Common use of Adverse Determination Clause in Contracts

Adverse Determination. The IRO shall provide notice of its decision to uphold or reverse the Adverse Determination or Final Adverse Determination to the Plan, the Director and you: as expeditiously as your medical condition or circumstances require, but no more than 72 hours after the receipt of request.

Adverse Determination. The IRO shall provide notice of its decision to uphold or reverse the Adverse Determination or Final Adverse Determination to the Plan, the Director IDOI and youyou or your authorized representative: as expeditiously as your medical condition or circumstances require, but no more than 72 hours after the receipt of request.