If water is flowing into the tank at the rate of 120gallons per hour and flowing out of the tank at aconstant rate of one gallon per minute, the water levelin the tank will(A) fall 1 gallon per minute.(B) fall 2 gallons per minute.(C) remain the same.(D) rise 2 gallons per minute.(E) rise 1 gallon per minute. 15.
Definition of Terms. In compliance with State requirements, ValueOptions defines the following terms related to. Enrollee or Provider concerns with the NorthSTAR program: Administrative Denial: A denial of services, or claims payment for services, based on reasons other. than a lack of medical necessity. Administrative Appeal: A request by an Enrollee, Enrollee-designated representative, or provider to. reconsider an administrative denial. Adverse Determination: A determination that the health care services requested or proposed to be. provided to an Enrollee are not medically necessary.
Administrative Appeals. An Administrative Appeal is a second-level appeal and is a providerâs final medical or standard. administrative appeal to HHSC of a claim that meets all of the following requirements: â¢ The claim has been denied or adjusted by TMHP. â¢ The claim has been appealed as a first-level appeal to TMHP.