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    Administrative Information
       
Important Information About Appeals
         How to Appeal an Administrative Decision
         Determination on Submitted Claims
         Internal (Initial) Grievance or Appeal
         Your Rights on Appeal
         Administrative Review of Appeal
         Trust Appeal Panel
         Referral to Board of Trustees
         Exhaustion of Claim(s) Appeal Procedures and Standard of Review
         Special Rules for Urgent Care Claims
        Coordination of Benefits
        Important Information About Your Trust Medical Benefits
        Creditable Prescription Drug Coverage
        Notice of Privacy Practices
        Post-Mastectomy Reconstruction Surgery Notice
        Plan Information
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Important Information About Appeals
The following appeal procedures apply to any appeal involving eligibility or benefits not provided by Kaiser or Providence. These are medical and prescription drug benefits under the Trust Preferred Provider Medical Plan for PAT participants, the Trust Prescription Drug Plan and the Trust Dental and Vision Plan. For the appeal procedures for benefits provided by Kaiser and Providence, refer to the procedures described in the booklets they provide. See Contacts for details.
 
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