Common use of Administrative Review Process Clause in Contracts

Administrative Review Process. 4.14.4.1 An Administrative Review is the request for review of a “Proposed Action”. The Member, the Member’s Authorized Representative, or the Provider acting on behalf of the Member with the Member’s written consent, may file an Administrative Review either orally or in writing. Unless the Member or Provider requests expedited review, the Member, the Member’s Authorized Representative, or the Provider acting on behalf of the Member with the Member’s written consent, must follow an oral filing with a written, signed, request for Administrative Review.

Appears in 2 contracts

Samples: Business Associate Agreement (Amerigroup Corp), Business Associate Agreement (Wellcare Health Plans, Inc.)

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Administrative Review Process. 4.14.4.1 An Administrative Review is the request for review of a “Proposed Action”. The Member, the Member’s Authorized Representative, the P4HB Member or the Provider acting on behalf of the Member with the Member’s written consent, may file an Administrative Review either orally or in writing. Unless the Member, P4HB Member or Provider requests expedited review, the Member, the Member’s Authorized RepresentativeXxxxxxxxxxxxxx, X0XX Member or the Provider acting on behalf of the Member with the Member’s written consent, must follow an oral filing with a written, signed, request for Administrative Review.

Appears in 1 contract

Samples: Business Associate Agreement

Administrative Review Process. 4.14.4.1 An Administrative Review is the request for review of a “Proposed Action”. The Member, the Member’s Authorized RepresentativeXxxxxxxxxxxxxx, X0XX Member or the Provider acting on behalf of the Member with the Member’s written consent, may file an Administrative Review either orally or in writing. Unless the Member Member, P4HB Member, or Provider requests expedited review, the Member, the Member’s Authorized RepresentativeXxxxxxxxxxxxxx, X0XX Member or the Provider acting on behalf of the Member with the Member’s written consent, must follow an oral filing with a written, signed, request for Administrative Review.

Appears in 1 contract

Samples: Business Associate Agreement (Wellcare Health Plans, Inc.)

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Administrative Review Process. 4.14.4.1 An Administrative Review is the request for review of a "Proposed Action". The Member, the Member’s 's Authorized Representative, or the Provider acting on behalf of the Member with the Member’s 's written consent, may file an Administrative Review either orally or in writing. Unless the Member or Provider requests expedited review, the Member, the Member’s 's Authorized Representative, or the Provider acting on behalf of the Member with the Member’s 's written consent, must follow an oral filing with a written, signed, request for Administrative Review.

Appears in 1 contract

Samples: Business Associate Agreement (Wellcare Health Plans, Inc.)

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