Grievance Decision definition

Grievance Decision means a determination accepting or denying the basis or requested remedy of the grievance.

Grievance Decision means a final determination by the Plan that arises from a Grievance. Health Advocacy Unit means the Health Education and Advocacy Unit in the Division of Consumer Protection of the Office of the Attorney General established under Title 13, Subtitle 4A of the Commercial Law Article, Annotated Code of Maryland.

Grievance Decision means a final determination by Delta Dental that arises from a Grievance filed with Delta Dental under its internal Grievance process regarding an Adverse Decision concerning an Enrollee.

Examples of Grievance Decision in a sentence

• The name, business address and business telephone number of the medical director who made the Grievance Decision: Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.

• Any agreement to extend the period for a Grievance Decision will be documented in writing.If the pre-service or post-service Grievance is approved, a letter will be sent to you or your Authorized Representative confirming the approval.

• Within five (5) business days after the Grievance Decision has been made, we will provide you, your Authorized Representative, or your Health Care Provider acting on your behalf written notice of our Grievance Decision.

• If the Grievance was filed by your Authorized Representative, then a letter confirming the Grievance Decision will also be sent to you.If the pre-service or post-service Grievance results in a denial, we will notify you or your Authorized Representative of the decision within thirty (30) working days.

• Grievance Decision Time Periods and Complaints to the CommissionerFor pre-service Grievances, if you or your Authorized Representative does not receive a Grievance Decision from us on or before the later of the:1.

More Definitions of Grievance Decision

Grievance Decision means a final determination by the Plan that arises from a Grievance.

Grievance Decision means a final determination by Us that arises from a Grievance filed with Us through Our Grievance procedure regarding an Adverse Decision.

Grievance Decision means a final determination by a carrier or private review agent that arises from a grievance filed with the carrier or private review agent under its internal grievance process regarding an adverse decision concerning a member or patient.

Grievance Decision means our final determination after a review of a grievance regarding an adverse decision.

Grievance Decision means a final determination by the Company that arises from a grievance filed with the Company through our grievance procedure regarding an adverse decision concerning a Member.

Grievance Decision. A final determination by the Health Plan that arises from a Grievance filed with us under our internal grievance process regarding an Adverse Decision concerning a Member. H

Grievance Decision means a final determination by a carrier that arises from a grievance filed with the carrier under its internal grievance process regarding an adverse decision concerning a member.