Grievances, Coverage Determinations and Appeals Sample Clauses

Grievances, Coverage Determinations and Appeals. Group shall cooperate and comply with all requirements of The Plan regarding the processing of MA PPO Member grievances, coverage determinations and appeals relating to such MA PPO Members' MA PPO Plans, including the obligation to provide to The Plan any and all information within the time frame reasonably requested by The Plan to ensure The Plan's compliance with Laws.
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Grievances, Coverage Determinations and Appeals. Group shall cooperate and comply with all requirements of BlueLincs HMO regarding the processing of MA HMO Member grievances, coverage determinations and appeals relating to such MA HMO Members' MA HMO Plans, including the obligation to provide to BlueLincs HMO any and all information within the time frame reasonably requested by BlueLincs HMO to ensure BlueLincs HMO's compliance with Laws.
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Grievances, Coverage Determinations and Appeals. Hospital shall cooperate and comply with all requirements of The MA Plan regarding the processing of Blue Cross Medicare Advantage PPO Member grievances, coverage determinations and appeals relating to such Blue Cross Medicare Advantage PPO Members’ Blue Cross Medicare Advantage PPO Plans, including the obligation to provide to The MA Plan any and all information within the time frame reasonably requested by The MA Plan to ensure The MA Plan’s compliance with Laws.
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Grievances, Coverage Determinations and Appeals. Contractor shall participate in and cooperate fully with Health Plans’ policies and procedures established pursuant to federal requirements for grievances, coverage determinations, and appeals.
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Grievances, Coverage Determinations and Appeals. Hospital shall cooperate and comply with all requirements of BlueLincs HMO regarding the processing of Blue Cross Medicare Advantage HMO Member grievances, coverage determinations and appeals relating to such Blue Cross Medicare Advantage HMO Members’ Blue Cross Medicare Advantage HMO Plans, including the obligation to provide to BlueLincs HMO any and all information within the time frame reasonably requested by BlueLincs HMO to ensure BlueLincs HMO’s compliance with Laws.
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Grievances, Coverage Determinations and Appeals. PRACTICE shall cooperate and comply with all requirements of HMO regarding the processing of Member grievances, Member inquiry investigations, coverage determinations and appeals that may arise between HMO and its Members. PRACTICE shall provide to HMO any and all information within the time frame requested by HMO to ensure HMO’s compliance with Laws.
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Related to Grievances, Coverage Determinations and Appeals

  • Indemnification Process and Appeal (a) To obtain indemnification under this Agreement, Indemnitee shall submit to the Company a written request to the Secretary of the Company, including therein or therewith such documentation and information as is reasonably available to Indemnitee and is reasonably necessary to determine whether and to what extent Indemnitee is entitled to indemnification. The Secretary of the Company shall, promptly upon receipt of such a request for indemnification, advise the Board in writing that Indemnitee has requested indemnification.

  • Procedures and Presumptions for Determination of Entitlement to Indemnification It is the intent of this Agreement to secure for Indemnitee rights of indemnity that are as favorable as may be permitted under the DGCL and public policy of the State of Delaware. Accordingly, the parties agree that the following procedures and presumptions shall apply in the event of any question as to whether Indemnitee is entitled to indemnification under this Agreement:

  • Procedure for Determination of Entitlement to Indemnification (a) To obtain indemnification under this Agreement, Indemnitee shall submit to the Company a written request, including therein or therewith such documentation and information as is reasonably available to Indemnitee and is reasonably necessary to determine whether and to what extent Indemnitee is entitled to indemnification. The Secretary of the Company shall, promptly upon receipt of such a request for indemnification, advise the Board of Directors in writing that Indemnitee has requested indemnification.

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