Overturned definition

Overturned means that the review organization overturned the health plan's denial and the plan is required to authorize the requested service.
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Overturned means in this context); and
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Examples of Overturned in a sentence

  • Member: Resolved: Expedited: Final disposition: Overturned Total number of expedited appeals that were resolved during the reporting period and were overturned.

  • Overturned means that the prior decision was not confirmed and was reversed.

  • Member: resolved: Expedited: Final disposition: Partially Overturned Total number of expedited appeals that were resolved during the reporting period and were partially overturned.

  • Appeals, IRO/State Hearing Determinations: Upheld, Overturned, Reversed, Partially Upheld, Partial Payment, Partial Approval, Withdrawn.

  • For any Overturned Adverse Ruling, if appeals or other proceedings remain such that the Adverse Ruling may be reinstated, then Cisco shall pay any royalty amounts due under this Agreement into escrow, and any escrowed royalties shall be released to Network-1 only upon final confirmation of the Overturned Adverse Ruling after exhaustion of all opportunities for appeal or review.

Related to Overturned

  • upheld means that a complaint has been finalised wholly or partially in favour of the complainant and that –

  • Adjudicatory hearing means a hearing to determine:

  • Adjudicator means the person named in Appendix 2 of the Contract Agreement, appointed by agreement between the Procuring Entity and the Supplier to make a decision on or to settle any

  • Stipulation means this Stipulation and Agreement of Settlement.

  • Finding means a decision, determination or ruling made in the course of proceedings that does not finally decide, determine or dispose of the matter to which the proceedings relate;