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Common use of Appeals Process Clause in Contracts

Appeals Process. There is a provider appellate process for instances where MCO chooses to reduce, suspend or terminate a practitioner's privileges with the organization.

Appears in 7 contracts

Sources: Contract for Services (Amerigroup Corp), Amendment 14 to the Agreement for Health Services to the Medicaid Star Program (Centene Corp), Amendment 14 to the Agreement for Health Services to the Medicaid Star Program (Centene Corp)

Related Clauses

  • Appeals Procedure
  • Claims Process
  • Complaints Process
  • Appeal Process
  • Review Process

Parent Clauses

  • Local Professional Development Committee
  • Career Opportunities Program
  • GENERAL PROVISIONS
  • MISCELLANEOUS
  • Job Evaluation

Sub-Clauses

  • Reconsideration
  • Level One
  • Level Two
  • Third Party Review
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