Notice of denial of payment
Notice of denial of payment means, with respect to an item or service for which benefits subject to the protections of 2590.7164, 2590.7165, and 2590.7171 are provided or covered, a written notice from the plan or issuer to the health care provider, facility, or provider of air ambulance services, as applicable, that payment for such item or service will not be made by the plan or coverage and which explains the reason for denial. The term notice of denial of payment does not include a notice of benefit denial due to an adverse benefit determination as defined in 2560.5031 of this chapter.
Source
29 CFR § 2590.716-3
Scoping language
The definitions in this part apply to 2590.716 through 2590.722, unless otherwise specified. In addition, for purposes of 2590.716 through 2590.722, the following definitions apply: