Common use of Urgent Care Claims Clause in Contracts

Urgent Care Claims. In the case of a Claim Involving Urgent Care, the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member shall be notified, in accordance with paragraph X. xxxxxx, of the Grievance Decision as soon as possible, taking into account the medical exigencies, but not later than 24 hours after receipt of the Member's request for review of an Adverse Decision. A written Notification must be provided to the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member within 24 hours of the orally communicated Grievance Decision.

Appears in 4 contracts

Samples: Individual Enrollment Agreement, Individual Enrollment Agreement, content.carefirst.com

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Urgent Care Claims. In the case of a Claim Involving Urgent Care, the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member shall be notified, in accordance with paragraph X. xxxxxxJ. herein, of the Grievance Decision as soon as possible, taking into account the medical exigencies, but not later than 24 hours after receipt of the Member's request for review of an Adverse Decision. A written Notification must be provided to the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member within 24 hours of the orally communicated Grievance Decision.

Appears in 3 contracts

Samples: Evergreen Individual Plan Agreement, content.carefirst.com, content.carefirst.com

Urgent Care Claims. In the case of a Claim Involving Urgent Care, the Member, the Member’s Member‟s Representative or Health Care Provider acting on behalf of the Member shall be notified, in accordance with paragraph X. xxxxxxJ. herein, of the Grievance Decision as soon as possible, taking into account the medical exigencies, but not later than 24 hours after receipt of the Member's request for review of an Adverse Decision. 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 24 hours of the orally communicated Grievance Decision.

Appears in 3 contracts

Samples: www.hhs.gov, insurance.maryland.gov, insurance.maryland.gov

Urgent Care Claims. In the case of a Claim Involving Urgent Care, the Member, the Member’s 's Representative or Health Care Provider acting on behalf of the Member shall be notified, in accordance with paragraph X. xxxxxxJ. herein, of the Grievance Decision as soon as possible, taking into account the medical exigencies, but not later than 24 hours after receipt of the Member's request for review of an Adverse Decision. A written Notification must be provided to the Member, the Member’s 's Representative or Health Care Provider acting on behalf of the Member within 24 hours of the orally communicated Grievance Decision.

Appears in 2 contracts

Samples: myahpcare.com, content.carefirst.com

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Urgent Care Claims. In the case of a Claim Involving Urgent Care, the Member, the Member’s 's Representative or Health Care Provider acting on behalf of the Member shall be notified, in accordance with paragraph X. xxxxxx, of the Grievance Decision as soon as possible, taking into account the medical exigencies, but not later than 24 hours after receipt of the Member's request for review of an Adverse Decision. A written Notification must be provided to the Member, the Member’s 's Representative or Health Care Provider acting on behalf of the Member within 24 hours of the orally communicated Grievance Decision.

Appears in 1 contract

Samples: www.gradymgt.com

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