Grievance Decision definition

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

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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 the Plan that arises from a Grievance.

Examples of Grievance Decision in a sentence

• If the grievant is dissatisfied with the Step 1 Decision, the grievant may file a Step 2 Grievance with the appropriate Step 2 Receiving Official within 30 days of receiving the Step 1 Grievance Decision.

• If we uphold the adverse determination, the denial notification will include a Notice of Grievance Decision.

• The Notice of Grievance Decision will include the appropriate information specified for the Notice of Adverse Decision above and will include that the Health Advocacy Unit is available to assist you or your representative in filing a complaint with the Insurance Commissioner.

• A written Notification must be provided to the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member within 24 hours of the orally communicated Grievance Decision.

• Within 4 months after the date of receipt of an Appeal Decision or a Grievance Decision, a Member, the Member’s Representative or Health Care Provider acting on behalf of the Member may file a Complaint with the Commissioner for review of the Grievance Decision or Appeal Decision.

More Definitions of Grievance Decision

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 that arises from a grievance filed with the carrier under its internal grievance process regarding an adverse decision concerning a member.

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.

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