Provider Complaint definition

Provider Complaint. A written expression by a Provider, which indicates dissatisfaction or dispute with the Contractor’s policies, procedures, or any aspect of a Contractor’s administrative functions, including a Proposed Action.
View Source
Provider Complaint means a provider’s complaint about the contractor’s performance. Verified provider complaints are used as a measure of the quality of the contractor’s performance under this SOW.
View Source

Examples of Provider Complaint in a sentence

  • Providers who believe they are subject to such behavior by any agent of the State should first attempt resolution through the AFH Provider Complaint Resolution Process.

  • Disputes With Your Provider Complaint Resolution: Please contact your REP if you have specific comments, questions or complaints.

  • Section 8.4.2, CHIP Provider Complaint and Appeals, is modified to include the 30-day resolution requirement.

  • Provider Complaint – any verbal or written expression of dissatisfaction with any aspect of operations or activities of the MCO received by the MCO from a provider through any means regardless of whether the expression of dissatisfaction is resolved immediately, requires investigation and/or further actions, or does not require any remedial action.

  • Provider Complaint: A written expression by a Provider, which indicates dissatisfaction or dispute with the Contractor’s policies, procedures, or any aspect of a Contractor’s administrative functions.

  • Contractor must submit the Provider Complaint, Grievance, and Appeal policies and procedures to the DOM for review and approval forty-five (45) calendar days before implementation.

  • The Provider Complaint, Grievance, and Appeal policies and procedures shall be in accordance with the State’s Managed Care Quality Strategy, with the modifications that are incorporated in the Contract.

  • Contractor shall not modify the Provider Complaint, Grievance, and Appeal procedure without the prior approval of DOM, and shall provide DOM with a copy of the modification at least fifteen (15) calendar days prior to implementation.

  • Any Provider Complaint not resolved within one (1) business day shall be treated as a Grievance.

  • Party Action Time Frame Extensions Available Provider Complaint: An expression of dissatisfaction received orally or in writing that is of a less serious or formal nature that is resolved within one (1) business day of receipt.

Related to Provider Complaint

  • Product Complaint means any written, verbal or electronic expression of dissatisfaction regarding the Product, including without limitation reports of actual or suspected product tampering, contamination, mislabeling or inclusion of improper ingredients.

  • Service Complaints For service problems or complaints, you should contact your local utility by calling: AEP Ohio at ▇▇▇.▇▇▇.▇▇▇▇. IN THE EVENT OF AN ENERGY-RELATED EMERGENCY, SUCH AS A POWER OUTAGE OR DOWNED POWER LINE, PLEASE VACATE THE AREA BY A SAFE DISTANCE AND CALL YOUR LOCAL UTILITY or 911. Authorization/Representation/Letter of Agency:By entering into this Agreement, you authorize XOOM to act on your behalf under your local utility’s tariffs in accordance with the rules and regulations of the PUCO. You acknowledge that you are your local utility account holder, or a person legally authorized to execute this Agreement on behalf of the account holder for electricity service and are at least eighteen (18) years of age. You agree to authorize XOOM to obtain your credit information and you agree to authorize your local utility to release all information relating to your historical and current electricity usage, billing and payment history to XOOM or its authorized representatives. You acknowledge that XOOM has full authority to make all rates and tariff selections necessary to meet its obligations under this Agreement. You may rescind this authorization at any time by contacting XOOM. Neither your social security number, customer account number nor any other customer financial information will be released by XOOM, except where such release is required by court order or by Commission Order or Rule, without your affirmative written consent. Execution of this Agreement shall constitute authorization for the release of this information to XOOM.

  • Complaints means each of the following documents:

  • Provider is any individual or company that provides professional or technical services.

  • Complaint means any dissatisfaction expressed by a Complainant orally or in writing to HMO about any aspect of HMO’s operation, including, but not limited to: