§ 800.501 General requirements
§ 800.502 MSP issuer internal claims and appeals
§ 800.503 External review
§ 800.504 Judicial review

Terms Used In CFR > Title 45 > Subtitle B > Chapter VIII > Part 800 > Subpart F - Appeals by Enrollees of Denials of Claims for Payment or Service

  • 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.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.