Common use of TIMING OF NOTIFICATION OF ADVERSE BENEFIT DETERMINATIONS ON REVIEW (APPEAL DECISIONS Clause in Contracts

TIMING OF NOTIFICATION OF ADVERSE BENEFIT DETERMINATIONS ON REVIEW (APPEAL DECISIONS. 1. The Plan or the Plan‟s Designee shall notify a Member, the Member‟s Representative or Health Care Provider acting on behalf of the Member of its Appeal Decision no later than 60 working days after the filing date of the Member, the Member‟s Representative „s or Health Care Provider‟s Appeal. A written Notification must be provided to the Member, the Member‟s Representative or Health Care Provider acting on behalf of the Member within 30 days of the Appeal Decision.

TIMING OF NOTIFICATION OF ADVERSE BENEFIT DETERMINATIONS ON REVIEW (APPEAL DECISIONS. 1. The Plan or the Plan‟s Plan’s Designee shall notify a Member, the Member‟s Member’s Representative or Health Care Provider acting on behalf of the Member of its Appeal Decision no later than 60 working days after the filing date of the Member, the Member‟s Member’s Representative „s ‘s or Health Care Provider‟s Provider’s Appeal. A written Notification must be provided to the Member, the Member‟s Member’s Representative or Health Care Provider acting on behalf of the Member within 30 days of the Appeal Decision.

TIMING OF NOTIFICATION OF ADVERSE BENEFIT DETERMINATIONS ON REVIEW (APPEAL DECISIONS. 1. The Plan or the Plan‟s Designee shall notify a Member, the Member‟s Member’s Representative or Health Care Provider acting on behalf of the Member of its Appeal Decision no later than 60 working days after the filing date of the Member, the Member‟s Representative „s Member’s Representative’s or Health Care Provider‟s Provider’s Appeal. A written Notification must be provided to the Member, the Member‟s Member’s Representative or Health Care Provider acting on behalf of the Member within 30 days of the Appeal Decision.

TIMING OF NOTIFICATION OF ADVERSE BENEFIT DETERMINATIONS ON REVIEW (APPEAL DECISIONS. 1. The Plan or the Plan‟s Plan's Designee shall notify a Member, the Member‟s Member's Representative or Health Care Provider acting on behalf of the Member of its Appeal Decision no later than 60 working days after the filing date of the Member, the Member‟s Member's Representative „s 's or Health Care Provider‟s Provider's Appeal. A written Notification must be provided to the Member, the Member‟s Member's Representative or Health Care Provider acting on behalf of the Member within 30 days of the Appeal Decision.