Types of Claims. Claims are classified by type of claim and the timeline in which a decision must be decided, and a notice provided depends on the type of claim involved. The initial Benefit claim determination notice will be included in the Member’s explanation of Benefits (EOB) or in a letter from The Plan, whether adverse or not. There are five types of claims:
Appears in 6 contracts
Samples: Health Insurance Contract, Health Insurance Contract, Health Insurance Plan
