Common use of Appeals and Grievances Clause in Contracts

Appeals and Grievances. Subcontractor or Health Plan, as applicable, will provide general and targeted education to Provider regarding Provider’s obligations related to appeals and grievances by Covered Persons as set forth in section A.2.19 of the CRA, including, without limitation, when an emergency appeal is appropriate, and procedures for providing written certification thereof. Provider shall comply with the appeal process, including, but not limited to, the following:

Appeals and Grievances. Subcontractor or Health Plan, as applicable, will provide general and targeted education to Provider regarding Provider’s obligations related to appeals and grievances by Covered Persons as set forth in section A.2.19 A.46 of the CRAPBM Contract, including, without limitation, when an emergency appeal is appropriate, and procedures for providing written certification thereof. Provider shall publicly display notices regarding the appeal rights of Covered Persons. Provider shall comply with the appeal process, including, but not limited to, the following:

Appeals and Grievances. Subcontractor or Health Plan, as applicable, will provide general and targeted education to Provider regarding Provider’s obligations related to appeals and grievances by Covered Persons as set forth in section A.2.19 of the CRA, including, without limitation, when an emergency appeal is appropriate, and procedures for providing written certification thereof. Provider shall publicly display notices regarding the appeal rights of Covered Persons. Provider shall comply with the appeal process, including, but not limited to, the following: