Common use of Time Frame for Expedited Appeal Resolution and Notification Clause in Contracts

Time Frame for Expedited Appeal Resolution and Notification. (A) The Contractor shall resolve each expedited Appeal and provide notice to affected parties as expeditiously as the Enrollee’s health condition requires, but no later than three working days after the Contractor receives the expedited Appeal request. (B) The Contractor may extend the time frame for resolving the Appeal and providing notice by up to 14 calendar days if:

Appears in 10 contracts

Samples: Prepaid Mental Health Plan, Prepaid Mental Health Plan Contract, Prepaid Mental Health Plan Contract

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Time Frame for Expedited Appeal Resolution and Notification. (A) The Contractor shall resolve each expedited Appeal and provide notice to affected parties as expeditiously as the Enrollee’s health condition requires, but no later than three working days 72 hours after the Contractor receives the expedited Appeal request. (B) The Contractor may extend the time frame for resolving the Appeal and providing notice by up to 14 calendar days if:

Appears in 4 contracts

Samples: McNa Dental Contract, Premier Access Contract Prepaid Ambulatory Health Plan (Pahp), Prepaid Ambulatory Health Plan (Pahp) Contract

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Time Frame for Expedited Appeal Resolution and Notification. (A) The Contractor shall resolve each expedited Appeal and provide notice to affected parties as expeditiously as the Enrollee’s health condition requires, but no later than three working days after the Contractor receives the expedited Appeal request. (B) The Contractor may extend the time frame for resolving the Appeal and providing notice by up to 14 calendar days if:

Appears in 3 contracts

Samples: Premier Access Chip Contract, Prepaid Ambulatory Health Plan (Pahp) Contract, Contract

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