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.
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.