Urgent Care Grievance definition

Urgent Care Grievance means any dissatisfaction with the administration or claims practices of or provision of services by Delta Dental that requires immediate dental attention. Such grievance must be delivered in writing to Delta Dental. See the Grievance Procedures section of this Handbook.
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Urgent Care Grievance means any dissatisfaction with the administration or claims practices of or provision of services by Wyssta that requires immediate attention. Such Grievance must be delivered in writing to Wyssta. See the Grievance Procedures section of this Vision Benefit Handbook.
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Urgent Care Grievance means any dissatisfaction with the administration or claims practices of or provision of services by Delta Dental that requires immediate dental attention. An Urgent Care Grievance must be delivered to Delta Dental in writing, in person, or by telephone. See Grievance Procedure on page 11 of this Dental Benefit Handbook.
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Examples of Urgent Care Grievance in a sentence

  • An Urgent Care Grievance will be resolved, whether informally or by the Grievance Committee, within 72 hours of its receipt by Delta Dental.

  • Notice of an Urgent Care Grievance will be accepted by Delta Dental if made by a Subscriber or Covered Dependent, or that person’s representative, by telephone or in writing directed to: Delta Dental of Wisconsin, Inc.

  • At a minimum, the Commission should follow the FTC’s lead by clarifying that “a statement made intentionally misleading by reason of the intentional omission of a material fact would violate the Rule only if its dissemination ‘distorts or tends to distort market conditions’ respecting any covered product.’”22 There are strong reasons for the Commission to apply the FTC’s market effect requirement for material omissions.

  • Notice of an Urgent Care Grievance will be accepted by the Company if made by a Subscriber or Covered Dependent, or that person’s representative, by telephone or in writing directed to: Delta Dental of Wisconsin, Inc.

  • If the Urgent Care Grievance cannot be resolved through informal discussions, consultations or conferences during the first 48 hours after Delta Dental’s receipt of the Urgent Care Grievance, the Subscriber, Covered Dependent, or a designated representative may appear before Delta Dental’s Grievance Committee to present written or oral information with the right to ask questions before the Grievance Committee.

  • An Urgent Care Grievance will be resolved, whether informally or by the Grievance Committee, within 72 hours of its receipt by American Dental Plan of Wisconsin, Inc.

  • Notice of an Urgent Care Grievance will be accepted by American Dental Plan of Wisconsin, Inc.


More Definitions of Urgent Care Grievance

Urgent Care Grievance means any dissatisfaction with the administration or claims practices of or provision of services by Delta Dental that requires immediate dental attention. Such grievance must be delivered in writing to Delta Dental. See the Grievance Procedures section of the Contract.
Sample 1Sample 2
Urgent Care Grievance is any dissatisfaction with the administration or claims practices of or provision of service by American Dental Plan of Wisconsin, Inc. in connection with treatment which requires immediate dental attention. Such grievance must be delivered to American Dental Plan of Wisconsin, Inc. by or on behalf of the Covered Person: (1) in writing; (2) in person, or (3) by telephone.
Sample 1
Urgent Care Grievance means any dissatisfaction with the administration or claims practices of or provision of services by Wyssta that requires immediate attention. An Urgent Care Grievance must be delivered to Wyssta in writing or by telephone. See the Grievance Procedure section of this Vision Benefit Handbook.
Sample 1

Related to Urgent Care Grievance

  • Group Grievance is defined as a single grievance, signed by a Xxxxxxx or a Union Representative on behalf of a group of employee who have the same complaint. Such grievances must be dealt with at successive stages of the Grievance Procedure commencing with Step 1. The grievors shall be listed on the grievance form.

  • Urgent Care means treatment for a condition that is not a threat to life or limb but does require prompt medical attention. Also, the severity of an urgent condition does not necessitate a trip to the hospital emergency room. An Urgent Care facility is a freestanding facility that is not a physician’s office and which provides Urgent Care.

  • Statement of Grievance shall name the grievant(s) involved, the facts giving rise to the grievance, the provision(s) of the Agreement alleged to be violated, and the remedy (specific relief) requested.

  • Urgent Care Claim means a claim for medical care or treatment where making a non-urgent care decision: (a) could seriously jeopardize the life or health of the claimant or the ability of the claimant to regain maximum function, as determined by an individual acting on behalf of the plan applying the judgment of a prudent layperson who possesses an average knowledge of health and medicine; or (b) in the opinion of a physician with knowledge of the claimant’s medical condition, would subject the claimant to severe pain that cannot be adequately managed without the care.

  • Urgent care request means a claim relating to an admission, availability of care, continued stay or health care service for which the covered person received emergency services but has not been discharged from a facility, or any Pre-Service Claim or concurrent care claim for medical care or treatment for which application of the time periods for making a regular external review determination:

  • Grievance means a complaint in writing that an employee, group of employees, or the Union submits to management, to be processed through the grievance procedure.

  • URGENT CARE CENTER means a healthcare center either affiliated with a hospital or other institution or independently owned and operated. These centers may also be referred to as walk-in centers.

  • A grievance means a dispute or disagreement as to the interpretation or application of terms and conditions of employment contained in this Agreement.

  • Policy Grievance shall be signed by a xxxxxxx or a Union representative or, in the case of an Employer's policy grievance, by the Employer or its representative.

  • Inpatient care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered event.

  • Primary care physician means a physician qualified to be an attending physician according to ORS 656.005(12)(b)(A) and who is a general practitioner, family practitioner, or internal medicine practitioner.

  • Nursing Care Plan means a plan of care developed by a nurse that describes the medical, nursing, psychosocial, and other needs of a child and how those needs shall be met. The Nursing Care Plan includes which tasks shall be taught, assigned, or delegated to the qualified provider or family.

  • Grievance System means the overall system that includes:

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Psychiatric nurse means a registered nurse who has

  • Urgently Needed Services means Covered Services needed to prevent a serious deterioration in a Member’s health. While not as immediate as Emergency Services, these services cannot be delayed until the Member can see a Plan Provider.

  • Specialist Physician means a licensed physician who qualifies as an attending physician and who examines a patient at the request of the attending physician or authorized nurse practitioner to aid in evaluation of disability, diagnosis, or provide temporary specialized treatment. A specialist physician may provide specialized treatment for the compensable injury or illness and give advice or an opinion regarding the treatment being rendered, or considered, for a patient’s compensable injury.

  • Grievance Procedure is used in this Agreement, it shall be considered as including the arbitration procedure.

  • Primary care-giver means a person who assumes the principal role of providing care and attention to a child.

  • Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.

  • In Patient Care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered event.

  • Complaints Procedure means the School's procedure for handling complaints from parents, as amended from time to time for legal or other substantive reasons, or in order to assist the proper administration of the School. It does not form part of the contract between you and the School. A copy of the most up-to-date procedure is on the School's website and is otherwise available from the School at any time upon request;

  • Nursing diagnosis means a judgment made by a registered nurse, following a nursing assessment of individuals and groups about actual or potential responses to health problems, which forms the basis for determining effective nursing interventions.

  • Environmental and Social Management Plan or “ESMP” means a site-specific environmental and social management plan to be prepared in accordance with the parameters laid down in the ESMF and acceptable to the Association, setting forth a set of mitigation, monitoring, and institutional measures to be taken during the implementation and operation of the Project activities to eliminate adverse environmental and social impacts, offset them, or reduce them to acceptable levels, and including the actions needed to implement these measures.

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • PREVENTIVE CARE SERVICES means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3. PRIMARY CARE PROVIDER (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.