Common use of External Appeal Determination Clause in Contracts

External Appeal Determination. The external appeal determination is binding on the Contractor, however, a fair hearing determination supercedes an external appeal determination for Medicaid Enrollees.

Appears in 7 contracts

Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.

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External Appeal Determination. The external appeal External Appeal determination is binding on the Contractor, ; however, a fair hearing determination supercedes supersedes an external appeal External Appeal determination for Medicaid Enrollees.

Appears in 2 contracts

Samples: Plan Agreement (Wellcare Health Plans, Inc.), Plan Agreement (Amerigroup Corp)

External Appeal Determination. The external appeal determination is binding on the Contractor, however, a fair hearing determination supercedes superceded an external appeal determination for Medicaid Enrollees.

Appears in 1 contract

Samples: Wellcare Health Plans, Inc.

External Appeal Determination. The external appeal determination is binding on the Contractor, however, a fair hearing determination supercedes an external appeal determination for Medicaid FHPlus Enrollees.

Appears in 1 contract

Samples: Plan Agreement (Wellcare Health Plans, Inc.)

External Appeal Determination. The external appeal determination is binding on the Contractor, howeverhow ever, a fair hearing determination supercedes an external appeal determination for Medicaid Enrollees.

Appears in 1 contract

Samples: Agreement Between (Americhoice Corp)

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External Appeal Determination. The external appeal determination is binding on the Contractor, however, a fair hearing determination supercedes supersedes an external appeal determination for Medicaid Enrollees.

Appears in 1 contract

Samples: Wellcare Health Plans, Inc.

External Appeal Determination. The external appeal External Appeal determination is binding on the Contractor, ; however, a fair hearing determination supercedes an external appeal determination for Medicaid Advantage Enrollees.. Medicaid Advantage Contract State 2006

Appears in 1 contract

Samples: Agreement (Wellcare Health Plans, Inc.)

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