Common use of Type of Notice or Extension Timing Clause in Contracts

Type of Notice or Extension Timing. If your Claim is filed improperly, the Plan must notify you within: 5 days* If your Claim is incomplete, the Plan must notify you within: 15 days If you are notified that your Claim is incomplete, you must then provide completed Claim information to the Plan within: 45 days after receiving notice The Plan must notify you of the Claim determination (whether adverse or not): if the initial Claim is complete, within: 15 days** after receiving the completed Claim (if the initial Claim is incomplete), within: 30 days If you require post‐stabilization care after an Emergency within: the time appropriate to the circumstance not to exceed one hour after the time of request * Notification may be oral unless the claimant requests written notification. ** This period may be extended one time by the Plan for up to 15 days, provided that the Plan both

Type of Notice or Extension Timing. If your Claim is filed improperly, the Plan must notify you within: 5 days* If your Claim is incomplete, the Plan must notify you within: 15 days If you are notified that your Claim is incomplete, you must then provide completed Claim information to the Plan within: 45 days after receiving notice The Plan must notify you of the Claim determination (whether adverse or not): if the initial Claim is complete, within: 15 days** Type of Notice or Extension Timing after receiving the completed Claim (if the initial Claim is incomplete), within: 30 days If you require post‐stabilization care after an Emergency within: the time appropriate to the circumstance not to exceed one hour after the time of request * Notification may be oral unless the claimant requests written notification. ** This period may be extended one time by the Plan for up to 15 days, provided that the Plan both

Type of Notice or Extension Timing. If your Claim is filed improperly, the Plan must notify you within: 5 days* If your Claim is incomplete, the Plan must notify you within: 15 days Type of Notice or Extension Timing If you are notified that your Claim is incomplete, you must then provide completed Claim information to the Plan within: 45 days after receiving notice The Plan must notify you of the Claim determination (whether adverse or not): if the initial Claim is complete, within: 15 days** after receiving the completed Claim (if the initial Claim is incomplete), within: 30 days If you require post‐stabilization care after an Emergency within: the time appropriate to the circumstance not to exceed one hour after the time of request * Notification may be oral unless the claimant requests written notification. ** This period may be extended one time by the Plan for up to 15 days, provided that the Plan both