Handling of Grievances and Appeals Sample Clauses

Handling of Grievances and Appeals. The Contractor shall adhere to the following record keeping, monitoring, and review requirements:
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Handling of Grievances and Appeals. The grievance and appeal procedures shall be governed by the following requirements:
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Handling of Grievances and Appeals. 43 9.5.1 General Requirements 43 9.5.2 Special Requirements for Appeals 44 9.6 Notice of Action 45 9.6.1 Language and Format Requirements 45 9.6.2 Content of Notice 45 9.6.3 Timing of Notice 45 9.7 Resolution and Notification 46 9.7.1 Specific Timeframes 47 9.7.2 Extension of Timeframes 47 9.7.3 Format of Notice 47 9.7.4 Content of Notice of Appeal Resolution 48 9.7.5 Requirements for State Fair Hearings 48 9.8 Expedited Resolution of Appeals 48 9.8.1 Punitive Action 48 9.8.2 Action Following Denial of a Request for Expedited Resolution 49 9.8.3 Failure to Make a Timely Decision 49
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Handling of Grievances and Appeals. The Health Plan’s policies and procedures for handling Grievances and Appeals shall include the following requirements:
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Handling of Grievances and Appeals. (42 CFR §438.406).
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Related to Handling of Grievances and Appeals

  • Grievances and Appeals a. If you have questions about any pediatric dental services received, please first discuss the matter with your Dental Provider. However, if you continue to have concerns, please call Delta Dental’s Customer Service Center. You can also email questions by accessing the “Contact Us” section of the dental plan website at xxx.xxxxxxxxxxxxxx.xxx.

  • Processing of Grievances (a) Except as otherwise provided in this Agreement, a grievance shall be processed through the appropriate one step procedure. The representatives in the appropriate grievance procedure shall be as follows:

  • Settling of Grievances An xxxxxxx effort shall be made to settle grievances fairly and promptly in the following manner:

  • Investigation of Grievances The investigation of grievances shall not interfere with the orderly process of education in District 281.

  • Submission of Grievances A. Any employee or group of employees shall have the right to present a grievance. No employee or group of employees shall be hindered from or disciplined for exercising this right.

  • COMPLAINTS AND APPEALS As a Premera member, you have the right to offer your ideas, ask questions, voice complaints and request a formal appeal to reconsider decisions we have made. Our goal is to listen to your concerns and improve our service to you. If you need an interpreter to help with oral translation, please call us. Customer Service will be able to guide you through the service. WHEN YOU HAVE IDEAS We would like to hear from you. If you have an idea, suggestion, or opinion, please let us know. You can contact us at the addresses and telephone numbers found on the back cover. WHEN YOU HAVE QUESTIONS Please call us when you have questions about a benefit or coverage decision, our services, or the quality or availability of a healthcare service. We can quickly and informally correct errors, clarify benefits, or take steps to improve our service. We suggest that you call your provider of care when you have questions about the healthcare they provide.

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