Common use of External Appeal Clause in Contracts

External Appeal. An Appeal, subsequent to the Contractor’s Appeal decision, to the State Fair Hearing process for Medicaid-based Adverse Benefit Determinations or the Medicare process for Medicare-based Adverse Benefit Determinations.

Appears in 3 contracts

Samples: eohhs.ri.gov, www.cms.gov, www.cms.gov

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External Appeal. An Appealappeal, subsequent to the Contractor’s Appeal Contractor appeal decision, to the State Fair Hearing process for Medicaid-based Adverse Benefit Determinations adverse decisions or the Medicare process for Medicare-based Adverse Benefit Determinationsadverse decisions.

Appears in 1 contract

Samples: clpc.ucsf.edu

External Appeal. An Appeal, subsequent to the Contractor’s Appeal decision, to the State Fair Hearing process for Medicaid-based Adverse Benefit Determinations Actions or the Medicare process for Medicare-based Adverse Benefit DeterminationsActions.

Appears in 1 contract

Samples: www.cms.gov

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External Appeal. An Appeal, subsequent to the Contractor’s Appeal decision, to the State Fair Hearing process for Medicaid-based Adverse Benefit Determinations or the Medicare process for Medicare-based Adverse Benefit DeterminationsActions.

Appears in 1 contract

Samples: clpc.ucsf.edu

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