Sanctions and Grievance Processes. Pursuant to participation in Crescent’s or Payor’s Medical Management Programs, Facility will cooperate with Crescent's, a Payor’s or a TPA’s sanction processes and will cooperate with Members in any applicable grievance processes for Members. An outline of applicable sanction and grievance processes will be distributed to Facility by Crescent, TPA or Payor, as appropriate, and a copy of relevant grievance and sanctions provisions of applicable Medical Management Programs will be provided to Facility upon request. Crescent will, and will require Payors and TPAs to, give Facility prior written notice of revisions of any applicable grievance or sanctions processes, allowing a reasonable time (not less than thirty (30) days) for Facility to comply with such revisions.
Appears in 2 contracts
Samples: Participating Facility Agreement, Participating Facility Agreement
Sanctions and Grievance Processes. Pursuant to participation in Crescent’s or Payor’s Medical Management Programs, Facility Provider will cooperate with Crescent's’s, a Payor’s or a TPA’s sanction processes and will cooperate with Members in any applicable grievance processes for Members. An outline of applicable sanction and grievance processes will be distributed to Facility Provider by Crescent, TPA or Payor, as appropriate, and a copy of relevant grievance and sanctions provisions of applicable Medical Management Programs will be provided to Facility Provider upon request. Crescent will, and will require Payors and TPAs to, give Facility Providers prior written notice of revisions of any applicable grievance or sanctions processes, allowing a reasonable time (not less than thirty (30) days) for Facility Provider to comply with such revisions.
Appears in 1 contract
Samples: Health Provider Agreement
Sanctions and Grievance Processes. Pursuant to participation in Crescent’s or Payor’s Medical Management Programs, Facility Physician will cooperate with Crescent's’s, a Payor’s or a TPA’s sanction processes and will cooperate with Members in any applicable grievance processes for Members. An outline of applicable sanction and grievance processes will be distributed to Facility Physician by Crescent, TPA or Payor, as appropriate, and a copy of relevant grievance and sanctions provisions of applicable Medical Management Programs will be provided to Facility Physician upon request. Crescent will, and will require Payors and TPAs to, to give Facility Physicians prior written notice of revisions of any applicable grievance or sanctions processes, allowing a reasonable time (not less than thirty (30) days) for Facility Physician to comply with such revisions.
Appears in 1 contract
Samples: Participating Physician Agreement