External Appeal. An Appeal, subsequent to the Contractor’s Appeal decision, to the State Fair Hearing process for Medicaid-based Adverse Benefit Determinations or the Medicare process for Medicare-based Adverse Benefit Determinations.
Appears in 3 contracts
Samples: eohhs.ri.gov, www.cms.gov, www.cms.gov
External Appeal. An Appeal, subsequent to the Contractor’s Appeal decision, to the State Fair Hearing process for Medicaid-based Adverse Benefit Determinations Actions or the Medicare process for Medicare-based Adverse Benefit DeterminationsActions.
Appears in 1 contract
Samples: www.cms.gov
External Appeal. An Appealappeal, subsequent to the Contractor’s Appeal appeal decision, to the State Fair Hearing process for Medicaid-based Adverse Benefit Determinations or the Medicare process for Medicare-based Adverse Benefit Determinationsadverse decisions.
Appears in 1 contract
Samples: Business Associates Agreement
External Appeal. An Appeal, subsequent to the Contractor’s Appeal decision, to the State Fair Hearing process for Medicaid-based Adverse Benefit Determinations or the Medicare process for Medicare-based Adverse Benefit DeterminationsActions.
Appears in 1 contract
Samples: clpc.ucsf.edu
External Appeal. An Appealappeal, subsequent to the Contractor’s Appeal Contractor appeal decision, to the State Fair Hearing process for Medicaid-based Adverse Benefit Determinations adverse decisions or the Medicare process for Medicare-based Adverse Benefit Determinationsadverse decisions.
Appears in 1 contract
Samples: clpc.ucsf.edu
