Common use of Access Pursuant to Member Appeals Clause in Contracts

Access Pursuant to Member Appeals. Provider and Practitioner shall, within ten (10) days of Health Plan request, provide copies of specified Members’ medical records to enable Health Plan to meet statutorily-imposed time frames for resolving Member appeals. The parties acknowledge that, because of substantial fines and penalties imposed under applicable legislation, timely provision of records under this section is extremely important. All parties agree to fully cooperate with one another to minimize delays in the production of such records.

Appears in 3 contracts

Samples: Provider Group Affiliation Agreement, Provider Group Affiliation Agreement, Provider Group Affiliation Agreement

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Access Pursuant to Member Appeals. Provider and Practitioner shall, within ten (10) days of Health Plan request, provide copies of specified Members’ medical records to enable Health Plan to meet statutorily-imposed time frames for resolving Member appeals. The parties acknowledge that, because of substantial fines and penalties imposed under applicable legislation, timely provision of records under this section is extremely important. All Both parties agree to fully cooperate with one another to minimize delays in the production of such records.

Appears in 3 contracts

Samples: Practitioner Affiliation Agreement, Ancillary Provider Affiliation Agreement, Practitioner Affiliation Agreement

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Access Pursuant to Member Appeals. Provider and Practitioner shall, within ten (10) days of Health Plan request, provide copies of specified Members’ medical records to enable Health Plan to meet statutorily-imposed time frames for resolving Member appeals. The parties acknowledge that, because of substantial fines and penalties imposed under applicable legislation, timely provision of records under this section Section is extremely important. All Both parties agree to fully cooperate with one another to minimize delays in the production of such records.

Appears in 2 contracts

Samples: Practitioner Affiliation Agreement, Ancillary Provider Affiliation Agreement

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