Member Services Representative definition

Member Services Representative. An employee of HPN that is assigned to assist the Member or the Member’s Authorized Representative in appealing an Adverse Benefit Determination.
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Member Services Representative. An employee of SHL that is assigned to assist the Insured or the Insured’s Authorized Representative in appealing an Adverse Benefit Determination.
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Examples of Member Services Representative in a sentence

  • The Member can request the assistance of a Member Services Representative at any time during this process.

  • A Member Services Representative will return your call on the next business day.

  • The Insured can request the assistance of a Member Services Representative at any time during this process.

  • The Member Services Representative will inform the Member that upon review and investigation of the relevant information, HPN will make a determination of the Informal Review.

  • A Member Services Representative will explain the claims process to the Self-funded Member.

  • The Member Services Representative will inform the Member that upon review and investigation of the relevant information, LIBERTY will make a determination of the Informal Review.

  • The Member Services Representative will inform the Insured that upon review and investigation of the relevant information, SHL will make a determination of the Informal Review.

  • The Member Services Representative will try to obtain all information, including medical records, relevant to a complaint.

  • The Member Services Representative will direct you to submit the dentist’s bill listing the Emergency Care services to First Commonwealth within thirty days.

  • A Member Services Representative will investigate each complaint and respond in writing.

Related to Member Services Representative

  • Member Services are hereby defined as any products or services now or hereafter provided or sponsored by the Credit Union or otherwise made available to Credit Union members, which services include, but are not limited to: loans, deposit accounts, ATM services, online banking services, and other electronic fund transfer services.

  • Sales Representative means a person employed by, acting on

  • Supplier Representative means the representative appointed by the Supplier from time to time in relation to this Framework Agreement;

  • Contractor Representative means any of the following:

  • Customer Representative means the representative appointed by the Customer from time to time in relation to this Call Off Contract;

  • Supplier’s Representative means the representative appointed by the Supplier from time to time with overall responsibility for this Contract and notified to the Customer;

  • Authority’s Representative means the individual authorised to act on behalf of the Authority for the purposes of the Contract.

  • Principal’s Representative means the person nominated by the Principal or other person from time to time appointed in writing by the Principal to act as the Principal’s Representative for the purposes of the Contract.

  • Services Coordinator means an employee of the community developmental disability program or other agency that contracts with the county or Division, who is selected to plan, procure, coordinate, monitor Individual Support Plan services, and to act as a proponent for individuals with developmental disabilities.

  • Advisory Representative means any Supervised Person, who in connection with his or her regular functions or duties, normally makes, participates in, or otherwise obtains current information regarding the Purchase or Sale of a Security by the Firm, or whose functions relate to the making of any recommendations with respect to such purchases or sales, and any natural Person in a Control relationship to the Firm who obtains information concerning recommendations made concerning a Purchase or Sale of a Security. This definition includes but is not limited to the following: partner, officer, Manager, investment person, Portfolio Manager and any other Supervised Person of the Firm designated as an “Advisory Representative” from time to time by the Review Officer.

  • Customer Service Representative (or "CSR") shall mean any person employed with or under contract or subcontract to a Cable Operator to assist, or provide service to, customers, whether by telephone, writing service or installation orders, answering customers' questions in person, receiving and processing payments, or performing any other customer service-related tasks.

  • Procurement Representative means the person authorized by ULA’s cognizant procurement organization to administer and/or execute this Contract.

  • Contractor’s Representative means the individual authorised to act on behalf of the Contractor for the purposes of the Contract. The initial Contractor’s representative is as indicated in the Form of Agreement.

  • PJM Liaison means the liaison established under Tariff, Attachment M, section III.I.

  • Distributor representative means a representative employed by a distributor branch or distributor.

  • Project Manager means the principal employee or agent of the Recipient having administrative authority over the Project designated in Appendix B pursuant to Section VI hereof, or authorized designee as per written notification to the Director.

  • Program Manager means the HCAI manager responsible for the grant program.

  • Department Representative means an individual who represents the Department and presents the Department’s position in a hearing.

  • Multiphase professional services contract means a contract for the providing of professional

  • Industry representative means an individual who is compensated by

  • Independent representative means a person who:

  • Management Representative means an individual designated to hear grievances on behalf of the University.

  • Emergency medical services provider means a person who has received formal training in prehospital and emergency care, and is licensed to attend any person who is ill or injured or who has a disability. Police officers, firefighters, funeral home employees and other persons serving in a dual capacity one of which meets the definition of “emergency medical services provider” are “emergency medical services providers” within the meaning of this chapter.

  • Resident Representative means (if any) the individual (or, if permitted in accordance with the Companies Acts, the company) appointed to perform the duties of resident representative set out in the Companies Acts and includes any assistant or deputy Resident Representative appointed by the Board to perform any of the duties of the Resident Representative;

  • Non-Administrator Coordinated Home Care Program means a Coordinated Home Care Program which does not have an agreement with the Claim Administrator or a Blue Cross Plan but has been certified as a home health agency in accordance with the guidelines established by Medicare.

  • Project Representative means the individual(s), including but not limited to the Resident Engineer, to whom the Authority Representative has delegated Project responsibilities. If a Project Representative is appointed, the Project Representative represents the Authority Representative on the Project within the limits of that delegation with respect to any part of the Work.