Review of Termination. Any Covered Person whose coverage is terminated pursuant to this Section 5.3 shall be entitled to a review through the PPACA Claims Procedure set forth in this Agreement, if so requested.
Review of Termination. 59.1 The only avenue of external review for Employees against termination of employment for any reason is through the termination of employment provisions of the Act.
Review of Termination. In the event of termination of Ancillary Provider by BCBSTX, if Ancillary Provider is terminated for reasons other than at Ancillary Provider’s request, BCBSTX shall provide a written explanation to Ancillary Provider of the reason(s) for termination. Except in a case of termination under Part VIII, Section D, Immediate Termination or Suspension, Ancillary Provider may, within thirty (30) days following the Notice of termination, request in writing that a review be conducted by BCBSTX’s advisory review panel and BCBSTX will conduct such a review consistent with applicable law and regulation. Within sixty (60) days following receipt of Ancillary Provider’s written request for review, BCBSTX will notify Ancillary Provider of BCBSTX’s review decision. At Ancillary Provider’s request, Ancillary Provider shall be entitled to an expedited review of such termination by BCBSTX’s advisory review panel. Upon request, BCBSTX will provide Ancillary Provider with a copy of the recommendation of the advisory review panel. At Ancillary Provider’s request, BCBSTX will provide Ancillary Provider with a copy of the recommendation of the advisory review panel. The decision of the advisory review panel must be considered by, but is not binding upon, BCBSTX.
Review of Termination. (i) In the event XXXXX terminates this Agreement, XXXXX must notify PROVIDER of such termination via a written notice to the PROVIDER, which shall explain the reason(s) for the termination. (ii) Except in cases involving imminent harm to Member(s)’ health, actions by a state licensing board or government agency which impair ability of PROVIDER to practice his/her/its profession, or fraud or malfeasance, PROVIDER may request, before the effective date of the termination and within a period not to exceed thirty (30) days following PROVIDER’s receipt of the written notification of termination, that XXXXX’ advisory review panel conduct a review of the termination. Such review will be in accordance with applicable HMO laws. The advisory panel shall consist of physicians and providers who are appointed to serve on XXXXX’ standing quality assurance committee or utilization review committee and shall include, when available, at least one representative of the PROVIDER’s specialty or a similar specialty. (iii) The panel shall make its formal recommendation within sixty
Review of Termination. If Medical Group is terminated for reasons other than at Medical Group’s request, BCBSTX shall provide a written explanation to Medical Group of the reason(s) for termination. Except in a case of termination under Part VIII, Section C, Immediate Termination or Suspension, Medical Group may, within thirty (30) days following the Notice of termination, request in writing that a review be conducted by BCBSTX’s advisory review panel and BCBSTX will conduct such a review consistent with Applicable Laws. Within sixty (60) days following receipt of Medical Group’s written request for review, BCBSTX will notify Medical Group of BCBSTX’s review decision. At Medical Group’s request, Medical Group shall be entitled to an expedited review of such termination by BCBSTX’s advisory review panel. At Medical Group’s request, BCBSTX will provide Medical Group with a copy of the recommendation of the advisory review panel. The decision of the advisory review panel must be considered by, but is not binding upon, BCBSTX.
