DCS Comprehensive Health Plan

Notice of Adverse Benefit Determination (NOA), Notice of Extension (NOE) and Notice of Provider Restriction (NOR)

Statement/Purpose

The purpose of this policy is to define DCS Comprehensive Health Plan (DCS CHP) business standards for processing Notices of Adverse Benefit Determination (NOA), Notices of Extension (NOE) and Notices of Provider Restriction (NOR).

Definitions

[List definitions not commonly known that are specific to the policy]

Policy

[Policies are the guiding principles and/or rules that ensure consistency and compliance with DCS CHP’s mission, values and strategic goals]

Procedure

[Procedure are high-level actions that guide adherence to policy. Procedures describe the methods used to comply with policy]