Examples of using Coverage decision in English and their translations into Spanish
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Colloquial
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Official
To ask for a coverage decision, call, write,
However, you are not required to hire a lawyer to ask for any kind of coverage decision or appeal a decision. .
If we extended the time needed to make our coverage decision, we will approve the coverage by the end of that extended period.
is a type of coverage decision.).
A coverage decision is a decision we make about your benefits
Section 5.3 Step-by-step: How to make a Level 1 Appeal how to ask for a review of a medical care coverage decision made by our plan.
If you disagree with the coverage decision, the doctor or other provider that requested the service can submit a Level 1 appeal on your behalf.
Here are resources you may wish to use if you decide to ask for any kind of coverage decision or appeal a decision. .
To ask for a coverage decision, call, write,
You might need to ask our plan to make a coverage decision for you, make an appeal to us to change a coverage decision, or make a complaint.
other prescriber can request a coverage decision or a Level 1
If you believe we are not meeting the deadlines for giving you a coverage decision or an answer to an appeal you have made, you can make a complaint.
For example, you could ask us to make a coverage decision, make an appeal to change a coverage decision, or make a complaint.
this situation is not considered a coverage decision.
An appeal is a formal way of asking us to review our coverage decision and change it if you think we made a mistake.
Here are resources you may wish to use if you decide to ask for any kind of coverage decision or appeal a decision. .
You may call us if you have questions about our coverage decision process.
Step 1: You ask us to make a coverage decision about the drug(s) or payment you need.
Deadlines for a“standard coverage decision” about a drug you have not yet received.
This is a type of coverage decision. Start with Section 6.2 on page 162.