Common use of Contested Case Hearing Clause in Contracts

Contested Case Hearing. If dissatisfied with the Michigan Office of Financial and Insurance Services’ determination, either Facility or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Michigan Office of Financial and Insurance Services’ determination is mailed, and shall be mailed to OFIS at the same address found in the prior step. CIVIL COURT REVIEW Either Facility or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 2 contracts

Samples: Network Affiliation Agreement, Participation Agreement

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Contested Case Hearing. If dissatisfied with the Michigan Office of Financial and Insurance Services’ Bureau’s determination, either Facility Provider or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Michigan Office of Financial and Insurance Services’ determination Bureau’s Determination is mailed, and shall be mailed to OFIS the Insurance Bureau at the same address found in the prior step. CIVIL COURT REVIEW Either Facility Provider or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 2 contracts

Samples: Participation Agreement, Participation Agreement

Contested Case Hearing. If dissatisfied with the Michigan Office of Financial and Insurance Services’ OFIS’s determination, either Facility or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Michigan Office of Financial and Insurance Services’ OFIS’s determination is mailed, and shall be mailed to OFIS at the same address found in the prior step. CIVIL COURT REVIEW Either Facility or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 1 contract

Samples: Participation Agreement

Contested Case Hearing. If dissatisfied with the Michigan Office of Financial and Insurance Services’ OFIR’s determination, either Facility or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Michigan Office of Financial and Insurance Services’ OFIR’s determination is mailed, and shall be mailed to OFIS OFIR at the same address found in the prior step. CIVIL COURT REVIEW Either Facility or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 1 contract

Samples: Participation Agreement

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Contested Case Hearing. If dissatisfied with the Michigan Office of Financial and Insurance Services’ Bureau’s determination, either Facility or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Michigan Office of Financial and Insurance Services’ Bureau’s determination is mailed, and shall be mailed to OFIS the Insurance Bureau at the same address found in the prior step. CIVIL COURT REVIEW Either Facility or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 1 contract

Samples: Traditional Participation Agreement

Contested Case Hearing. If dissatisfied with the Michigan Office of Financial and Insurance Services’ determination, either Facility Provider or BCBSM may ask the Insurance Commissioner to have the matter heard by an Administrative Law Judge as a Contested Case under the Michigan Administrative Procedures Act. A Contested Case must be requested in writing within 60 days after the Michigan Office of Financial and Insurance Services’ determination Determination is mailed, and shall be mailed to OFIS the Office of Financial and Insurance Services at the same address found in the prior step. CIVIL COURT REVIEW Either Facility Provider or BCBSM may appeal the Contested Case result to the Xxxxxx County Circuit Court.

Appears in 1 contract

Samples: Participation Agreement

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