Member Grievance and Appeals Procedures. Participating Providers agree to comply with Payor’s procedures for Member grievances, organization determinations, and Member appeals set forth in the Benefit Program Requirements for Benefit Programs under the Medicare Advantage Program, as described in 42 C.F.R. § 422.562, and others, as applicable.
Appears in 3 contracts
Samples: Provider Participation Agreement, Provider Participation Agreement, Provider Participation Agreement
Member Grievance and Appeals Procedures. Participating Providers agree to comply with PayorHealthSpring’s procedures for Member grievances, organization determinations, and Member appeals set forth in the Benefit Program Requirements for Benefit Programs under the Medicare Advantage Program, as described in 42 C.F.R. § 422.562, and others, as applicable.
Appears in 1 contract
Samples: Opt in Agreement
