Internal appeal or review definition

Internal appeal or review means an appellant's request for a carrier or health plan to review and reconsider an adverse benefit determination.
Sample 1Sample 2Sample 3
Internal appeal or review means the request by an appellant to a carrier or health plan to review and reconsider an adverse benefit determination.
Sample 1Sample 2Sample 3

Related to Internal appeal or review

  • Disciplinary Authority means the appointing authority or any other authority as may be specified to be the Disciplinary Authority in respect of any of the post/posts and includes all the authorities superior to the appointing authority.

  • External Auditor means the Corporation’s independent auditor; and

  • Appeal authority means the executive authority of the municipality or any other body or institution outside of the municipality authorised by that municipality to assume the obligations of an appeal authority for purposes of appeals lodged in terms of the Act;

  • Appeal Board means the State Charter School Appeal

  • Final Internal Adverse Benefit Determination means an Adverse Benefit Determination that has been upheld by BCBSTX at the completion of BCBSTX’s internal review/appeal process.

  • Grievance means a dispute arising out of the interpretation, application, administration or alleged violation of the terms of this Agreement.

  • Awarding Authority means a subordinate or component entity or person of the City (such as a City department or Board of Commissioners) that has the authority to enter into a contract or agreement for the provision of goods or services on behalf of the City of Los Angeles.

  • Hearing means an oral hearing and includes a hearing conducted in whole or in part by video link, telephone or other means of instantaneous two-way electronic communication;

  • Adjudicating Authority or “NCLT” shall mean the Hon’ble Mumbai Bench of the National Company Law Tribunal;