Reasonable explanation definition

Reasonable explanation means information sufficient to enable the insured or beneficiary to compare the allowable benefits with policy provisions and determine whether proper payment has been made;
Reasonable explanation means that sufficient information shall be included in the explanation of benefits as to enable the insured or beneficiary to compare the allowable benefits with policy provisions and determine whether proper payment has been made;
Reasonable explanation means information or documentation required to reconcile a discrepancy or difference between an applicant’s attestation and federal and/or State data sources on an eligibility factor.

Examples of Reasonable explanation in a sentence

  • Reasonable explanation for failure to return articles shall be considered.


More Definitions of Reasonable explanation

Reasonable explanation means information sufficient to enable the claimant to determine whether all appropriate benefits of the benefit plan have been made.