Complaint Review Committee definition

Complaint Review Committee or “CRC” means the body appointed pursuant to Rule 5;
Complaint Review Committee means a complaints review committee established under Part I.
Complaint Review Committee means a complaint review committee established under part 1 of the Act;

Examples of Complaint Review Committee in a sentence

  • The second level internal Complaint Review Committee, consisting of three (3) or more individuals who did not participate in the first level Complaint review and are not directly supervised by any previous decision makers, will review the Complaint.

  • At least one-third of the second level internal Complaint Review Committee will be individuals who are not employed by the HMO or a related subsidiary or affiliate.

  • The second level internal Complaint Review Committee will review the Complaint and reach a decision within thirty (30) days and will notify the Member and the Member’s representative if applicable of the decision in writing within five business days.

  • The First Level Complaint Review Committee shall include one (1) or more employees of the Plan, or its designee, who did not previously participate in a prior decision to deny the Member’s Complaint and shall not be a subordinate of the person(s) who made the adverse benefit determination.

  • A Member who is dissatisfied with the decision of the First Level Complaint Review Committee may request orally or in writing a voluntary Second Level Complaint Review.


More Definitions of Complaint Review Committee

Complaint Review Committee means a committee established by the board to review all complaints and applicants with background findings and to report to the board at its next scheduled meeting.
Complaint Review Committee means a complaint review committee established under Part 1;
Complaint Review Committee means a complaint review committee constituted pursuant to the guidelines prescribed by the PPP Board, with appropriate powers and authorizations, to hear appeals from the decisions of, inter alia, the Implementing Agency with regards to blacklisting of Private Parties in terms of these Rules;
Complaint Review Committee means the individuals designated by the President to determine the Resolution of the case.
Complaint Review Committee means the Complaint Review Committee appointed by the Board in accordance with the by-laws;
Complaint Review Committee means the committee composed of Board members, Board staff, Board counsel, the administrative prosecutor, and other individuals designated by the Board to:
Complaint Review Committee means the committee consisting of the Treasurer and Internal Auditor, the Vice-President of Human Resources and the Vice-President, General Counsel and Secretary that is responsible for administering Section 15 of this Code.