Common use of Second Appeal Clause in Contracts

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.