PROCEDURE FOR FILING AN APPEAL Sample Clauses
PROCEDURE FOR FILING AN APPEAL. A Covered Person or a person acting on his/her behalf (the “claimant”) is entitled to an opportunity to appeal Adverse Benefit Determinations (initial or final). The process for such appeals is outlined below.
PROCEDURE FOR FILING AN APPEAL. A Covered Person or a person acting on his/her behalf is entitled to appeal preservice or postservice claim or claim appeal decisions.