Appeals and Grievance. Carrier shall have an appeals and grievance procedure for Covered Persons that complies with State and federal laws and regulations, including interim final rules for internal claims and appeals and external review process set forth in 45 CFR Part 147.136, as amended through regulation or technical guidance.
Appears in 2 contracts
Samples: Carrier Business Agreement, Carrier Business Agreement
Appeals and Grievance. Carrier shall have an appeals and grievance procedure for Covered Persons that complies with State and federal laws and regulations, including interim final rules for internal claims and appeals and external review process set forth in 45 CFR Part 147.136147, as amended through regulation or technical guidance.
Appears in 1 contract
Samples: Carrier Agreement
Appeals and Grievance. Carrier shall have an appeals and grievance procedure for Covered Persons that complies with State and federal laws and regulations, including interim final rules for internal claims and appeals and external review process set forth in 45 CFR Part § 147.136, and as amended through regulation or technical guidancerequired by the OSI.
Appears in 1 contract
