Common use of Appeal Hearing Clause in Contracts

Appeal Hearing. 1. Upon receipt of a written appeal by the Grievance Appeal Committee, HMO shall provide the Member filing the appeal with the procedures governing appeals before the Grievance Appeal Committee. The Member shall be notified of the Member’s right to have an uninvolved HMO representative available to assist the Member in understanding the appeal process.

Appeal Hearing. 1. Upon receipt of a written appeal by a Member to the Grievance Appeal CommitteeCommittee or upon request by a Member for review of non-certifications by HMO, HMO shall provide the Member filing the appeal with the procedures governing appeals before the Grievance Appeal Committee. The Member shall be notified of the Member’s right to have an uninvolved HMO representative available to assist the Member in understanding the appeal process.