Examples of Claim Involving Urgent Care in a sentence
In the case of a Claim Involving Urgent Care, the Member shall be notified of the benefit determination (whether adverse or not) as soon as possible, taking into account the medical exigencies, but not later than 24 hours after receipt of the claim unless the Member fails to provide sufficient information to determine whether, or to what extent, benefits are covered or payable under the Plan.
This Notification shall be provided to the Member, the Member‟s Representative, or Health Care Provider acting on behalf of the Member, as appropriate, as soon as possible, but not later than 5 days (24 hours in the case of a failure to file a Claim Involving Urgent Care) following the failure.
In the case of a Claim Involving Urgent Care, the Member, the Member‟s Representative or Health Care Provider acting on behalf of the Member shall be notified, in accordance with paragraph J.
In the case of a Claim Involving Urgent Care, the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member shall be notified, in accordance with paragraph X.
Written Notification shall be provided to the Member, the Member’s Representative, or Health Care Provider acting on behalf of the Member, as appropriate, as soon as possible, but not later than 5 days (24 hours in the case of a failure to file a Claim Involving Urgent Care) following the failure.
For a Pre-Service Claim Involving Urgent Care, we will use our best efforts to provide notice of the determination (whether adverse or not) as soon as possible, but not later than 72 hours after receipt of the Pre-Service Claim unless additional information is required for a coverage decision.
This Notification shall be provided to the Member, the Member's Representative, or Health Care Provider acting on behalf of the Member, as appropriate, as soon as possible, but not later than 5 days (24 hours in the case of a failure to file a Claim Involving Urgent Care) following the failure.
If the request for an extension is for a Claim Involving Urgent Care, we will use our best efforts to notify you of the approval or denial of such requested extension within 24 hours after receipt of the request, provided it is received at least 24 hours prior to the expiration of the previously approved number or length of coverage for such Services.
In the case of a Claim Involving Urgent Care, the Member, the Member’s Representative or Health Care Provider acting on behalf of the Member shall be notified, in accordance with paragraph J.
In the case of a Claim Involving Urgent Care, the Member, the Member's Representative or Health Care Provider acting on behalf of the Member shall be notified, in accordance with paragraph J.