№ lp_1_30947
This document is a formal decision notice from North Carolina Health Choice regarding the approval or denial of a health service request, including instructions for filing an appeal and requesting a State Fair Hearing if the decision is contested.
Year: 2026
Region / City: North Carolina
Topic: Health Insurance Appeal
Document Type: Decision Notice
Agency / Institution: North Carolina Health Choice
Author: North Carolina Health Choice
Target Audience: Health Insurance Applicants, Legal Guardians
Effective Period: From the date of the notice to 120 days thereafter
Approval Date: [INSERT DATE]
Amendment Date: [INSERT DATE]
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