Common use of Complaint and Action Appeal Reports Clause in Contracts

Complaint and Action Appeal Reports. A) The Contractor must provide the SDOH on a quarterly basis, and within fifteen (15) business days of the close of the quarter, a summary of all Complaints and Action Appeals subject to PHL § 4408-a received during the preceding quarter via the Summary Complaint Form on the HPN. The Summary Complaint Form has been developed by the SDOH to categorize the type of Complaints and Action Appeals subject to PHL § 4408-a received by the Contractor.

Appears in 1 contract

Samples: Wellcare Health Plans, Inc.

AutoNDA by SimpleDocs

Complaint and Action Appeal Reports. A) The Contractor must provide the SDOH on a quarterly basis, and within fifteen (15) business days of the close of the quarter, a summary of all Complaints and Action Appeals subject to PHL § 4408-a received during the preceding quarter via the Summary Complaint Form on the HPNHealth Provider Network. The Summary Complaint Form has been developed by the SDOH to categorize the type of Complaints and Action Appeals subject to PHL § 4408-a received by the Contractor.

Appears in 1 contract

Samples: Wellcare Health Plans, Inc.

Complaint and Action Appeal Reports. A) The Contractor must provide the SDOH on a quarterly basis, and within fifteen (15) business days of the close of the quarter, a summary of all Complaints and Action Appeals subject to PHL § Section 4408-a received during the preceding quarter via the Summary Complaint Form on the HPN. The Summary Complaint Form has been developed by the SDOH to categorize the type of Complaints and Action Appeals subject to PHL § Section 4408-a received by the Contractor.

Appears in 1 contract

Samples: Plan Agreement (Amerigroup Corp)

Complaint and Action Appeal Reports. A) The Contractor must provide the SDOH on a quarterly basis, and within fifteen (15) business days of the close of the quarter, a summary of all Complaints and Action Appeals subject to PHL § §4408-a received during the preceding quarter via the Summary Complaint Form on the HPN. The Summary Complaint Form has been developed HPN related to Medicaid Only Covered Services and services determined by the SDOH Contractor to categorize the type of Complaints be a benefit under both Medicare and Action Appeals subject to PHL § 4408-a received by the ContractorMedicaid.

Appears in 1 contract

Samples: Agreement (Wellcare Health Plans, Inc.)

AutoNDA by SimpleDocs

Complaint and Action Appeal Reports. A) The Contractor must provide the SDOH on a quarterly basis, and within fifteen (15) business days of the close of the quarter, a summary of all Complaints and Action Appeals subject to PHL § 4408PHL§4408-a received during the preceding quarter via the Summary Complaint Form on the HPNHealth Provider Network. The Summary Complaint Form has been developed by the SDOH to categorize the type of Complaints and Action Appeals subject to PHL § 4408-a received by the Contractor.

Appears in 1 contract

Samples: Plan Agreement (Wellcare Health Plans, Inc.)

Time is Money Join Law Insider Premium to draft better contracts faster.