April 15March 20, 20192018, and acknowledged receipt on April 29March 27, 20192018. A resolution letter stating the pertinent facts and explaining the reasons for the Plan’s determination was sent on July 30June 6, 20192018.