Notice of Appeal Resolution definition

Notice of Appeal Resolution means Contractor’s notification to a Member of the resolution of an Appeal described in OAR 410-141-3890.
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Notice of Appeal Resolution means Contractor’s notification to a Member of the resolution of an Appeal as described in OAR 410-141-3247.
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Notice of Appeal Resolution means written notification of an Enrollee, and a provider when applicable, of the CONTRACTOR’s resolution of an Appeal.
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Examples of Notice of Appeal Resolution in a sentence

  • The beneficiary shall request a state fair hearing no later than 120 calendar days from the date of the Contractor’s Notice of Appeal Resolution.

  • The Contractor shall provide written Notice of Appeal Resolution to the affected parties.

  • Notice of Appeal Resolution means written notification to an Enrollee, and a Provider when applicable, of the Contractor’s resolution of an Appeal.

  • The Contractor shall provide a written Notice of Appeal Resolution to the affected parties in accordance with format and language requirements found in Article 3.5.3 of this attachment.

  • The Contractor shall provide written Notice of Appeal Resolution, and make reasonable efforts to provide oral notice, of the resolution of an expedited Appeal.

  • The Contractor shall make reasonable effort to provide oral notice of the expedited resolution in addition to providing a written Notice of Appeal Resolution.

  • Additional requirements specific to the management of Medi-Cal Member Appeals .Medi-Cal Members and/or their representative may contact the California Department of Social Services to request a State Hearing or an Expedited State Hearing within 120 calendar days from the date of the Notice of Appeal Resolution (NAR), which informs the beneficiary the Adverse Benefit Decision has been upheld .

  • The Contractor shall provide written Notice of Appeal Resolution to the affected parties in a format and language that meets applicable notification standards found in 42 CFR 438.10.

  • The beneficiary shall have no less than 90 calendar days and no more than 120 calendar days from the date of the Contractor’s Notice of Appeal Resolution to request a state hearing.

  • Appeal ResolutionsUHA will make reasonable effort to provide the member with oral notice of the resolution.The member will also be notified in writing of the resolution of the appeal by means of the Notice of Appeal Resolution (NOAR).


More Definitions of Notice of Appeal Resolution

Notice of Appeal Resolution means a written notice that includes the results of the resolution process per A.A.C. R9-34-216.
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Notice of Appeal Resolution means Contractor’s written decision on an Appeal denying a service request that is sent to the Member and/or the Member’s Provider. Nurse means a person licensed by the California Board of Nursing. Operations Period means the period of time in which Contractor is performing the terms of the Contract, or any extension thereto. The Operations Period begins after the Implementation Period, with the effective date beginning on the first month of operations, continuing through to the last month of capitation. Other Health Coverage (OHC) means health coverage from another entity that is responsible for all or part of the payment for a Member’s health care services. OHC may result from a health insurance policy or other contractual agreement or legal obligation to pay for health care services provided to a Member, excluding tort liability. Out-of-Network Provider means a Provider that does not have a Network Provider Agreement with Contractor.
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Notice of Appeal Resolution means a written notice that
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Related to Notice of Appeal Resolution

  • Notice of Appeal means a notice given pursuant to Condition 6.2.

  • Special Resolution means a resolution passed by a majority of not less than two-thirds (2/3) of the votes cast on that resolution.

  • Supplemental Resolution means any resolution or resolutions of the Trust amending, modifying or supplementing this Bond Resolution, authorizing the issuance of a Series of Refunding Bonds, or any other Supplemental Resolution adopted by the Trust pursuant to the provisions of this Bond Resolution.

  • Notice of Motion means a notice setting out the text of a motion, which it is proposed to move at the next relevant meeting;

  • Resolution shall have the meaning specified in Section 8(E).

  • Expedited Appeal means if a Member appeals a decision regarding a denied request for Prior Authorization (Pre-Service Claim) for an Urgent Care Claim, the Member or Member’s Authorized Representative can request an Expedited Appeal, either orally or in writing. Decisions regarding an Expedited Appeal are generally made within seventy-two (72) hours from the Plan’s receipt of the request.

  • EEA Resolution Authority means any public administrative authority or any person entrusted with public administrative authority of any EEA Member Country (including any delegee) having responsibility for the resolution of any EEA Financial Institution.