Internal appeal definition

Internal appeal means an internal appeal to the relevant authority in terms of section 74;

Internal appeal means a review by an insurer of an adverse benefit determination made

Internal appeal means a review by an insurer of an adverse benefit determination made by the insurer.

Examples of Internal appeal in a sentence

• Internal appeal processes and informal reconsideration for denial of claims or services for elective, non-emergency, or routine conditions should also be made available to the insured and the treating physician.

• FAA’s Aviation Safety Inspector andAnalyst StaffingThe Airline Safety and FAA Extension Act of 2010 directed OIG to review staffing levels for FAA’s aviation safety inspectors and operations research analysts.

• The last procedural movement, in this case, refers to the distribution in the Federal Supreme Court (STF), to Minister Ricardo Lewandowski, of the Extraordinary Appeal with Agravo (ARE), under No. pending the analysis of the Internal appeal filed on 09/19/2022.

• Internal appeal processes and informal reconsideration for denial of claims orservices for elective, non-emergency, or routine conditions should also be made available to the insured and the treating physician.

• As a participant in LISC's Partners in Community Building program, during 2004 LISC will provide CHDC with grant funds to review and refine staff's professional development plans with a human resources consultant.

More Definitions of Internal appeal

Internal appeal means an internal appeal to the relevant authority in terms of

Internal appeal a request by an Enrollee or the Enrollee’s Appeal Representative made to the Contractor for review of an Adverse Action. Inquiry – any oral or written question by an Enrollee to the Contractor’s Enrollee services department regarding an aspect of Contractor operations that does not express dissatisfaction about the Contractor.

Internal appeal means a review by an insurer of an adverse benefit determi- nation made by the insurer.

Internal appeal means an internal review by the Medicaid Program of an adverse benefit determination.

Internal appeal means an Internal Appeal to the ‘Relevant Authority’ in terms of section 74 of the Act. In the case of the NATIONAL EMPOWERMENT FUND, the ‘Relevant Authority’ is the NATIONAL EMPOWERMENT FUND Information Committee.

Internal appeal means an appeal of an adverse benefits determination made by any of the Insureds pursuant to the U.S. Department of Labor's claim procedure regulation, 29C.F.R. 2560.501-1(h) or similar claim procedures under applicable law.

Internal appeal. A request to the Contractor by a member, a member’s authorized representative or provider, acting on behalf of the member and with the member’s written consent, for review of a Contractor’s adverse benefit determination as defined in this Contract. The internal appeal is the only level of appeal with the Contractor and must be exhausted by a member or deemed exhausted according to 42 CFR § 438.408(c)(3) before the member may initiate a State fair hearing.