Common use of Expedited Appeal Process Clause in Contracts

Expedited Appeal Process. Action following denial of a request for expedited resolution. Anytime that CONTRACTOR denies a request for an expedited resolution of an appeal, it shall do the following: • Transfer the appeal to the standard timeframe of no longer than forty-five days (45) days from the day the CONTRACTOR receives the appeal with a possible fourteen-day (14) extension; and • Make reasonable efforts to give the enrollee prompt oral notice of the denial, and a written notice within two (2) calendar days.

Expedited Appeal Process. Action following denial of a request for expedited resolution. Anytime that CONTRACTOR INSURER denies a request for an expedited resolution of an appeal, it shall do the following: • Transfer the appeal to the standard timeframe of no longer than forty-five days (45) days from the day the CONTRACTOR INSURER receives the appeal with a possible fourteen-day (14) extension; and • Make reasonable efforts to give the enrollee prompt oral notice of the denial, and a written notice within two (2) calendar days.