Second Appeal Clause Samples

Second Appeal. If You disagree with Our decision in the first appeal, You may request a second review. This request must be made within thirty (30) days of the date of the First Appeal decision communication. An impartial Medical Director selected by the Company, or its authorized administrator, who has not been a part of Your Pet’s veterinary team previously, who has not been part of the First Appeal; and who has not been involved in the Claim process, will conduct the second review. The Company or its authorized administrator will provide the decision to the named insured within five (5) business days of receiving the second review report.
View SourceView Similar (8)
Second Appeal. Person has thirty (30) days to appeal the decision of the Development Review Committee to District Court. (See Utah Code Section 10-9a-801)
View SourceView Similar (3)
Second Appeal. If you disagree with our decision in the first appeal, you may request further appeal via an external review. A request for a Second Appeal must be made within thirty (30) days of the date of issuance of our First Appeal decision to you. An impartial Veterinarian selected by Embrace, who is independent of Embrace and the Insured, who is not controlled by us, and who has not been a part of your Pet’s veterinary team previously, will conduct an external
View SourceView Similar (3)
Second Appeal. If you disagree with our decision in the First Appeal, you may request a Second Appeal via an external review. A request for a Second Appeal must be made within thirty (30) days of the date of issuance of our First Appeal decision to you. An impartial Veterinarian selected by Embrace: a. Who is independent of Embrace and the Named Insured, b. Who is not controlled by us, and c. Who has not been a part of your Pet’s veterinary team previously, will conduct an external review of medical records and appeal letters and will answer questions about the conditions noted in these records. Embrace will provide the decision to the Named Insured within five (5) business days of receiving the independent Veterinarian’s report. The Second Appeal process may take up to sixty (60) days. If the complaint is regarding the policy terms and conditions and not a medical issue, your Second Appeal will be submitted to Embrace’s underwriting company for review, not to an external Veterinarian.
View SourceView Similar (2)
Second Appeal i. If you disagree with our decision in the first appeal, you may request further appeal via an external review. ii. A request for a Second Appeal must be made within thirty (30) days of the date we issued our First Appeal decision to you. iii. An impartial Veterinarian selected by Embrace: 1. Who is independent of Embrace and the insured; 2. Who is not controlled by us; and 3. Who has not been a part of your Pet’s veterinary team previously; Will conduct an external review of the: 1. Medical records; SAMPLE 2. Any letters submitted for appeal by your Veterinarian; and 3. Questions posed by Embrace; Concerning coverage of the condition. Embrace will provide the decision to you within three (3) working days of receiving the independent Veterinarian’s report. This process may take up to thirty (30) days.
View SourceView Similar (2)
Second Appeal. A person has thirty (30) days to appeal the decision of the Planning Commission to District Court. (See Utah Code 10-9a-801) C. The Appeal Authority and deadline for filing an appeal of a Lot Split Final Plat associated with pavement widths in excess of 32 feet on a residential road, public improvement or engineering standards shall be as follows:
View Source
Second Appeal. 5.1 If the NSTG is not satisfied with the outcome of the First Appeal, they have the right to submit a Second Appeal.
View Source
Second Appeal. You may request a Second Appeal review (preferably in writing) if our denial was upheld during the First Appeal review process. Your Second Appeal review will be reviewed by a dentist in the same or similar specialty as your treating dentist. You must submit your request for a Second Appeal review within one hundred and eighty (180) calendar days of the date of the First Appeal determination letter. Upon request for a Second Appeal review, we will provide you with the opportunity to inspect the dental file and add information to the file. You will receive written notification of a determination on a Second Appeal dental review within fifteen (15) calendar days of receipt of the appeal request and all necessary documentation.
View Source

Related to Second Appeal

  • Review and Appeal 1. Each Party shall ensure that the importers in its territory have access to administrative review within the customs administration that issued the decision subject to review or, where applicable, the higher authority supervising the administration and/or judicial review of the determination taken at the final level of administrative review, in accordance with the Party's domestic law. 2. The decision on appeal shall be given to the appellant and the reasons for such decision shall be provided in writing. 3. The level of administrative review may include any authority supervising the customs administration of a Party.

  • Grievance and Appeals Unit See Section 9 for contact information. You may also contact the Office of the Health Insurance Commissioner’s Consumer Resource Program, RIREACH at 1-855-747-3224 about questions or concerns you may have. A complaint is an expression of dissatisfaction with any aspect of our operation or the quality of care you received from a healthcare provider. A complaint is not an appeal. For information about submitting an appeal, please see the Reconsiderations and Appeals section below. We encourage you to discuss any concerns or issues you may have about any aspect of your medical treatment with the healthcare provider that furnished the care. In most cases, issues can be more easily resolved if they are raised when they occur. However, if you remain dissatisfied or prefer not to take up the issue with your provider, you can call our Customer Service Department for further assistance. You may also call our Customer Service Department if you are dissatisfied with any aspect of our operation. If the concern or issue is not resolved to your satisfaction, you may file a verbal or written complaint with our Grievance and Appeals Unit. We will acknowledge receipt of your complaint or administrative appeal within ten (10) business days. The Grievance and Appeals Unit will conduct a thorough review of your complaint and respond within thirty (30) calendar days of the date it was received. The determination letter will provide you with the rationale for our response as well as information on any possible next steps available to you. When filing a complaint, please provide the following information: • your name, address, member ID number; • the date of the incident or service; • summary of the issue; • any previous contact with BCBSRI concerning the issue; • a brief description of the relief or solution you are seeking; and • additional information such as referral forms, claims, or any other documentation that you would like us to review. Please send all information to the address listed on the Contact Information section.

  • Complaints and Appeals As a Premera member, you have the right to offer your ideas, ask questions, voice complaints and request a formal appeal to reconsider decisions we have made. Our goal is to listen to your concerns and improve our service to you. If you need an interpreter to help with oral translation, please call us. Customer Service will be able to guide you through the service. We would like to hear from you. If you have an idea, suggestion, or opinion, please let us know. You can contact us at the addresses and telephone numbers found on the back cover. Please call us when you have questions about a benefit or coverage decision, our services, or the quality or availability of a healthcare service. We can quickly and informally correct errors, clarify benefits, or take steps to improve our service. We suggest that you call your provider of care when you have questions about the healthcare they provide.

  • Arbitration Appeal A. If an employee grievance is not resolved at Step 2, the aggrieved employee or the PBA may, within fifteen (15) calendar days after receipt of the Step 2 response, submit a request for arbitration to the Labor Relations Office. B. In non-disciplinary grievances, either the PBA or the Employer may request to take the issue or grievance directly to arbitration by submitting the request for arbitration to the Labor Relations Office. C. If the parties fail to mutually agree upon an arbitrator within five (5) calendar days after the date of receipt of the arbitration request, a list of seven (7) qualified neutrals shall be requested and paid for by the moving party from the Federal Mediation and Conciliation Service (FMCS). Within fifteen (15) calendar days after receipt of the list, the parties shall meet and alternately strike names on the list, and the remaining name shall be the arbitrator. A coin shall be tossed to determine who shall strike first. Each party has the right to reject one list. The party rejecting the list shall be responsible for paying for and obtaining the next list and the above described procedures will be followed for selection from the list. If the selected arbitrator is not available for a hearing within ninety (90) days of the date the arbitrator was selected, another list may be requested by the Labor Relations Office, which will pay the fee for that particular list. If the grievant is not represented by the Union, the list of arbitrators shall be requested from the American Arbitration Association with the moving party paying whatever fees may be charged. Once a list has been obtained, the procedures detailed above shall be used for selecting an arbitrator. D. The hearing on the grievance shall be informal and the rules of evidence shall not apply; however, to assure an orderly hearing, the rules of judicial procedure should be followed as closely as possible.

  • Disciplinary Appeals All forms of disciplinary action which are not appealable to the Civil Service Commission or the courts, except written or oral reprimands and Forms 475, shall be subject to review through Steps 3, 4, 5 and 6 of the grievance procedure.