External Appeal Process. In the event the Union and Employee do not agree to the classification decision by the Director, Job Evaluation (or designate), the Union may submit an appeal of this decision to the Employer (Human Resources) within fifteen (15) consecutive calendar days (excluding Saturdays, Sundays and Named Holidays) of the reply from the Director, Job Evaluation. The Parties agree that a single external classification consultant (Appeal Chair), agreed to by the Parties, shall be appointed to hear the appeal. Decisions will be based on the Employer's classifications, classification system, current approved job description, job profiles and/or methodology, in effect within Alberta Health Services. The appeal hearing will be scheduled for both Parties to present their rationales and supporting documentation to the classification consultant. This hearing shall be scheduled within sixty (60) consecutive calendar days (excluding Saturdays, Sundays and Named Holidays) or within such period as may be mutually agreed between the Parties, from the date that the appeal was advanced to the external level. Both Parties shall submit their respective positions in writing to the other Party and to the Appeal Chair (Classification Consultant) no later than ten
External Appeal Process. (a) A classification decision may be referred to the External Appeal Process within sixty (60) calendar days of the date the employee received the written response to the Internal Appeal. The request shall be in writing and sent to the Manager, with a copy to Human Resources and the Union.
External Appeal Process. (a) When the Union determines that the decision of the Internal Appeal is not satisfactory, they may request an External Appeal within sixty (60) calendar days of the date they received the written response to the Internal Appeal. The Union’s request shall be in writing and sent to Classification and Compensation Department and to the Employee.
External Appeal Process. In the event that your appeal is wholly or partially denied, you will be provided with additional appeal rights. If you choose to undertake this second level of appeal, a member of the interdisciplinary team will assist you in preparing a request for a fair hearing no later than 30 days from the date you received the written denial. ESP will forward the appropriate appeal to the Executive Office of Health and Human Services Board of Hearings, if you request him/ her to do so. Mailing Address: Executive Office of Health and Human Services Board of Hearings 000 Xxxxxxx Xx. Quincy, MA02171 Phone: (000) 000-0000 or 0-000-000-0000 Fax: (000) 000-0000 Mailing Address: Medicare Managed Care and PACE Reconsideration Suite 702 0000 Xxxxxx Xxx Pittsfield, NY14534-1302 Phone: (000) 000-0000 You can expect to be notified by the Executive Office of Health and Human Service Board of Hearings at least ten days before the fair hearing regarding the date, time, and place of the hearing. You have a right to be assisted at the hearing and if you are not fluent in English, the Board of Hearings will provide an interpreter. Participant Bill of Rights and Responsibilities At ESP, our mission is to provide you with quality health care services. We affirm the dignity and worth of each participant by assuring the following rights.
External Appeal Process. In the event that your internal appeal is wholly or partially denied, you will be provided with additional appeal rights under Medicare or Medicaid. Which process you use will depend on your eligibility. If you have both Medicare and Medicaid, you may choose one or the other, but not both. CHA PACE can help you decide which process to use.
External Appeal Process. In the event the Employee does not agree to the classification decision by the Director, Job Evaluation (or designate), the Employee may request the Union advance the appeal to be heard by a Third Party (External) Classification Consultant within fifteen (15) consecutive calendar days (excluding Saturdays, Sundays and Named Holidays) of the reply from the Director, Job Evaluation. The hearing with the Third Party (External) Classification Consultant will be comprised of three (3) members: one (1) member appointed by the Union (Union Representative Classification), one (1) member appointed by the Employer (Human Resources-Job Evaluation), and the Third Party (External) Classification Consultant who shall act as an Appeal Chair. The Third Party (External) Classification Consultant (Appeal Chair) shall be selected from a standing list of external consultants agreed to by the Parties. The fees and expenses of the Chair shall be shared equally between the Parties. The appeal hearing will be scheduled for both Parties to present and discuss their rationales and supporting documentation with the attendees at the hearing as identified above. This hearing shall be scheduled within sixty
External Appeal Process. In the event that your appeal is wholly or partially denied, you will be provided with additional appeal rights. If you choose to undertake this second level of appeal, a member of the interdisciplinary team will assist you in preparing a request for a fair hearing no later than 30 days from the date you received the written denial. CHA PACE will forward the appropriate appeal to the Executive Office of Health and Human Services Board of Hearings, if you request him/ her to do so. Mailing Address: Executive Office of Health and Human Services Board of Hearings 000 Xxxxxxx Xx. Quincy, MA02171 Phone: (000) 000-0000 or 0-000-000-0000 Fax: (000) 000-0000 Mailing Address: Medicare Managed Care and PACE Reconsideration Suite 702 0000 Xxxxxx Xxx Pittsfield, NY14534-1302 Phone: (000) 000-0000 You can expect to be notified by the Executive Office of Health and Human Service Board of Hearings at least ten days before the fair hearing regarding the date, time, and place of the hearing. You have a right to be assisted at the hearing and if you are not fluent in English, the Board of Hearings will provide an interpreter.
External Appeal Process. Any Member, or any Provider acting on behalf of a Member, with the Member’s consent, who is dissatisfied with the result of the Level One Appeal and Level Two Appeal process above, shall have the right to pursue their appeal to an independent utilization review organization (IURO) in accordance with the procedures set forth below. Except as set forth in section C above, the right to an external appeal under this section shall be contingent upon the Member’s full compliance with both stages of the HMO Level One and Level Two Appeal processes, except that you and any Provider acting on your behalf with your consent shall be relieved of the carrier’s internal appeal process and may pursue an appeal through the Independent Health Care Appeals program if: • A determination on any appeal regarding urgent or emergency care is not forthcoming from HMO within 72 hours or receipt by HMO of notice (in the manner required under the plan) of the appeal; • A determination on an initial appeal, other than one regarding urgent or emergency care, is not forthcoming from HMO within 5 business days of the date that HMO received notice (in the manner required under the plan) of the appeal; or • A determination of a subsequent level of appeal, other than one regarding urgent or emergency care, is not forthcoming from HMO within 20 business days of the date that HMO received notice (in the manner required under the plan) of the appeal.
External Appeal Process. In the event that your appeal is wholly or partially denied, you will be provided with additional appeal rights. If you choose to undertake this second level of appeal, a member of the interdisciplinary team will assist you in preparing a request for a fair hearing no later than 30 days from the date you received the written denial. ESP will forward the appropriate appeal to the Executive Office of Health and Human Services Board of Hearings, if you request him/ her to do so. Executive Office of Health and Human Services Board of Hearings 000 Xxxxxxx Xx. Quincy, MA 02171 Phone: 000-000-0000 or 0-000-000-0000 Fax: (000) 000-0000 Medicare Managed Care and PACE Reconsideration Suite 702 0000 Xxxxxx Xxx Xxxxxxxxxx, XX 00000-0000 Phone: (000) 000-0000 You can expect to be notified by the Executive Office of Health and Human Service Board of Hearings at least ten days before the fair hearing regarding the date, time, and place of the hearing. You have a right to be assisted at the hearing and if you are not fluent in English, the Board of Hearings will provide an interpreter. Participant Xxxx of Rights and Responsibilities At ESP, our mission is to provide you with quality health care services. We affirm the dignity and worth of each participant by assuring the following rights.
