Common use of Filing a Grievance Clause in Contracts

Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance.

Appears in 37 contracts

Samples: www.avmed.org, www.avmed.org, www.avmed.org

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Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days one (1) year of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance.

Appears in 6 contracts

Samples: Avmed Engage, avmed.org, avmed.org

Filing a Grievance. If a Member’s complaint cannot be resolved informally, informally it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, services other than one that involves a request (Claim) for benefits benefits, or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance.

Appears in 4 contracts

Samples: Individual and Family Engage, www.avmed.org, www.avmed.org

Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, services other than one that involves a request (Claim) for benefits benefits, or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance.

Appears in 4 contracts

Samples: www.avmed.org, www.avmed.org, www.avmed.org

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Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days 1 year of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance.

Appears in 3 contracts

Samples: www.avmed.org, www.avmed.org, www.avmed.org

Filing a Grievance. If a Member’s complaint cannot be resolved informally, informally it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance.

Appears in 1 contract

Samples: www.avmed.org

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