Common use of PROVIDER Appeal Process Clause in Contracts

PROVIDER Appeal Process. a. The MCO shall have an internal appeal process through which a health care provider may grieve the MCO decision on behalf of a Member. The MCO shall provide information on the availability of this process to the providers in the MCO's network.

Appears in 2 contracts

Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.

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PROVIDER Appeal Process. a. The MCO shall have an internal appeal process through which a health care provider may grieve appeal the MCO decision on behalf of a Member. The MCO shall provide information on the availability of this process to the providers in the MCO's network.

Appears in 2 contracts

Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.

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