Member Grievances Sample Clauses

Member Grievances. Contractor must resolve one hundred percent (100%) of member grievances within thirty (30) calendar days of receipt of the grievance. For each quarter in which in which Contractor fails to provide and communicate a timely resolution on one hundred percent (100%) of member grievances, Contractor shall pay liquidated damages in the amount of three thousand dollars ($3,000). EXHIBIT 2.C CONTRACT COMPLIANCE AND PAY FOR OUTCOMES
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Member Grievances a. The Provider shall address all clinical concerns of the Member as related to the clinical Services provided to the Member pursuant to this Contract. Provider shall refer any unresolved concerns or requests for Services or provider change to the Alliance. The Provider shall have in place a Complaint and Grievance Process that is documented in written policy or procedures, and shall ensure that said process is accessible to all Members and that said process operates in a fair and impartial fashion.
Member Grievances. PROVIDER, the PROVIDER physicians and PROVIDER non-physician providers shall comply with the terms of PLAN’s Medicare grievance and appeals procedures, including expedited appeals, whereby PROVIDER Medicare Members’ complaints relating to PROVIDER physicians and PROVIDER may be filed and addressed, including the gathering and forwarding of information on appeal to PLAN, if necessary; provided, however, that any such procedure shall permit PROVIDER to take reasonable steps necessary to address a grievance or appeal (including, without limitation, initiating disciplinary actions) with PROVIDER physicians or PROVIDER non-physician providers prior to PLAN taking corrective action to the extent Florida law and NCQA standards (if applicable) permit such a delegation of authority by a health maintenance organization. PROVIDER shall provide written notice to PLAN of all grievances and appeals received by PROVIDER from PROVIDER Medicare Members within three (3) business days of such receipt, including those grievances and appeals relating to PROVIDER physicians, PROVIDER non-physician providers or the care rendered thereby.
Member Grievances. (a) Stage 1 It is understood and expected that a Member will discuss with his/her Xxxx any matter relating to an alleged grievance. The Xxxx shall notify the Vice-President Academic of the University and NUFA of any complaint giving rise to such a discussion. This discussion is to be informal in nature and directed at improving communication and solving problems. The Xxxx shall notify the Vice-President Academic of the University and the President of NUFA of the result of this discussion. Any settlement at this level shall not prejudice the position of the Member or NUFA in dealing with other grievances of a similar nature.
Member Grievances. 2.7.1. The Practitioner shall address all clinical concerns of the Member as related to the clinical services provided to the Member pursuant to this Agreement. Practitioner shall refer any unresolved concerns or requests to Sandhills Center. In accordance with 10A N.C.A.C. 27G.0201(a)(18), the Practitioner shall have in place a written policy for its Grievance Process and procedures for review and disposition of client grievances. The process shall be accessible to all Members and must be operated in a fair and impartial fashion.
Member Grievances. Oxford shall use its Best Efforts to ensure that Oxford Par Providers cooperate and abide by the Oxford Covered Member Complaint and Grievance System in resolving any Oxford Covered Member grievances related to the provision of services provided pursuant to this Agreement. Oxford shall notify PA HRM of all Oxford Covered Member complaints brought to the attention of Oxford and/or Oxford Par Providers. Oxford shall notify PA HRM promptly of any action taken or proposed with respect to the resolution of such complaints and the avoidance of similar complaints in the future.
Member Grievances. UBH maintains a procedure for processing and resolving Member grievances as required by Louisiana law. Provider has been notified that Member grievances may be submitted by telephone or in writing to the appropriate telephone number and address provided to Provider.
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Member Grievances. At all stages of this process, a member of the faculty may consult with a representative of the Association. The member may, upon request to the Association, be accompanied by an Association representative to any discussion, formal or informal, of the matter in question.

Related to Member Grievances

  • Employee Grievances 3.2(a) Grievances on behalf of employees shall be handled as follows:

  • Group Grievances No more than five (5) grievants will be permitted to attend grievance meetings.

  • Grievances Where an Employee alleges that she has been suspended or discharged in violation of Article 23.01, she may within ten (10) days of the date on which she was notified in writing or within twenty (20) days of the date of her discharge or suspension, whichever is later, invoke the grievance procedure including provisions for Arbitration contained in Article 26, and for the purpose of a grievance, alleging violation of Article 23.01 she may lodge her grievance at the final level of the grievance procedure.

  • Individual Grievances Subject to and as provided in section 208 of the Federal Public Sector Labour Relations Act, an employee who feels that he or she has been treated unjustly or considers himself, herself aggrieved by any action or lack of action by the Employer in matters other than those arising from the classification process, is entitled to present a grievance, as in paragraph (b).

  • Year-End Grievances In the event a grievance is filed at such time that it cannot be processed through all the steps in this grievance procedure by the end of the school year, and if left unresolved until the beginning of the following school year could result in irreparable harm to a party in interest, the time limits set forth herein shall be reduced so that the grievance procedure may be exhausted prior to the end of the school year or as soon thereafter as is practicable.

  • Union Grievances 4/7/1 Union officers and stewards who are members of the bargaining unit shall have the right to file a grievance when any provision of this Agreement has been violated or when the Employer interpretation of the terms and provisions of this Agreement leads to a controversy with the Union over application of the terms or provisions of this Agreement.

  • COMPLAINTS AND GRIEVANCES 22.01 It is the mutual desire of the parties to this Agreement that reasonable and legitimate complaints and grievances of employees shall be dealt with as quickly as possible.

  • Processing Grievances The grievant shall be granted reasonable time off with pay from regularly scheduled duty hours to process a grievance, provided that the time off will be devoted to the prompt and efficient investigation and handling of grievances, subject to the following:

  • MANAGEMENT GRIEVANCES 8.01 It is understood that the Management may at any time file a grievance with the staff representative of the Union and request a meeting with him to discuss any complaint with respect to the conduct of the Union, its officers or committee member, in its relationships with the Company or other employees or with respect to any complaint that there has been a violation of any contractual obligation undertaken by the Union, and that if such grievance by the Management is not settled to the mutual satisfaction of the conferring parties it may be referred to arbitration as set forth in Article VII above.

  • Grievance Mediation a) At any stage in the grievance procedure, the parties by mutual consent in writing may elect to resolve the grievance by using grievance mediation. The parties shall agree on the individual to be the mediator and the time frame in which a resolution is to be reached.

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