Common use of Notice and Hearing Clause in Contracts

Notice and Hearing. If Beech should choose to terminate this Agreement, Beech will notify Provider of this decision in writing. The notice will include the reason(s) for the termination and a notice of the right to request a hearing or review. On request and before the effective date of the termination, but within a period not to exceed sixty (60) days, Provider shall be entitled to a review of the proposed termination by an advisory review panel. If the termination affects participation with respect to HMO Plans, the advisory review panel shall be composed of providers appointed by Beech, including at least one representative in the affected provider's specialty or a similar specialty, if available, who serve on a standing Quality Management committee or Utilization Management committee. When an advisory review panel decision is requested, Eligible Persons will not be notified of the termination until such advisory review panel decision is rendered unless the case involves imminent harm. The decision of the advisory review panel must be considered but is not binding on Beech. On request, a copy of the recommendation of the advisory review panel and Beech's determination shall be given to the Provider. If Provider is unsatisfied with the determination, Provider may appeal the decision further pursuant to the Dispute Resolution procedures specified in the Agreement and Provider Manual.

Appears in 4 contracts

Samples: Ancillary Service Agreement (American Surgical Holdings Inc), Ancillary Service Agreement (American Surgical Holdings Inc), Ancillary Service Agreement (American Surgical Holdings Inc)

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Notice and Hearing. If Beech should choose to terminate this Agreement, Beech will notify Provider of this decision in writing. The notice will include the reason(s) for the termination and a notice of the right to request a hearing or review. On request and before the effective date of the termination, but within a period not to exceed sixty (60) days, Provider shall be entitled to a review of the proposed termination by an advisory review panel. If the termination affects participation with respect to HMO Plans, the advisory review panel shall be composed of providers appointed by Beech, including at least one representative in the affected provider's ’s specialty or a similar specialty, if available, who serve on a standing Quality Management committee or Utilization Management committee. When an advisory review panel decision is requested, Eligible Persons will not be notified of the termination until such advisory review panel decision is rendered unless the case involves imminent harm. The decision of the advisory review panel must be considered but is not binding on Beech. On request, a copy of the recommendation of the advisory review panel and Beech's ’s determination shall be given to the Provider. If Provider is unsatisfied with the determination, Provider may appeal the decision further pursuant to the Dispute Resolution procedures specified in the Agreement and Provider Manual.

Appears in 1 contract

Samples: Ancillary Service Agreement (American Surgical Holdings Inc)

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