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;
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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;
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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.
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Examples of Reasonable explanation in a sentence

  • Reasonable explanation for failure to return articles shall be considered.


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.
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Related to Reasonable explanation

  • Explanation means a writing that:

  • Reasonable Expenses means the reasonable expenses of Employee or Personnel, as the case may be, for which those Employees or Personnel may be reimbursed under the Operator's usual expense account practice; including without limiting the generality of the foregoing, any relocation expenses necessarily incurred in order to properly staff the Mining Operations if the relocation is approved by the Management Committee.

  • 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.