Concurrent Care Claims. i. In the event a Concurrent Care Claim results in an Adverse Benefit Determination AvMed shall notify the Claimant at a time sufficiently in advance of the reduction or termination to allow the Claimant to appeal and obtain a determination on review, before the benefit is reduced or terminated.
Appears in 6 contracts
Samples: Individual and Family Engage, www.avmed.org, www.avmed.org
Concurrent Care Claims. i. In the event a Concurrent Care Claim results in an Adverse Benefit Determination AvMed shall notify the Claimant at a time sufficiently in advance of the reduction or termination to allow the Claimant to appeal and obtain a determination on review, review before the benefit is reduced or terminated.
Appears in 2 contracts
Samples: www.avmed.org, www.avmed.org
Concurrent Care Claims. i. In the event a Concurrent Care Claim results in an Adverse Benefit Determination Determination, AvMed shall notify the Claimant at a time sufficiently in advance of the reduction or termination to allow the Claimant to appeal and obtain a determination on review, review before the benefit is reduced or terminated.
Appears in 1 contract
Samples: www.avmed.org
