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 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.
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;

Examples of Reasonable explanation in a sentence

  • Any one of the following documents:Certified Copy of “Certificate of Loss of Nationality”.or Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship;or Reason the customer did not obtain U.S. citizenship at birth.Residence/mailing address in a country other than India1.

  • Any one of the following documents:a Certified Copy of “Certificate of Loss of Nationality orb Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship; or Reason the customer did not obtain U.S. citizenship at birthResidence/mailing address in a country other than India1.

  • Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship; or Reason the customer did not obtain U.S. citizenship at birthResidence/mailing address in a country other than India1.

  • Any one of the following documents:Certified Copy of “Certificate of Loss of Nationalityor Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship; or Reason the customer did not obtain U.S. citizenship at birthResidence/mailing address in a country other than India1.

  • Any one of the following documents:Certified Copy of “Certificate of Loss of Nationalityor Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship;or Reason the customer did not obtain U.S. citizenship at birthResidence/mailing address in a country other than India1.

  • Any one of the following documents:Certified Copy of “Certificate of Loss of Nationalityor Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship;or Reason the customer did not obtain U.S. citizenship at birthResidence/mailing address in a country other than India1.

  • Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship; orReason the customer did not obtain U.S. citizenship at birthResidence/mailing address in a country other than India1.

  • Reasonable explanation of the non-arm’s length transactions is required if not already included in the file.

  • Any one of the following documents:Certifued Copy of “Certificate of Loss of Nationalityor Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship; or Reason the customer did not obtain U.S. citizenship at birthResidence/mailing address in a country other than India1.

  • Any one of the following documents:Certifued Copy of “Certificate of Loss of Nationalityor Reasonable explanation of why the customer does not have such a certificate despite renouncing US citizenship;or Reason the customer did not obtain U.S. citizenship at birthResidence/mailing address in a country other than India1.


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.
Reasonable explanation means that the information included in the Premium Change Notice is presented in terms that are understandable to an average policyholder.

Related to Reasonable explanation

  • Explanation means a writing that:

  • Reasonable grounds means that a reasonable person in your position would also suspect the information indicates misconduct or a breach of the law.

  • Root Cause Analysis Report means a report addressing a problem or non-conformance, in order to get to the ‘root cause’ of the problem, which thereby assists in correcting or eliminating the cause, and prevent the problem from recurring.

  • Reasonable suspicion means a basis for forming a belief based on specific facts and rational inferences drawn from those facts.

  • Detail means to engage in a Detail.

  • Particulars means the following:

  • Reasonable pupil means a pupil, including, but not limited to, an exceptional needs pupil, who exercises average care, skill, and judgment in conduct for a person of his or her age, or for a person of his or her age with his or her exceptional needs.

  • reasonable possibility means that there is a cause and effect relationship between the investigational product, study device and/or study procedure and the AE.

  • Notice of Dissatisfaction means the notice given by either Party to the other indicating its dissatisfaction and intention to commence arbitration.

  • Reasonable Distance means a distance that has regard to the Employee’s original work location, current home address, capacity of the Employee to travel, additional travelling time, effects on the personal circumstances of the affected Employee, including family commitments and responsibilities and other matters raised by the Employee, or assistance provided by their Employer.

  • Substantiated means an abuse investigation has been completed by the Department or the Department's designee and the preponderance of the evidence establishes the abuse occurred.

  • Confidential commercial information means records provided to the govern- ment by a submitter that arguably contain material exempt from release under Exemption 4 of the Freedom of Information Act, 5 U.S.C. 552(b)(4), be- cause disclosure could reasonably be expected to cause substantial competi- tive harm.

  • Proper notice to the county inspector means that the pipeline company or its contractor shall keep the person responsible for the inspection continually informed of the work schedule and any schedule changes, and shall provide at least 24 hours’ written notice before trenching, permanent tile repair, or backfilling is undertaken at any specific location. The pipeline company may request that the county inspector designate a person to receive such notices.

  • Notice of Completion means a document issued by the Department or Delegated Agency at the end of project construction when all items and conditions of the approved Sediment and Stormwater Management Plan have been satisfied, post construction verification documents demonstrate that the stormwater management systems have been constructed in accordance with the approved Sediment and Stormwater Management Plan, and final stabilization of disturbed areas on the site has been achieved.

  • Reasonable in these circumstances means ‘using no more force than is needed’. The use of force may involve either passive physical contact, such as standing between pupils or blocking a pupil’s path, or active physical contact such as leading a pupil by the arm out of the classroom. Departmental advice for schools is available here

  • Root Cause Analysis means a method of problem solving designed to identify the underlying causes of a problem. The focus of a root cause analysis is on systems, processes, and outcomes that require change to reduce the risk of harm.

  • Progress Report means the report similar in form and content to that attached hereto as Appendix III.

  • Responder means a vendor who responds to a Solicitation.

  • Reasonable access for the purposes of this section means: