Attachment to Notice of Action –Written Appeal Request Form. (A) The Contractor shall develop and include as an attachment to the notice of Action an Appeal Request form that Aggrieved Parties may use as the written Appeal request for standard Appeals. The form may also be used for expedited Appeal requests if the Aggrieved Party chooses to submit a written request for an expedited Appeals resolution, even though an oral request is all that is required. The form shall:
Appears in 12 contracts
Samples: Health Contract, Health Contract, Health Contract
Attachment to Notice of Action –Written Appeal Request Form. (A) The Contractor shall develop and include as an attachment to the notice of Action an Appeal Request form that Aggrieved Parties Enrollees may use as the written Appeal request for standard Appeals. The form may also be used for expedited Appeal requests if the Aggrieved Party Enrollee chooses to submit a written request for an expedited Appeals resolution, even though an oral request is all that is required. The form shall:
Appears in 6 contracts
Samples: Health Contract, Health Contract, Health Contract