Internal appeal or review definition

Internal appeal or review means an appellant's request for a carrier or health plan to review and reconsider an adverse benefit determination.
Sample 1Sample 2Sample 3
Internal appeal or review means the request by an appellant to a carrier or health plan to review and reconsider an adverse benefit determination.
Sample 1Sample 2Sample 3

Related to Internal appeal or review

  • Internal dose means that portion of the dose equivalent received from radioactive material taken into the body.

  • External Auditor means the Corporation’s independent auditor; and

  • Appeal authority means the executive authority of the municipality or any other body or institution outside of the municipality authorised by that municipality to assume the obligations of an appeal authority for purposes of appeals lodged in terms of the Act;

  • Appeal Board means the State Charter School Appeal

  • investigating authority means an authority that in terms of national legislation may investigate unlawful activities;

  • Final Internal Adverse Benefit Determination means an Adverse Benefit Determination that has been upheld by BCBSTX at the completion of BCBSTX’s internal review/appeal process.

  • NYPSC means the New York Public Service Commission.

  • Awarding Authority means any Board or Commission of the City of Los Angeles, or any authorized employee or officer of the City of Los Angeles, including the Purchasing Agent of the City of Los Angeles, who makes or enters into any contract or agreement for the provision of any goods or services of any kind or nature whatsoever for or on behalf of the City of Los Angeles.

  • External dose means that portion of the dose equivalent received from any source of radiation outside the body.

  • Hearing means an oral hearing and includes a hearing conducted in whole or in part by video link, telephone or other means of instantaneous two-way electronic communication;

  • Adjudicating Authority or “NCLT” shall mean the Hon’ble Mumbai Bench of the National Company Law Tribunal;

  • Highway authority means the state highway commission, a board of county road commissioners or the governing body of a city or village.

  • Permitting authority means the Iowa department of natural resources or the director thereof.

  • Internal Procedures means in respect of the making of any one or more entries to, changes in or deletions of any one or more entries in the register at any time (including without limitation, original issuance or registration of transfer of ownership) the minimum number of the Warrant Agent’s internal procedures customary at such time for the entry, change or deletion made to be complete under the operating procedures followed at the time by the Warrant Agent, it being understood that neither preparation and issuance shall constitute part of such procedures for any purpose of this definition;

  • Review means a financial or operational audit, investigation, inspection or other form of review requested or required by the LHIN under the terms of LHSIA or this Agreement, but does not include the annual audit of the HSP’s financial statements;

  • Reviewing Authority means the Alberta Securities Commission.

  • Investigation Committee means the Investigation Committee appointed by the Board under Regulation 5 of these Regulations;