Common use of Calculating Time Periods Clause in Contracts

Calculating Time Periods. For purposes of Section H. herein, the period of time within which a Grievance Decision shall be made begins at the time a Grievance is received by the Plan or the Plan’s Designee, without regard to whether all the information necessary to make a benefit determination on review accompanies the filing. In the event that a period of time is extended as permitted pursuant to paragraph H.2 herein due to a Member’s, the Member’s Representative’s or Health Care Provider 's failure to submit information necessary to decide a claim, the period for making the benefit determination on review shall be tolled from the date on which the Notification of the extension is sent to the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member until the date on which the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member responds to the request for additional information.

Calculating Time Periods. For purposes of Section H. herein, the period of time within which a Grievance Decision shall be made begins at the time a Grievance is received by the Plan or the Plan’s 's Designee, without regard to whether all the information necessary to make a benefit determination on review accompanies the filing. In the event that a period of time is extended as permitted pursuant to paragraph H.2 herein due to a Member’s's, the Member’s 's Representative’s 's or Health Care Provider 's failure to submit information necessary to decide a claim, the period for making the benefit determination on review shall be tolled from the date on which the Notification of the extension is sent to the Member, the Member’s 's Representative or Health Care Provider acting on behalf of the Member until the date on which the Member, the Member’s 's Representative or Health Care Provider acting on behalf of the Member responds to the request for additional information.

Calculating Time Periods. For purposes of Section H. herein, the period of time within which a Grievance Decision shall be made begins at the time a Grievance is received by the Plan or the Plan’s Plan‟s Designee, without regard to whether all the information necessary to make a benefit determination on review accompanies the filing. In the event that a period of time is extended as permitted pursuant to paragraph H.2 herein due to a Member’sMember‟s, the Member’s Representative’s Member‟s Representative‟s or Health Care Provider 's failure to submit information necessary to decide a claim, the period for making the benefit determination on review shall be tolled from the date on which the Notification of the extension is sent to the Member, the Member’s Member‟s Representative or Health Care Provider acting on behalf of the Member until the date on which the Member, the Member’s Member‟s Representative or Health Care Provider acting on behalf of the Member responds to the request for additional information.