Adverse decision definition

Adverse decision means a decision reducing,
Adverse decision means any decision by a review agent not to certify an admission,
Adverse decision means a utilization review determination by the utilization review entity that a

Examples of Adverse decision in a sentence

  • Phat Fashions subsequently filed an administrative lawsuit against the Adverse Decision, and such case was accepted by the Beijing No. Intermediate People’s Court in September of 2012 and will soon be heard.

  • Phat Fashions filed an opposition against this application which received an Adverse Decision from the Chinese Trademark Office in July of 2012.

  • When conduct that occurred in the period during which the Participant is or was responsible for such conduct contributes to a Material Adverse Decision or a Material Breach of our Code of Business Conduct before the Vesting Date the Restricted Stock Units held by such Participant under this Plan will automatically expire and become null and void.

  • When conduct that occurred in the period during which the Participant is or was responsible for such conduct contributes to a Material Adverse Decision or a Material Breach of our Code of Business Conduct before the Vesting Date the Performance Stock Units held by such Participant under this Plan will automatically expire and become null and void.

  • The parties agree to enter the Consent Order pursuant to Section 4.1. It is understood and agreed that, until the entry of the Consent Order or an Adverse Decision regarding the ‘711 or ‘574 patents from the United States Court of Appeals for the Federal Circuit, nothing contained in this Agreement shall affect the judgments or injunctions entered against Vonage in the Verizon Litigation.


More Definitions of Adverse decision

Adverse decision means a utilization review determination that:
Adverse decision means a final order or decision of the court of appeals, the result of which is contrary, in whole or in part, to the result sought in that court by any party seeking review.
Adverse decision means a decision of the Director to the effect that a person is not a fit and proper person for any purpose under this Act;
Adverse decision means a denial in whole or in part of a pre- determination or a post-service claim and for which You are financially responsible or, for a pre-determination, for which You would be financially responsible, if You obtained the service.
Adverse decision means a utilization review determination by a Private Review Agent, a carrier, or a Health Care Provider acting on behalf of a carrier that: (1) a proposed or delivered Health Care Service covered under the Enrollee’s contract is or was not medically necessary, appropriate, or efficient; and (2) may result in non-coverage of Health Care Service. An Adverse Decision does not include a decision concerning an Enrollee’s status.
Adverse decision means a determination by Private Review Agent, Ameritas Life Insurance Corp., that a dental service is not medically necessary and reimbursement for the service is either denied or reduced.
Adverse decision means a utilization review determination by a third-party administrator, a health insurance plan, an insurer or a health care provider acting on behalf of an insured that a proposed or delivered health care service which would otherwise be covered under an insured's contract is not or was not medically necessary or the health care treatment has been determined to be experimental or investigational and: