Final denial definition

Final denial means a denial of benefits under the medical plan or dental plan that has been upheld by the claims administrator at the completion of the internal appeals process or a denial of benefits under the medical plan or dental plan with respect to which the internal appeals process has been deemed exhausted (a "deemed final denial").
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Final denial means a Denial of Health Benefits that has been upheld by the Claims Supervisor at the completion of the internal claims procedure pursuant to Section 13.02, or a Denial of Health Benefits with respect to which the internal claims procedure has been deemed exhausted as described under Section 13.02 (a "deemed Final Denial").
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Final denial has the meaning set forth in Section 4.3(a)(ii).
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Examples of Final denial in a sentence

  • Final denial of an administrative claim shall be in writing and sent to the claimant, or the claimant’s attor- ney or legal representative by certified or registered mail.

  • Final denial of an administrative claim shall be in writing and sent to the claimant, his attorney, or legal representative by certified or reg- istered mail.

  • Final denial of an administrative claim must be in writing and sent to the claimant, his or her attorney, or legal representative by certified or reg- istered mail.

  • Final denial of a request for re- consideration shall be accomplished in the manner prescribed in § 750.30.

  • When Department of Justice ap- proval or consultation is required under § 17.8, the referral or request shall be transmitted to the Department of Justice by the General Counsel of the Department or his designee.§ 17.11 Final denial of claim.Final denial of an administrative claim shall be in writing, and notifica- tion of denial shall be sent to the claimant, his attorney, or legal rep- resentative by certified or registered mail.

  • Final denial of approval for establishing an opioid treatment program shall be to the Board of Mental Health pursuant to the established appeal procedure.

  • Negative financial incentives are more effectivethan positive financial incentives.

  • The final appellate response will not be made until the fees are paid.(2) Final denial of an appeal must be made in writing and signed by the appellate authority.

  • Referral to Department of Justice.17.11 Final denial of claim.17.12 Action on approved claim.

  • Final denial of an administrative claim under this part shall be in writ- ing and sent to the claimant, his or her attorney, or legal representative by certified or registered mail.


More Definitions of Final denial

Final denial or “Final Curtailment,” as the case may be);
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Related to Final denial

  • Final Decree means the decree contemplated under Bankruptcy Rule 3022.

  • Denial means the process of refusing to grant a license after OCCL receives an application. This constitutes refusal of permission to operate.

  • Final Decision means a final action of the commission determining the legal rights, duties, or privileges of any person. “Final decision” does not include preliminary, procedural, or intermediate actions by the commission, actions regulating the internal administration of the commission, or actions of the commission to enter into or refrain from entering into contracts or agreements with vendors to provide goods or services to the commission.

  • Final Determination means the final resolution of liability for any Tax for any taxable period, by or as a result of (a) a final decision, judgment, decree or other order by any court of competent jurisdiction that can no longer be appealed, (b) a final settlement with the IRS, a closing agreement or accepted offer in compromise under Sections 7121 or 7122 of the Code, or a comparable agreement under the Laws of other jurisdictions, which resolves the entire Tax liability for any taxable period, (c) any allowance of a refund or credit in respect of an overpayment of Tax, but only after the expiration of all periods during which such refund or credit may be recovered by the jurisdiction imposing the Tax, or (d) any other final resolution, including by reason of the expiration of the applicable statute of limitations or the execution of a pre-filing agreement with the IRS or other Taxing Authority.

  • Final Determination Date means the following:

  • Final DIP Order means a final order of the Bankruptcy Court approving the DIP Facilities Motion, which order shall be consistent in all material respects with this Agreement and the DIP Credit Agreements and otherwise in form and substance acceptable to the Debtors and the Requisite Consenting Creditors.

  • Administrative Claim Bar Date means the deadline for filing requests for payment of Administrative Claims, which shall be 30 days after the Effective Date.

  • Expected Claim Notice means a notice that, as a result of a legal proceeding instituted by or written claim made by a third party, an Indemnified Party reasonably expects to incur Damages for which it is entitled to indemnification under Article VII.

  • Claims Objection Bar Date means the deadline for objecting to a Claim, which shall be on the date that is the later of (a) 180 days after the Effective Date and (b) such other period of limitation as may be specifically fixed by the Debtors or the Reorganized Debtors, as applicable, or by an order of the Bankruptcy Court for objecting to Claims.

  • Adverse Benefit Determination means any of the following:

  • Administrative Claims Bar Date means the deadline for Filing requests for payment of Administrative Claims, which: (a) with respect to Administrative Claims other than Professional Fee Claims, shall be 30 days after the Effective Date; and (b) with respect to Professional Fee Claims, shall be 45 days after the Effective Date.

  • Claimant means a person who believes that he or she is being denied a benefit to which he or she is entitled hereunder.

  • Claim Objection Deadline means the first Business Day that is 180 days after the Effective Date, as may be extended by order of the Bankruptcy Court.

  • Final Order means, as applicable, an order or judgment of the Bankruptcy Court or other court of competent jurisdiction with respect to the relevant subject matter that has not been reversed, stayed, modified, or amended, and as to which the time to appeal or seek certiorari has expired and no appeal or petition for certiorari has been timely taken, or as to which any appeal that has been taken or any petition for certiorari that has been or may be filed has been resolved by the highest court to which the order or judgment could be appealed or from which certiorari could be sought or the new trial, reargument, or rehearing shall have been denied, resulted in no modification of such order, or has otherwise been dismissed with prejudice.

  • Hearing aid means an instrument or device designed for regular and constant use in or proximate to the human ear and represented as aiding or improving defective human hearing.

  • Claims Bar Date means the applicable bar date by which Proofs of Claim must be Filed, as established by: (a) the Bar Date Order; (b) a Final Order of the Bankruptcy Court; or (c) the Plan.

  • Appeals Panel means a panel appointed by the Chief Compliance Officer pursuant to Rule 620.

  • Final Discharge Date means the later to occur of the Senior Secured Discharge Date, the Second Lien Discharge Date, the High Yield Discharge Date and the Unsecured Discharge Date.

  • DIP Facility Claim means a Claim arising under or as a result of the DIP Facility.

  • Permanency hearing means a hearing, conducted with respect to a child who is in foster care, to determine the permanency plan for the child which includes:

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  • Rejection Claim means a Claim arising from the rejection of an Executory Contract or Unexpired Lease pursuant to section 365 of the Bankruptcy Code.

  • Hearing impairment means an impairment in hearing, whether permanent or fluctuating, that adversely affects the child's educational performance but that is not included under the definition of deafness in this section.

  • Claims Objection Deadline means the later of: (a) the date that is 180 days after the Effective Date; and (b) such other date as may be fixed by the Bankruptcy Court, after notice and hearing, upon a motion Filed before the expiration of the deadline to object to Claims or Interests.

  • Claim Notice has the meaning set forth in Section 8.4(a).

  • Claimants means any Persons who have submitted a Claim to the Receiver or to the Joint Liquidators.