Common use of GRIEVANCE AND APPEALS Clause in Contracts

GRIEVANCE AND APPEALS. Dentist shall cooperate in a timely manner with grievance and appeal procedures established from time to time by MA Plan. Such cooperation shall include, but is not limited to, gathering and forwarding requested information to MA Plan within the timeframes reasonably established by MA Plan. Dentist shall comply with final determinations of MA Plan or its designee with respect to Dentist and MA Member grievances and appeals. The parties acknowledge that Dentist’s right to appeal an administrative denial is in addition to any MA Member appeal rights established by applicable law or regulation.

Appears in 4 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement

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