Informational Grievances Sample Clauses
The Informational Grievances clause establishes a formal process for parties to raise concerns or complaints specifically related to the accuracy, completeness, or timeliness of information exchanged under the agreement. Typically, this clause outlines the steps for submitting a grievance, such as providing written notice and allowing a set period for investigation and response. Its core function is to ensure that any issues regarding information sharing are addressed promptly and transparently, thereby maintaining trust and minimizing misunderstandings between the parties.
Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company’s grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company’s Member Services Department at the address and telephone number listed on the face page of this Certificate. Oral grievances shall be submitted to Company’s Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dentally-related matter or claim, Company’s Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to appeal to the State of Florida Department of Insurance.
Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company’s grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company’s Member Services Department at the address and telephone number listed below. Oral grievances shall be submitted to Company’s Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dental-related matter or claim, Company’s Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to grieve directly to the State of Florida Department of Financial Services, Office of Insurance Regulation. FL Advantage 08/03 10 The Agreement and Certificate of Benefits ("Certificate") is hereby amended as follows. The terms and conditions of that certain Certificate are hereby confirmed in their entirety with the exception that to the extent the terms and conditions of this Amendment are in conflict with the terms and conditions of the Certificate, the terms of this Amendment shall govern.
1. Your spouse;
2. Your child;
a) from birth to age 26; or
b) at least 26 years of age and:
i. primarily dependent upon You for support because of mental or physical handicap;
ii. was incapacitated and insured under Policy on his 26th birthday; and
iii. continues to be incapacitated beyond his 26th birthday.
Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company's grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company's Member Services Department at (▇▇▇) ▇▇▇-▇▇▇▇. Oral grievances shall be submitted to Company's Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dental-related matter or claim, Company's Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to appeal to the State of Ohio Department of Insurance.
Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company’s grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company’s Member Services Department at the address and telephone number listed below. Oral grievances shall be submitted to Company’s Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dental-related matter or claim, Company’s Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to grieve directly to the State of Florida Department of Financial Services, Office of Insurance Regulation. Schedule of Benefits and Subscriber Copayments ADVANTAGE - AVF1 D0120 PERIODIC ORAL EVALUATION (limit 2 every 12 months) $0 D0140 LIMITED ORAL EVALUATION-PROBLEM FOCUSED $0 D0150 COMPREHENSIVE ORAL EVALUATION (new or established patient) $0 D0160 DETAIL AND EXTENSIVE ORAL EVALUATION $0 D0170 RE-EVALUATION - LIMITED, PROBLEM FOCUSED (est. patient) $0 D0180 COMPREHENSIVE PERIODONTAL EVALUATION (new or est. pt.) $0 D2740 CROWN-PORCELAIN/CERAMIC SUBSTRATE $411 D2750 CROWN-PORCELAIN FUSED TO HIGH NOBLE METAL $405 D2751 CROWN-PORCELAIN FUSED TO PREDOM BASE METAL $377 D2752 CROWN-PORCELAIN FUSED TO NOBLE METAL $386 D2790 CROWN-FULL CAST HIGH NOBLE METAL $391 D2791 CROWN-FULL CAST PREDOM BASE METAL $370 D2792 CROWN-FULL CAST NOBLE METAL $377 D0210 INTRAORAL-COMPLETE SERIES INCL. BITEWINGS D2910 RECEMENT INLAY $35 (limit 1 every 3 years) $0 D2920 RECEMENT CROWN $36 D0220 INTRAORAL-PERIAPICAL-1st FILM $0 D2930 PREFAB STAINLESS STEEL CROWN-PRIM TOOTH $98 D0230 INTRAORAL-PERIAPICAL-EACH ADDITIONAL FILM $0 D2931 PREFAB STAINLESS STEEL CROWN-PERM TOOTH $111 D0240 INTRAORAL-OCCLUSAL FILM $0 D2932 PREFABRICATED RESIN CROWN-PER TOOTH $121 D0250 EXTRAORAL-1st FILM $0 D2940 SEDATIVE FILLING $15 D0260 EXTRAORAL-EACH ADDITIONAL FILM $0 D2950 CORE BUILDUP, INCLUDING ANY PINS $94 D0270 BITEWING-1 FILM (limit 2 every 12 months) $0 D2951 PIN RETENTION/PER TOOTH $20 D0272 BITEWINGS-2 FILMS (limit 2 every 12 months) $0 D2952 CAST POST & CORE IN ADD TO CROWN $143 D0274 BITEWINGS-4 FILMS (limit 2 every 12 months) $0 D2954 PREFAB POST & CORE IN ADD TO CROWN $118 D0277 VERTICAL BIT...
Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company’s grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company’s Member Services Department at the address and telephone number listed on the face page of this Certificate. Oral grievances shall be submitted to Company’s Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dentally-related matter or claim, Company’s Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to appeal to the State of Georgia Department of Insurance.