Common use of Preliminary Review Clause in Contracts

Preliminary Review. Upon receiving the Member’s request for expedited external review, The Plan will immediately determine whether the request is eligible for external review, considering the same preliminary review requirements set forth in the Preliminary Review paragraph, Standard External Review Procedures section. After the preliminary review is complete, The Plan will immediately notify the Member or the Member’s authorized representative in writing of its eligibility determination. If The Plan determines the Member’s request is ineligible for review, the notice must include a statement informing the Member or the Member’s authorized representative of the right to appeal The Plan’s determination to the Commissioner of Securities and Insurance. The notice must also provide contact information for the Commissioner’s office.