Common use of Adverse Determination Clause in Contracts

Adverse Determination. SelectCare shall be responsible for notifying Members of non-Covered Services. Member notification shall be made in writing, with a copy to Provider, that indicates the decision to deny services made by SelectCare. If the Member elects not to comply with such writing and the requirements of SelectCare, Provider will ▇▇▇▇ Member directly under Section 5.6, hereof.