Internal appeals process definition

Internal appeals process means a formal process, as set forth in KRS 304.17A- 617, established and maintained by the insurer, its designee, or agent whereby the covered person, an authorized person, or a provider may contest an adverse determination rendered by the insurer, its designee, or private review agent;
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Internal appeals process means a formal process, as set forth in KRS 304.17A-
Sample 1Sample 2Sample 3
Internal appeals process means a formal process, as set forth in KRS
Sample 1Sample 2

Examples of Internal appeals process in a sentence

  • Internal appeals process -- Procedures -- Review of coverage denials.

  • This ensures that the appeal is forwarded to the Awarding Body if and when a learner considers that a decision continues to disadvantage him/her after the Internal appeals process has been exhausted.

Related to Internal appeals process

  • Internal combustion engine or ‘engine’ means an energy converter, other than a gas turbine, designed to transform chemical energy (input) into mechanical energy (output) with an internal combustion process; it includes, where they have been installed, the emission control system and the communication interface (hardware and messages) between the engine's electronic control unit(s) and any other powertrain or non-road mobile machinery control unit necessary to comply with Chapters II and III;

  • Internal control means a set of systems to ensure that financial and other records are reliable and complete and which ensure adherence to the entity's management policies, the orderly and efficient conduct of the entity, and the proper recording and safeguarding of assets and resources;