Time Frames for Appeal Resolution and Notification. The Contractor shall resolve each Appeal and provide notice of resolution to affected parties as expeditiously as the Enrollee’s health condition requires but no later than 30 calendar days from the day the Contractor receives the written, signed Appeal request.
Appears in 4 contracts
Samples: McNa Dental Contract, Premier Access Contract Prepaid Ambulatory Health Plan (Pahp), Prepaid Ambulatory Health Plan (Pahp) Contract
Time Frames for Appeal Resolution and Notification. (A) The Contractor shall resolve each Appeal and provide notice of resolution to affected parties as expeditiously as the Enrollee’s health condition requires but no later than 30 calendar days from the day the Contractor receives the written, signed Appeal.
(B) The Contractor may extend the time frame for resolving the Appeal request.and providing notice by up to 14 calendar days if:
Appears in 3 contracts
Samples: Contract, Health Services Agreement, Contract
Time Frames for Appeal Resolution and Notification. The Contractor shall resolve each Appeal and provide notice of resolution to affected parties as expeditiously as the EnrolleeAggrieved Person’s health condition requires but no later than 30 calendar days from the day the Contractor receives the written, signed Appeal requestAppeal.
Appears in 2 contracts
Samples: Premier Access Chip Contract, Prepaid Ambulatory Health Plan (Pahp) Contract
Time Frames for Appeal Resolution and Notification. The Contractor shall resolve each Appeal and provide notice of resolution to affected parties as expeditiously as the Enrollee’s health condition requires but no later than 30 calendar days from the day the Contractor receives the written, signed Appeal requestAppeal.
Appears in 1 contract
Samples: Contract
