{"component": "clause", "props": {"groups": [{"snippet_links": [{"key": "to-consult", "type": "definition", "offset": [22, 32]}, {"key": "service-before", "type": "clause", "offset": [80, 94]}, {"key": "adverse-determination", "type": "clause", "offset": [105, 126]}, {"key": "the-provider", "type": "definition", "offset": [128, 140]}, {"key": "peer-reviewer", "type": "definition", "offset": [190, 203]}, {"key": "a-designated", "type": "clause", "offset": [242, 254]}, {"key": "the-original", "type": "definition", "offset": [281, 293]}, {"key": "concurrent-reviews", "type": "clause", "offset": [358, 376]}, {"key": "day-of", "type": "clause", "offset": [438, 444]}, {"key": "request-for-reconsideration", "type": "clause", "offset": [449, 476]}, {"key": "notice-of-adverse", "type": "clause", "offset": [520, 537]}, {"key": "will-be-given", "type": "clause", "offset": [552, 565]}, {"key": "by-telephone", "type": "clause", "offset": [592, 604]}, {"key": "in-writing", "type": "clause", "offset": [609, 619]}], "samples": [{"hash": "j6NUMggN68b", "uri": "/contracts/j6NUMggN68b#reconsideration", "label": "Preferred Provider Organization Contract", "score": 33.5043678284, "published": true}, {"hash": "8I3CBD3dDLv", "uri": "/contracts/8I3CBD3dDLv#reconsideration", "label": "Participating Provider Organization Insurance Policy", "score": 32.6967735291, "published": true}, {"hash": "boOZJN7kVtv", "uri": "/contracts/boOZJN7kVtv#reconsideration", "label": "Participating Provider Organization Insurance Policy", "score": 32.6666603088, "published": true}], "snippet": "If We did not attempt to consult with Your Provider who recommended the Covered Service before making an adverse determination, the Provider may request reconsideration by the same clinical peer reviewer who made the adverse determination or a designated clinical peer reviewer if the original clinical peer reviewer is unavailable. For Preauthorization and concurrent reviews, the reconsideration will take place within one (1) business day of the request for reconsideration. If the adverse determination is upheld, a notice of adverse determination will be given to You and Your Provider, by telephone and in writing.", "size": 70, "hash": "78b2422be78e6b8f1fd96000eadb99e4", "id": 1}, {"snippet_links": [{"key": "requests-for-reconsideration", "type": "clause", "offset": [0, 28]}, {"key": "monetary-sanctions", "type": "definition", "offset": [32, 50]}, {"key": "enrollment-freezes", "type": "clause", "offset": [55, 73]}, {"key": "appendix-n", "type": "clause", "offset": [106, 116]}, {"key": "compliance-assessment-system", "type": "clause", "offset": [118, 146]}], "samples": [{"hash": "lA9EO34dqLg", "uri": "/contracts/lA9EO34dqLg#reconsideration", "label": "Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)", "score": 21.0, "published": true}, {"hash": "i3aU5WBezYH", "uri": "/contracts/i3aU5WBezYH#reconsideration", "label": "Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)", "score": 21.0, "published": true}, {"hash": "hbPbHXfXaGH", "uri": "/contracts/hbPbHXfXaGH#reconsideration", "label": "Provider Agreement (Wellcare Health Plans, Inc.)", "score": 21.0, "published": true}], "snippet": "Requests for reconsideration of monetary sanctions and enrollment freezes may be submitted as provided in Appendix N, Compliance Assessment System.", "size": 18, "hash": "6a46d16b580fcc982e29288a4c9596e3", "id": 3}, {"snippet_links": [{"key": "a-bargaining", "type": "clause", "offset": [22, 34]}, {"key": "unit-member", "type": "definition", "offset": [35, 46]}, {"key": "the-association", "type": "clause", "offset": [51, 66]}, {"key": "the-bargaining", "type": "clause", "offset": [68, 82]}, {"key": "step-one", "type": "definition", "offset": [155, 163]}, {"key": "for-the-purpose-of", "type": "definition", "offset": [187, 205]}, {"key": "the-decision", "type": "clause", "offset": [264, 276]}, {"key": "in-no-case", "type": "clause", "offset": [531, 541]}, {"key": "carried-forward", "type": "clause", "offset": [545, 560]}, {"key": "step-two-of-the-grievance-procedure", "type": "clause", "offset": [564, 599]}, {"key": "upon-request", "type": "clause", "offset": [610, 622]}, {"key": "meeting-with-the-president", "type": "clause", "offset": [645, 671]}, {"key": "procedural-matters", "type": "clause", "offset": [766, 784]}, {"key": "related-to", "type": "definition", "offset": [798, 808]}, {"key": "term-appointments", "type": "definition", "offset": [809, 826]}, {"key": "subject-to-the", "type": "definition", "offset": [835, 849]}], "samples": [{"hash": "eK8DCjILhK7", "uri": "/contracts/eK8DCjILhK7#reconsideration", "label": "Collective Bargaining Agreement", "score": 22.1704311371, "published": true}, {"hash": "c7DznIP8u80", "uri": "/contracts/c7DznIP8u80#reconsideration", "label": "Collective Bargaining Agreement", "score": 22.1704311371, "published": true}, {"hash": "2o3q0L8HBNg", "uri": "/contracts/2o3q0L8HBNg#reconsideration", "label": "Collective Bargaining Agreement", "score": 21.4016876221, "published": true}], "snippet": "If, in the opinion of a bargaining-unit member and the Association, the bargaining-unit member has improperly been denied renewal of a term appointment, a Step One grievance may be filed for the purpose of requesting a reconsideration. After the Step One meeting, the decision to grant a reconsideration will be at the discretion of the President or his/her designee. If the President or his/her designee denies reconsideration s/he shall provide his/her written reason(s) for his/her decision to the Association. The matter shall in no case be carried forward to Step Two of the Grievance Procedure. However, upon request of the Association, a meeting with the President or his/her designee to further discuss the reasons for the decision shall be held. Except for procedural matters, all matters related to term appointments are not subject to the Grievance Procedure (Article XVII).", "size": 10, "hash": "70d765770cf8d1dfdc42c8b592f15901", "id": 8}, {"snippet_links": [{"key": "will-be-given", "type": "clause", "offset": [63, 76]}, {"key": "opportunity-to-meet", "type": "clause", "offset": [81, 100]}, {"key": "in-person", "type": "clause", "offset": [115, 124]}, {"key": "to-discuss", "type": "definition", "offset": [125, 135]}, {"key": "notice-of-the", "type": "clause", "offset": [318, 331]}, {"key": "one-week", "type": "clause", "offset": [370, 378]}, {"key": "prior-to-a", "type": "clause", "offset": [379, 389]}, {"key": "regularly-scheduled", "type": "clause", "offset": [492, 511]}, {"key": "notify-the", "type": "clause", "offset": [601, 611]}, {"key": "in-writing", "type": "clause", "offset": [621, 631]}, {"key": "working-days", "type": "clause", "offset": [665, 677]}], "samples": [{"hash": "e4OhxDoM27F", "uri": "/contracts/e4OhxDoM27F#reconsideration", "label": "Collective Bargaining Agreement", "score": 35.2054862976, "published": true}, {"hash": "bPb40I06RZL", "uri": "/contracts/bPb40I06RZL#reconsideration", "label": "Collective Bargaining Agreement", "score": 33.1640052795, "published": true}, {"hash": "a9NasajQRJF", "uri": "/contracts/a9NasajQRJF#reconsideration", "label": "Collective Bargaining Agreement", "score": 31.5289306641, "published": true}], "snippet": "a. If an educator disagrees with a LPDC decision, the educator will be given the opportunity to meet with the LPDC in person to discuss the IPDP and to discuss his/her case. This discussion will also serve to help the educator gain in understanding of the perspective of the LPDC.\nb. The educator must provide written notice of the intent to appeal to the LPDC at least one week prior to a LPDC meeting. This notice shall be sent to the LPDC chairperson.\nc. The educator will attend the next regularly scheduled LPDC meeting and discuss the LPDC decision.\nd. The LPDC will vote on reconsideration and notify the educator in writing of the LPDC decision within five working days.", "size": 13, "hash": "44165b2b3dd7202288dc572ba849d2a0", "id": 6}, {"snippet_links": [{"key": "will-be-given", "type": "clause", "offset": [67, 80]}, {"key": "opportunity-to-meet", "type": "clause", "offset": [85, 104]}, {"key": "in-person", "type": "clause", "offset": [119, 128]}, {"key": "to-discuss", "type": "definition", "offset": [129, 139]}, {"key": "credit-request", "type": "definition", "offset": [156, 170]}, {"key": "request-for-inclusion", "type": "definition", "offset": [218, 239]}, {"key": "on-the-agenda", "type": "clause", "offset": [240, 253]}, {"key": "calendar-days", "type": "clause", "offset": [313, 326]}, {"key": "following-the", "type": "definition", "offset": [327, 340]}, {"key": "notification-of", "type": "definition", "offset": [341, 356]}, {"key": "written-notification", "type": "clause", "offset": [369, 389]}, {"key": "the-official", "type": "clause", "offset": [600, 612]}, {"key": "the-parties", "type": "definition", "offset": [635, 646]}, {"key": "party-review", "type": "clause", "offset": [734, 746]}], "samples": [{"hash": "9WZwk66GngN", "uri": "/contracts/9WZwk66GngN#reconsideration", "label": "Master Agreement", "score": 28.5689754486, "published": true}, {"hash": "lXRvPW5Cb9h", "uri": "/contracts/lXRvPW5Cb9h#reconsideration", "label": "Master Agreement", "score": 27.213552475, "published": true}, {"hash": "8h3Pm73qxRC", "uri": "/contracts/8h3Pm73qxRC#reconsideration", "label": "Master Agreement", "score": 25.2272415161, "published": true}], "snippet": "If an educator disagrees with an LPDC decision, the educator first will be given the opportunity to meet with the LPDC in person to discuss the IPDP and/or credit request to present his/her case to the LPDC. A written request for inclusion on the agenda must be submitted to the LPDC chairperson no later than 14 calendar days following the notification of the denial. Written notification of the LPDC decision shall be provided within 14 calendar days of the face-to-face reconsideration. If the educator and the LPDC agree on a resolution, the resolution will be documented and will become part of the official minutes. If, however, the parties do not reach a mutually acceptable resolution, then the educator may appeal to a third-party review.", "size": 7, "hash": "4c8f04ca4cad04f1e6fc8da50f2c201e", "id": 10}, {"snippet_links": [{"key": "faculty-members", "type": "clause", "offset": [0, 15]}, {"key": "starting-salary", "type": "clause", "offset": [64, 79]}, {"key": "basis-of", "type": "clause", "offset": [100, 108]}, {"key": "new-information", "type": "definition", "offset": [109, 124]}, {"key": "existing-information", "type": "clause", "offset": [148, 168]}, {"key": "four-months", "type": "definition", "offset": [183, 194]}, {"key": "following-the", "type": "definition", "offset": [195, 208]}, {"key": "employment-with-the", "type": "clause", "offset": [220, 239]}, {"key": "changes-in-salary", "type": "clause", "offset": [272, 289]}, {"key": "additional-qualifications", "type": "clause", "offset": [305, 330]}, {"key": "the-faculty-member", "type": "clause", "offset": [386, 404]}, {"key": "the-university-will", "type": "clause", "offset": [421, 440]}, {"key": "date-of", "type": "clause", "offset": [490, 497]}, {"key": "notification-to", "type": "clause", "offset": [502, 517]}, {"key": "human-resource-services", "type": "clause", "offset": [518, 541]}], "samples": [{"hash": "jwQR0ogYoBp", "uri": "/contracts/jwQR0ogYoBp#reconsideration", "label": "Collective Agreement", "score": 29.8345012665, "published": true}, {"hash": "eqp29swRzB6", "uri": "/contracts/eqp29swRzB6#reconsideration", "label": "Collective Agreement", "score": 29.8345012665, "published": true}, {"hash": "ilfgDuosFKQ", "uri": "/contracts/ilfgDuosFKQ#reconsideration", "label": "Collective Agreement", "score": 29.8016529083, "published": true}], "snippet": "Faculty members who join the faculty are eligible to have their starting salary reconsidered on the basis of new information or reinterpretation of existing information for the first four months following the date their employment with the University began. Subsequently, changes in salary as a result of additional qualifications or re-evaluation of the qualifications acquired before the faculty member was employed at the University will take effect the first of the month following the date of the notification to Human Resource Services.", "size": 28, "hash": "a5f2d088d7c2e2cc9fcdd9dff90fb425", "id": 2}, {"snippet_links": [{"key": "each-party", "type": "clause", "offset": [0, 10]}, {"key": "affected-by", "type": "definition", "offset": [87, 98]}, {"key": "telecommunications-regulatory-body", "type": "clause", "offset": [134, 168]}, {"key": "neither-party-may", "type": "clause", "offset": [247, 264]}, {"key": "for-non", "type": "clause", "offset": [310, 317]}, {"key": "compliance-with", "type": "definition", "offset": [318, 333]}, {"key": "such-determination", "type": "definition", "offset": [334, 352]}], "samples": [{"hash": "gMQss4Ehyzv", "uri": "/contracts/gMQss4Ehyzv#reconsideration", "label": "Free Trade Agreement", "score": 24.6796722412, "published": true}, {"hash": "cjF3EAMHMDC", "uri": "/contracts/cjF3EAMHMDC#reconsideration", "label": "Free Trade Agreement", "score": 24.6796722412, "published": true}, {"hash": "lJg2aivguvn", "uri": "/contracts/lJg2aivguvn#reconsideration", "label": "Free Trade Agreement", "score": 21.0, "published": true}], "snippet": "Each Party shall ensure that any enterprise aggrieved or whose interests are adversely affected by a determination or decision of the telecommunications regulatory body may petition that body for reconsideration of that determination or decision. Neither Party may permit such a petition to constitute grounds for non-compliance with such determination or decision of the", "size": 15, "hash": "c1c0adc10c4c871a5f1342f77c82e9ce", "id": 4}, {"snippet_links": [{"key": "by-mutual-agreement", "type": "definition", "offset": [0, 19]}, {"key": "the-parties", "type": "definition", "offset": [21, 32]}, {"key": "the-grievance", "type": "clause", "offset": [44, 57]}, {"key": "the-grievant", "type": "clause", "offset": [153, 165]}, {"key": "the-rights", "type": "clause", "offset": [189, 199]}, {"key": "in-this-procedure", "type": "clause", "offset": [210, 227]}], "samples": [{"hash": "kl4D7CbZfge", "uri": "/contracts/kl4D7CbZfge#reconsideration", "label": "Memorandum of Understanding", "score": 25.0424365997, "published": true}, {"hash": "geNmB0HUpsw", "uri": "/contracts/geNmB0HUpsw#reconsideration", "label": "Memorandum of Understanding", "score": 23.0109519958, "published": true}, {"hash": "dH01SaerR2v", "uri": "/contracts/dH01SaerR2v#reconsideration", "label": "Memorandum of Understanding", "score": 21.0985622406, "published": true}], "snippet": "By mutual agreement, the parties may revert the grievance to a prior level for reconsideration. If the grievance is not then settled at the prior level, the grievant shall continue to have the rights set forth in this procedure.", "size": 15, "hash": "736a4ea8819c2470ae552951059b153b", "id": 5}, {"snippet_links": [{"key": "will-be-given", "type": "clause", "offset": [62, 75]}, {"key": "opportunity-to-meet", "type": "clause", "offset": [80, 99]}, {"key": "to-discuss", "type": "definition", "offset": [125, 135]}], "samples": [{"hash": "fJi33d04GV5", "uri": "/contracts/fJi33d04GV5#reconsideration", "label": "Master Agreement", "score": 27.1245079041, "published": true}, {"hash": "gK0WvMNjb6j", "uri": "/contracts/gK0WvMNjb6j#reconsideration", "label": "Master Agreement", "score": 26.8818969727, "published": true}, {"hash": "1RkZnCuSdmd", "uri": "/contracts/1RkZnCuSdmd#reconsideration", "label": "Master Agreement", "score": 24.8507862091, "published": true}], "snippet": "If any educator disagrees with an LPDC decision, the educator will be given the opportunity to meet personally with the LPDC to discuss the IPDP and to discuss his/her case.", "size": 13, "hash": "734e8845a28a786d13729115ec602796", "id": 7}, {"snippet_links": [{"key": "by-mutual-agreement", "type": "definition", "offset": [0, 19]}, {"key": "the-grievance", "type": "clause", "offset": [21, 34]}], "samples": [{"hash": "hHGF4z4oatA", "uri": "/contracts/hHGF4z4oatA#reconsideration", "label": "Collective Bargaining Agreement", "score": 25.4243659973, "published": true}, {"hash": "lr7U50gHeew", "uri": "/contracts/lr7U50gHeew#reconsideration", "label": "Collective Bargaining Agreement", "score": 24.0882949829, "published": true}, {"hash": "5OlRrdg5PXz", "uri": "/contracts/5OlRrdg5PXz#reconsideration", "label": "Collective Bargaining Agreement", "score": 23.2984256744, "published": true}], "snippet": "By mutual Agreement, the grievance may revert to a prior level for reconsideration.", "size": 8, "hash": "45df9b7f23f5543c97c30715b4c6f7aa", "id": 9}], "next_curs": "ClgSUmoVc35sYXdpbnNpZGVyY29udHJhY3RzcjQLEhZDbGF1c2VTbmlwcGV0R3JvdXBfdjU2IhhyZWNvbnNpZGVyYXRpb24jMDAwMDAwMGEMogECZW4YACAA", "clause": {"children": [["", ""], ["guided-study-course-contracts", "GUIDED STUDY COURSE CONTRACTS"], ["normal-duties", "NORMAL DUTIES"], ["time-limits", "TIME LIMITS"], ["professional-improvement-leave", "PROFESSIONAL IMPROVEMENT LEAVE"]], "parents": [["payment-of-claims", "Payment of Claims"], ["war", "War"], ["out-of-network-benefits", "Out-of-Network Benefits"], ["appeals-process", "Appeals Process"], ["local-professional-development-committee", "Local Professional Development Committee"]], "title": "Reconsideration", "size": 345, "id": "reconsideration", "related": [["appeal", "Appeal", "Appeal"], ["arbitration-appeal", "Arbitration Appeal", "Arbitration Appeal"], ["initiation-of-appeal", "Initiation of Appeal", "Initiation of Appeal"], ["arbitrators-decision", "Arbitrator\u2019s Decision", "Arbitrator\u2019s Decision"], ["denial", "Denial", "Denial"]], "related_snippets": [], "updated": "2025-07-24T06:48:53+00:00"}, "json": true, "cursor": ""}}