Complaint and Grievance Procedures. A quality of service concern addresses Our services, access, availability or attitude and those of Our Network Providers. A quality of care concern addresses the appropriateness of care given to a Member. To Register a Complaint A Complaint is an oral expression of dissatisfaction with Us, Claims Administrator or with Provider services. Members may call UCD at 0-000-000-0000 to register a Complaint. UCD will attempt to resolve the Member’s Complaint at the time of his call.
Complaint and Grievance Procedures. A quality of service concern addresses the services, access, availability or attitude and those of Participating Providers. A quality of care concern addresses the appropriateness of care given to You. To Register a Complaint A Complaint is an oral expression of dissatisfaction with Us, UCD or with Provider services. You may call UCD at 0-000-000-0000 to register a Complaint. UCD will attempt to resolve Your Complaint at the time of the call. To File a Formal Grievance A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If You do not feel Your Complaint was adequately resolved or You wish to file a formal Grievance, You must submit this in writing within one hundred eighty (180) days of the event that lead to the dissatisfaction. UCD Customer Service Department will assist You if necessary. Send Your written Grievance to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to the You within thirty (30) business days of receipt of Your written Grievance.
Complaint and Grievance Procedures. A quality of service concern addresses the Claims Administrator’s services, access, availability or attitude and those of the Claims Administrator’s Network Providers. A quality of care concern addresses the appropriateness of care given to a Plan Participant.
1. To Register a Complaint Call the Claims Administrator’s customer service department at 0-000-000-0000. The Claims Administrator will attempt to resolve a Plan Participant’s Complaint at the time of their call.
Complaint and Grievance Procedures. A quality of service concern addresses Our services, access, availability or attitude and those of Participating Providers. A quality of care concern addresses the appropriateness of care given to a Member. To Register a Complaint A Complaint is an oral expression of dissatisfaction with Us, UCD or with Provider services. Members may call UCD at 0-000-000-0000 to register a Complaint. UCD will attempt to resolve the Member’s Complaint at the time of the call. To File a Formal Grievance A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If the Member does not feel his Complaint was adequately resolved or he wishes to file a formal Grievance, a written request must be submitted within one hundred eighty (180) days of the event that led to the dissatisfaction. UCD Customer Service Department will assist the Member if necessary. The Member should send his written Grievance to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to the Member within thirty (30) business days of receipt of the Member’s written Grievance.
Complaint and Grievance Procedures. For the purpose of this Article, the word "party" is defined as either Seaspan ULC or the Union. Any Unlicensed Employee or the Union with a complaint or grievance shall discuss the complaint or grievance with the Master or the Company where appropriate. If a settlement satisfactory to the Unlicensed Employee is not reached, then the following grievance procedure will be carried out:
(a) A written statement of the grievance shall be presented to the Master or Company by the Unlicensed Employee concerned, accompanied if he so desires by a fellow Unlicensed Employee who is a Union Committee member or may be presented by the Union.
(b) If the Master or the Company fails to adjust the grievance in a satisfactory manner, it shall be dealt with between the representatives of the Company and the Union.
(c) A grievance is any difference concerning the interpretation, application or operation of this Agreement or any alleged violation thereof, including any question as to whether any matter is arbitrable and shall be dealt with without stoppage of work.
(d) The maximum time for raising a grievance shall be ninety (90) days from the time the incident occurs which gives rise to the grievance. In the event arbitration is desired, written notice must be given within the ninety (90) day period. Time limits under this clause may be extended by mutual agreement between the parties. Failing mutual agreement to extend the time limit, a grievance not raised and processed within the aforestated time period shall be deemed abandoned and all rights or recourse including arbitration in respect of this grievance shall be at an end.
(e) If the grievance is not satisfactorily concluded under procedures (a) and (b), then it shall be dealt with by arbitration in accordance with the following procedure:
i. The party desiring to arbitrate under this procedure shall notify the other party in writing of this intention and the particulars of the matter in dispute.
ii. The party receiving such notice shall within five (5) days thereafter confirm such notification in writing.
iii. The parties shall then confer and shall within five (5) days choose a single arbitrator to arbitrate the dispute and shall abide by the decision of such arbitrator. The arbitrator shall be chosen by mutual agreement of the parties. Failing mutual agreement, the Minister of Labour will be asked to select the arbitrator.
iv. Once the arbitrator is chosen and if either party to the dispute desires it, the following p...
Complaint and Grievance Procedures. A Complaint is an oral expression of dissatisfaction with Us or with Provider services. A quality of care concern addresses the appropriateness of care given to the Member. A quality of service concern addresses Our services, access, availability or attitude and those of Our Network Providers.
1. To Register a Complaint Members may call the Customer Service Department at 0-000-000-0000 or 0-000-000-0000 to register a Complaint. We will attempt to resolve the Member’s Complaint at the time of his call.
Complaint and Grievance Procedures.
1. To Register a Complaint A Complaint is an oral expression of dissatisfaction with Us, UCD or with Provider services. Members may call UCD at 0-000-000-0000 to register a Complaint. UCD will attempt to resolve the Member’s Complaint at the time of the call.
Complaint and Grievance Procedures. A quality of service concern addresses Our services, access, availability or attitude and those of Participating Providers. A quality of care concern addresses the appropriateness of care given to You. To Register a Complaint A Complaint is an oral expression of dissatisfaction with Us, UCD or with Provider services. You may call UCD at 0-000-000-0000 to register a Complaint. UCD will attempt to resolve Your Complaint at the time of the call. To File a Formal Grievance A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If You do not feel Your Complaint was adequately resolved or You wish to file a formal Grievance, You must submit this in writing within one hundred eighty (180) days of the event that lead to the dissatisfaction. UCD Customer Service Department will assist You if necessary. Send Your written Grievance to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to You within thirty (30) business days of receipt of Your written Grievance. UCD will determine if Your Appeal is an administrative Appeal or a Dental Necessity Appeal. The Appeals procedure has two (2) levels, including review by a committee at the second level on an administrative Appeal and a review by an external Independent Review Organization (IRO) on a Dental Necessity Appeal. You are encouraged to provide UCD with all available information to help completely evaluate Your Appeal such as written comments, documents, records, and other information relating to the Adverse Benefit Determination. Upon Your request and free of charge, we will provide You reasonable access to and copies of all documents, records, and other information relevant to Adverse Benefit Determination. You have the right to appoint an authorized representative to speak on Your behalf in Your Appeals. An authorized representative is a person to whom You have given written consent to represent You in a review of an Adverse Benefit Determination. The authorized representative may be Your treating Provider, if You appoint the Provider in writing. You may call UCD if You have questions or need assistance putting Your Appeal in writing. All Appeals should be submitted to: United Concordia Dental Appeals Division P.O. Box 69420 Harrisburg, PA 17106-9420 Administrative Appeals Administrative Appeals involve contractual issues, which are not related to Dental Necessity, appropriateness, healthcare setting, level of care, e...
Complaint and Grievance Procedures. PARTNER will have a policy and procedure to handle complaints and grievances specific to services provided by PARTNER. Complaints and grievances specific to the AJC may be resolved with the GLWDB’s Administrative Entity (City of Lincoln) or may be processed in accordance with the GLWDB policy on complaints of discrimination or the policy on non-criminal complaints and grievances.
Complaint and Grievance Procedures. 7.01 It is the desire of the parties hereto that complaints of employees be adjusted as quickly as possible. Both parties, therefore, recognize that supervisory employees should be informed as quickly as possible of an employee’s complaint and not later than two (2) working days after the commencement of the alleged occurrence causing the complaint. It is understood that an employee has no grievance until he/she has first given his/her Supervisor an opportunity of adjusting his/her complaint.
