Grievances/Appeals Sample Clauses

Grievances/Appeals. SCDHHS shall have the right to approve, disapprove or require modification of all grievance procedures submitted with this Contract. SCDHHS requires the Contractor to meet and/or exceed the grievance standards as outlined in §9 of this Contract.
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Grievances/Appeals. Preparing or discussing a grievance or appeal;
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Grievances/Appeals. Report separately all Medicaid Enrollee grievances, and appeals including the total number of Enrollees served, total number of grievances categorized by reason, reported separately; the number of grievances referred to second level review or appeal, reported separately; and the number of grievances resolved at each level, total time of resolution and outcome, reported separately. Reports are due to DMA on a quarterly basis, consistent with the LME Complaint reporting schedule, starting with grievances received from July 1, 2007 through September 30, 2007, due to DMA by February, 20, 2008.
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Grievances/Appeals. Producer agrees to cooperate with Company in resolving Medicare complaints, appeals, and grievances in accordance with applicable laws. [42 C.F.R. §422.504(a)(7)].
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Grievances/Appeals. Network shall, and shall require Network Providers to, cooperate with Plan in resolving any Members' grievance(s) related to the provision of Covered Services. Network shall notify Plan of any complaints received by Network and Network Providers. Network shall, and shall require Network Providers to, use best efforts to resolve any complaints in a fair and equitable manner. Network shall, and shall require Network Providers to, agree to participate in and cooperate with Plan's Member grievance procedures, as enacted by Plan from time to time, and comply with all fmal determinations rendered in accordance with those procedures.
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Grievances/Appeals. Provider agrees to cooperate with Company in resolving Medicare complaints, appeals, and grievances in accordance with Applicable Law. [42 C.F.R. § 422.504(a)(7)].
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Grievances/Appeals. The Department shall have the right to approve, disapprove or require modification of all Grievance procedures submitted under this Contract. The Department requires the Contractor to meet and/or exceed the Medicaid MCO Program Grievance standards as outlined in §9 of this Contract.
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Grievances/Appeals. The parties agree to abide by the GASA Ltd. HR Policy ”Grievance and Appeals” as contained in the GASA Ltd. Human Resources Policy Manual and as amended from time to time. 3 Part Three – Definitions and Interpretation‌ In this Agreement:
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Related to Grievances/Appeals

  • Appeals a. Should the filer be dissatisfied with the Formal Dispute determination, a written appeal may be filed with the Chief Procurement Officer, by mail or email, using the following contact information: Chief Procurement Officer Procurement Services A Division of the Office of General Services 00xx Xxxxx, Xxxxxxx Xxxxx Xxxxxx Xxxxx Xxxxx Xxxxxx, XX 00000 Email: xxxxxxxx.xxxxxxxx@xxx.xx.xxx Subject line: Appeal – Attn: Chief Procurement Officer

  • GRIEVANCE PROCEDURE 7.01 For purposes of this Agreement, a grievance is defined as a difference arising between the parties relating to the interpretation, application, administration or alleged violation of the Agreement including any question as to whether a matter is arbitrable.

  • Arbitration Appeal A. If an employee grievance is not resolved at Step 2, the aggrieved employee or the PBA may, within fifteen (15) calendar days after receipt of the Step 2 response, submit a request for arbitration to the Labor Relations Office.

  • Tax Appeals If any tax reduction proceedings, tax protest proceedings or tax assessment appeals for the Property, relating to any calendar years through and including the calendar year of Closing are pending at the time of Closing, Seller reserves and shall have the right to continue to prosecute and/or settle the same without the consent of Purchaser. Seller hereby reserves and shall have the exclusive right, at any time after the Closing Date, to institute a tax reduction proceeding, tax protest proceeding or tax assessment appeal for the Property with respect to real estate taxes attributable to calendar years 2007, 2008, 2009, 2010 and any subsequent year through the year in which Closing occurs, and Seller shall have the right to prosecute and/or settle the same without the consent of Purchaser. Purchaser agrees that it shall not independently institute any tax reduction proceedings, tax protest proceedings, or tax assessment appeals for the Property with respect to the 2007, 2008, 2009, 2010 or any subsequent year through the year in which Closing occurs. Purchaser agrees that it (a) shall provide Seller with written notice and a copy of any and all correspondence related to any tax reduction proceedings, tax protest proceedings, or tax assessment appeals for the Property initiated by any taxing entity with respect to the 2007, 2008, 2009, 2010 or any subsequent year through the year in which Closing occurs tax years within 5 days of receipt of the same, and (b) shall permit Seller to defend and control the defense of Seller against such taxing entity during any such proceeding or appeal. Purchaser shall cooperate with Seller in connection with the prosecution and/or settlement of any such tax reduction proceedings, tax protest proceedings or tax assessment appeals, whether initiated by Seller or any taxing entity, including executing such documents as Seller may reasonably request in order for Seller to prosecute and/or settle any such proceedings or appeals; provided, however, Purchaser shall not be obligated to expend any third‑party, out‑of‑pocket expenses in connection with such cooperation. Any refunds or savings in the payment of taxes resulting from any tax reduction proceedings, tax protest proceedings or tax assessment appeals attributable to the period prior to the Closing Date shall belong to Seller (except to the extent that Purchaser gives Seller a proration credit therefore in which event the parties shall ratably share in the refunds or savings) and any refunds or savings in the payment of taxes attributable to the period from and after the Closing Date shall belong to Purchaser. All attorneys' fees and other expenses incurred in obtaining such refunds or savings shall be apportioned between Seller and Purchaser in proportion to the gross amount of such refunds or savings payable to Seller and Purchaser in accordance with the prior sentence of this Section 7.4, respectively.

  • DISCIPLINARY AND GRIEVANCE PROCEDURES 16.1 The Employee is subject to the Company's disciplinary and grievance procedures, copies of which are available from the Group HR Manager. These procedures do not form part of the Employee's contract of employment.

  • Claims Administration An employee will be required to comply with any and all rules and regulations and/or limitations established by the carrier or applicable third party administrator and contained in the policy, and employees and their dependents shall look solely to such carrier or third party administration for the adjudication of the payment of any and all benefits claims.

  • Disciplinary Procedure (a) The disciplinary procedure applies if, following the investigation, the Employer reasonably considers that the Employee’s conduct or performance may warrant disciplinary steps being taken.

  • Appeal (1) An appeal against a decision of the Court of First Instance may be brought before the Court of Appeal by any party which has been unsuccessful, in whole or in part, in its submissions, within two months of the date of the notification of the decision.

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