CLAIMS APPEALS. SISC FLEX shall make final determination regarding any claim for benefits on coverage that is appealed after initial rejection including: (a) any question of eligibility or entitlement of the claimant for coverage under the Plan; (b) any question with respect to the amount due; or (c) any other appeal.
Appears in 4 contracts
Sources: Sisc Flex Service Agreement, Sisc Flex Service Agreement, Sisc Flex Service Agreement