CFR > Title 42 > Chapter IV > Subchapter B > Part 423 > Subpart M – Grievances, Coverage Determinations, Redeterminations, and Reconsiderations
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Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 423 > Subpart M - Grievances, Coverage Determinations, Redeterminations, and Reconsiderations
- ALJ: includes a member or members of the Departmental Appeals Board who are designated to conduct a hearing. See 42 CFR 423.1024
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
- Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
- Dismissal: The dropping of a case by the judge without further consideration or hearing. Source:
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.