Common use of Standard External Review Clause in Contracts

Standard External Review. You or your authorized representative must submit a written request for a standard external independent review to the Director of the Illinois Depart­ ment of Insurance (“Director”) within 4 months of receiving an Adverse Determination or Final Adverse Determination. You may submit additional information or documentation to support your request for the health care services. Within one business day after the date of receipt of the request, the Director will send a copy of the request to the Plan.

Appears in 9 contracts

Sources: Health Care Benefit Program, Health Care Benefit Program, Health Care Benefit Program

Standard External Review. You or your authorized representative must submit a written request for a standard external independent review to the Director of the Illinois Depart­ Depart- ment of Insurance (“Director”) within 4 months of receiving an Adverse Determination or Final Adverse Determination. You may submit additional information or documentation to support your request for the health care services. Within one business day after the date of receipt of the request, the Director will send a copy of the request to the Plan.

Appears in 2 contracts

Sources: Health Care Benefit Program, Health Care Benefit Program