Examples of External Reviewer in a sentence
You may submit additional written comments to the External Reviewer.
If you believe your situation is urgent, you may request an expedited review by sending your request to the address above or by fax to (904) 565-6637.If the External Reviewer decides to overturn our decision, we will provide coverage or payment for your health care item or Service.You or someone you name to act for you may file a request for external review.
If you believe your situation is urgent, you may request an expedited review by sending your request to the address above or by fax to 904-565-6637.If the External Reviewer decides to overturn our decision, we will provide coverage or payment for your health care item or Service.You or someone you name to act for you may file a request for external review.
If the External Reviewer or a court rejects a request for immediate review because the Plan has met the requirements for the “de minimis” exception described above, the Plan will provide the Claimant with notice of an opportunity to resubmit and pursue an internal appeal of the claim.
External Reviewer Selection Criteria External reviewers must meet the following requirements: • Hold a terminal degree appropriate to the program under review.• Have a record of outstanding scholarship and/or professional experience appropriate to the program under review.