Member Complaints. Section 12.6 is replaced with the following language:
Member Complaints. HMO must submit a quarterly summary report of Member complaints. HMO must also report complaints submitted to its subcontracted risk groups (e.g., IPAs). The complaint report format must be submitted to TDH as two paper copies and one electronic copy on or before 45 days following the end of the state fiscal quarter using a form specified by TDH.
Member Complaints. When an administrator receives a complaint about a situation between two or more members, the administration may inform the Association. The Association and the administration will work together to initiate a mediation process with the involved members.
Member Complaints. 16.1 Physicians Care and the Hospital agree, to the extent permitted by law, fully to advise each other of any Member complaint, grievance or claim known to that party relating to services provided under this Agreement.
Member Complaints. To submit periodically to the Board of Directors an analysis of Member complaints and to take any corrective action required or to recommend appropriate revisions in Board policy.
Member Complaints. If any complaints are received from Members by Contracted Provider regarding Contracted Provider, Participating Providers, or HMC, Contracted Provider agrees to promptly notify HMC concerning all details of such complaint. If such complaints regarding Contracted Provider are received directly by HMC, HMC will promptly notify Contracted Provider. Contracted Provider and HMC agree to cooperate fully towards the investigation and resolution of any such complaint by a Member.
Member Complaints. The CONTRACTOR shall submit a quarterly Member Complaints Report (see Section 2.19.2) that includes current information, by month, as well as cumulative information regarding specified measures, an exceptions report (as needed), a cumulative report, a summary report, and a performance improvement plan (as applicable). The performance measures for the first twelve (12) months after CHOICES implementation shall include but not be limited to the following:
Member Complaints. Upon receipt of a reporting template from TENNCARE and in accordance with specified timeframes for implementing the new report, the CONTRACTOR shall begin submitting a quarterly Member Complaints Report (see Section 2.19.2) that includes information, by month, regarding specified measures, which shall include but not be limited to the following:
Member Complaints. Vision Group shall notify HMSA of all Member complaints made to Vision Group and Participating Providers regarding the quality of care provided or allegations or professional incompetence or professional misconduct in connection with Covered Services provided by Vision Group.
Member Complaints. 1. To acknowledge an Enrollee appeal or grievance reported to it by the Department’s complaint resolution unit within 1 business day;
