| http://www.w3.org/ns/prov#value | - The plans will have 30 day to rule on an appeal.Denials of claims will be required to be accompanied by specific reasons for the denial, including policies, guidelines, or other criteria used in making the decision.If a health plan refuses to authorize an operation, the act is the equivalent of denial of a claim and may be appealed by the patient.No benefits may be reduced or terminated by a healt
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