The phrase "adverse determination" is correct and usable in written English.
It is typically used in legal, medical, or insurance contexts to refer to a decision that is unfavorable or detrimental to a party's interests.
Example: "The insurance company issued an adverse determination regarding the claim, stating that it did not meet the policy requirements."
Alternatives: "unfavorable decision" or "negative ruling".
(5) Failure of the MA organization to approve, furnish, arrange for, or provide payment for health care services in a timely manner, or to provide the enrollee with timely notice of an adverse determination, such that a delay would adversely affect the health of the enrollee.
§ 1403.9 Appeal of an initial adverse determination of a request to amend a record.
(i) The request must be filed within 30 calendar days of the receipt of CMS notice of an adverse determination or non-renewal.
Ms. Malarkey said a recent "adverse determination letter," the process through which the F.D.A. informs the Red Cross of violations it has identified and demands payment of fines, illustrated her point.
In an effort to steer clear of debt collectors with troubled pasts, the Budget Division has declared that it will not hire any bidder that has "an adverse determination" against it by the state attorney general.
He points in a footnote to Hamdi v. Rumsfeld, under which he claims Hamdan "is already subject to indefinite detention" "after an adverse determination by his CSRT".
The first explanation is that the order of the District Court which expunged all adverse determinations left the petitioner's prior clearance as 'the only legally cognizable administrative determination' (ante, pp. 160-161).
(iii) If, as a result of a reconsideration, an MA organization affirms, in whole or in part, its adverse organization determination, the right to an automatic reconsidered determination made by an independent, outside entity contracted by CMS, as provided in § 422.592.
(g)Who must reconsider an adverse organization determination.
§ 1.27 Procedures for amendment of records pertaining to individuals - format, agency review and appeal from initial adverse agency determination.
Appeal means a request submitted to the President of Amtrak or designee for review of an adverse initial determination.
