Common use of Contested Case Hearing Clause in Contracts

Contested Case Hearing. If dissatisfied with the Insurance Bureau’s determination, either Provider or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Insurance Bureau’s Determination is mailed, and shall be mailed to the Insurance Bureau at the same address found in the prior step. CIVIL COURT REVIEW Either Provider or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 2 contracts

Samples: Participation Agreement, Participation Agreement

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Contested Case Hearing. If dissatisfied with the Michigan Office of Financial and Insurance Bureau’s Services’ determination, either Provider Facility or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Michigan Office of Financial and Insurance Bureau’s Determination Services’ determination is mailed, and shall be mailed to the Insurance Bureau OFIS at the same address found in the prior step. CIVIL COURT REVIEW Either Provider Facility or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 2 contracts

Samples: Network Affiliation Agreement, Participation Agreement

Contested Case Hearing. If dissatisfied with the Insurance BureauOFIS’s determination, either Provider Facility or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Insurance BureauOFIS’s Determination determination is mailed, and shall be mailed to the Insurance Bureau OFIS at the same address found in the prior step. CIVIL COURT REVIEW Either Provider Facility or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 1 contract

Samples: Participation Agreement

Contested Case Hearing. If dissatisfied with the Office of Financial and Insurance Bureau’s Services' determination, either Provider or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Office of Financial and Insurance Bureau’s Services' Determination is mailed, and shall be mailed to the Office of Financial and Insurance Bureau Services at the same address found in the prior step. CIVIL COURT REVIEW Either Provider or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 1 contract

Samples: Participation Agreement

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Contested Case Hearing. If dissatisfied with the Michigan Office of Financial and Insurance Bureau’s Services’ determination, either Provider or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Office of Financial and Insurance Bureau’s Services’ Determination is mailed, and shall be mailed to the Office of Financial and Insurance Bureau Services at the same address found in the prior step. CIVIL COURT REVIEW Either Provider or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 1 contract

Samples: Participation Agreement

Contested Case Hearing. If dissatisfied with the Michigan Office of Financial and Insurance Bureau’s determinationServices, either Provider or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Michigan Office of Financial and Insurance Bureau’s Services Determination is mailed, and shall be mailed to the Michigan Office of Financial and Insurance Bureau Services at the same address found in the prior step. CIVIL COURT REVIEW Either Provider or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 1 contract

Samples: And Orthotic Supplier Provider Participation Agreement

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