What are the DOL timeframes for notifying members of determinations on appeals?
The timeframes are: • Pre-service claims not later than 30 calendar days after receipt of the request for review (or 15 calendar days for each appeal step) • Urgent care claims as soon as possible taking into account the medical urgency but not later than 48 hours after receipt of the request for review.
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- What are the DOL timeframes for notifying members of determinations on appeals?
