Common use of Member Grievance and Appeals Procedures Clause in Contracts

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.

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.. END OF 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.. END OF AGREEMENT