Examples of Appeal decision in a sentence
If we send you a notice of an Appeal decision to an address in a county where a federally mandated threshold language applies, then you or your Authorized Representative may request translation of that notice into the applicable threshold language.
In the opinion of the treating Physician, the Member may experience pain that cannot be adequately controlled while awaiting a standard medical Appeal decision.
In the opinion of the treating physician, the Plan Participant may experience pain that cannot be adequately controlled while awaiting a standard medical Appeal decision.
Notice of Appeal Decision: Notice of the Appeal decision required to be sent per Section 5: Filing Claims, Appeals and Grievances shall:1.
The Plan Manager will notify the covered person, authorized person, or provider of the Internal Appeal decision on the Adverse Determination within thirty (30) calendar days of receipt of the Internal Appeal request by the Plan Manager.