Common use of Appeal Clause in Contracts

Appeal. 1. The Contractor shall allow the beneficiary, an authorized provider, or an authorized representative acting on behalf of the beneficiary, as state law permits, to file a request for an appeal to the Contractor within 60 calendar days from the date on the adverse benefit determination notice.

Appears in 28 contracts

Sources: Behavioral Health Services Agreement, Behavioral Health Services Agreement, Intergovernmental Agreement

Appeal. 1. The Contractor shall allow the beneficiary, an authorized provider, or an authorized representative acting on behalf of the beneficiary, as state law permits, to file a request for an appeal to the Contractor within 60 calendar days from the date on the adverse benefit determination noticeNOABD.

Appears in 8 contracts

Sources: Agreement, Intergovernmental Agreement, Intergovernmental Agreement