an Appeal definition

an Appeal. A Participant seeking review ("Appealing Party") by the Review Board of action of the Participants Committee shall give written notice of the appeal in accordance with Section 7.7, and the appeal shall have the suspension effect specified in Section 7.7.
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an Appeal means an oral or written protest filed by you or a health care provider on your behalf. It must be filed through Aetna's internal claims and appeal process for adverse decisions.
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Examples of an Appeal in a sentence

  • The date the Appellant delivers an Appeal Notice to the Appellee is referred to herein as the “Appeal Date”.

  • In the event a party does not deliver an Appeal Notice (along with proof of payment of the applicable bond) to the other party within the deadline prescribed in this Paragraph 5.1, such party shall lose its right to appeal the Arbitration Award.

  • In the event an Appellant delivers an Appeal Notice to the Appellee (together with proof of payment of the applicable bond) in compliance with the provisions of this Paragraph 5.1, the Appeal will occur as a matter of right and, except as specifically set forth herein, will not be further conditioned.

  • In the event an Appellant delivers an Appeal Notice to the Appellee (together with proof of payment of the applicable bond) in compliance with the provisions of Paragraph 5.1 above, the Appeal will be heard by a three (3) person arbitration panel (the “Appeal Panel”).

  • If no party delivers an Appeal Notice (along with proof of payment of the applicable bond) to the other party within the deadline described in this Paragraph 5.1, the Arbitration Award shall be final.

  • For an expedited Appeal, Your Provider will have reasonable access to the clinical peer reviewer assigned to the Appeal within one (1) business day of receipt of the request for an Appeal.

  • You have up to 180 calendar days after You receive notice of the adverse determination to file an Appeal.

  • You have up to 60 business days from receipt of the Grievance determination to file an Appeal.

  • If You are not satisfied with the resolution of Your Grievance, You or Your designee may file an Appeal by phone at the number on Your ID card or in writing.

  • Should the dispute remain unresolved, any party to the dispute may refer the matter(s) to an Appeal Panel composed of: -- Two (2) persons from Participating Employers who are not directly involved in the dispute.

Related to an Appeal

  • Appeal means a request for a review of the Floodplain Administrator's interpretation of any provision of this ordinance.

  • Appeals Board means the commissioners and deputy commissioners of the Workers’ Compensation Appeals Board acting en banc, in panels, or individually.

  • Appeals Committee means a Committee or Tribunal duly appointed by by-law to conduct hearings under this By-law;

  • Denial means the process of refusing to grant a license after OCCL receives an application. This constitutes refusal of permission to operate.

  • Appeal Committee means the appeal committee established by the Council in terms of section 12(3)(a);