Internal appeals process definition

Internal appeals process means a formal process, as set forth in KRS 304.17A- 617, established and maintained by the insurer, its designee, or agent whereby the covered person, an authorized person, or a provider may contest an adverse determination rendered by the insurer, its designee, or private review agent;
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Internal appeals process means a formal process, as set forth in KRS 304.17A-
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Internal appeals process means a formal process, as set forth in KRS
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Related to Internal appeals process

  • Internal appeal means an internal appeal to the relevant authority in terms of section 74;

  • Internal audit means an independent appraisal activity within an agency for the review of operations as a service to management, including a systematic examination of accounting and fiscal controls to assure that human and material resources are guarded against waste, loss, or misuse; and that reliable data are gathered, maintained, and fairly disclosed in a written report of the audit findings.

  • Internal Auditor means the person(s) employed or engaged by the Corporation to perform the internal audit function of the Corporation;

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