Adverse determination means a final action or adjudication that the person or entity in question has committed Wage Theft or Payroll Fraud and is further defined in Chapter 190.
Final Adverse Determination means an Adverse Determination involving a Covered Service that has been upheld by Blue Cross and Blue Shield or its designated utilization review organization, at the completion of Blue Cross and Blue Shield's internal grievance process procedures.
determined means a determination made in the absolute discretion of the person making the determination.
Dividend Determination Date means the London Business Day (as defined below) immediately preceding the first date of the applicable Dividend Period.
Expert Determination the process described in Paragraph 6 of Schedule 8.3 (Dispute Resolution Procedure);