Internal Grievance Filing Sample Clauses

Internal Grievance Filing. An Enrollee, or an authorized representative, may file an Internal Enrollee Grievance at any time with the Contractor or its Providers by calling or writing to the Contractor or Provider. If the internal Enrollee Grievance is filed with a Provider, the Contractor must require the Provider to forward it to the Contractor. If remedial action is requested regarding a Medicare issue, the Enrollee must file the Grievance with the Contractor or Provider no later than sixty (60) days after the event or incident triggering the Grievance.
Internal Grievance Filing. An Enrollee, or an authorized representative, may file an Internal Enrollee Grievance at any time with the Contractor or its Providers by calling or writing to the Contractor or Provider. If the internal Enrollee Grievance is filed with a Provider, the Contractor must require the Provider to forward it to the Contractor. The Enrollee may file the Grievance at any time as allowed in 42 C.F.R. § 438.402(c)(2)(i).