Common use of Arbitration of Disputes of an Independent Medical Review Clause in Contracts

Arbitration of Disputes of an Independent Medical Review. If the Member is dissatisfied with the findings of an Independent Medical Review, the Member shall have the right to have the dispute submitted to binding arbitration before an arbiter under the commercial arbitration rules applied by the American Arbitration Association. This review is in place of HPN’s Appeals Procedures. The arbiter will be selected by mutual agreement of HPN and the Member. The cost and expense of the arbitration shall be paid by HPN. The decision of the arbiter shall be binding upon the Member and HPN.

Arbitration of Disputes of an Independent Medical Review. If the Member Insured is dissatisfied with the findings of an Independent Medical Review, the Member Insured shall have the right to have the dispute submitted to binding arbitration before an arbiter under the commercial arbitration rules applied by the American Arbitration Association. This review is in place of HPNSHL’s Appeals Procedures. The arbiter will be selected by mutual agreement of HPN SHL and the MemberInsured. The cost and expense of the arbitration shall be paid by HPNSHL. The decision of the arbiter shall be binding upon the Member Insured and HPNSHL.