Common use of Denial Clause in Contracts

Denial. The TennCare Provider Independent Review of Disputed Claims process shall be available to Provider to resolve claims denied in whole or in part by Subcontractor or Health Plan, as applicable, as provided in TCA 56-32-126(b).

Appears in 6 contracts

Sources: Provider Agreement, Provider Agreement, Provider Agreement

Denial. The TennCare Provider Independent Review of Disputed Claims process shall be available to Provider to resolve claims denied in whole or in part by Subcontractor or Health Plan, as applicable, United as provided in TCA 56-32-126(b).

Appears in 4 contracts

Sources: Tenncare Program Regulatory Requirements Appendix, Provider Agreement, Provider Agreement