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
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
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