Beneficiary Appeals and/or Grievances. Beneficiaries/Members retain their rights to appeal claims determinations in accordance with the terms of their benefit policies and Participant and Preferred Provider remain bound by the terms of their BCBSVT provider agreements as to Beneficiary/Member grievances and appeals.
Appears in 3 contracts
Samples: Preferred Provider Agreement, Preferred Provider Agreement, Preferred Provider Agreement
Beneficiary Appeals and/or Grievances. Beneficiaries/Members retain their rights to appeal claims determinations in accordance with the terms of their benefit policies and Participant and Preferred Provider remain bound by the terms of their BCBSVT provider agreements each Plan and its TPA’s requirements as to Beneficiary/Member grievances and appeals.
Appears in 1 contract
Samples: gmcboard.vermont.gov
