Common use of Member Grievance Dispute Resolution Clause in Contracts

Member Grievance Dispute Resolution. Provider agrees to (a) cooperate with and participate in Company’s applicable appeal, grievance and external review procedures (including, but not limited to, Medicaid appeals and expedited appeals procedures), (b) provide Company with the information necessary to resolve same, and (c) abide by decisions of the applicable appeals, grievance and review committees. Company will make available to Provider information concerning the Member appeal, grievance and external review procedures at the time of entering into this Agreement.

Member Grievance Dispute Resolution. Provider agrees to (a) cooperate with and participate in Company’s applicable appeal, grievance and external review procedures (including, but not limited to, Medicaid Medicare appeals and expedited appeals procedures), (b) provide Company with the information necessary to resolve same, and (c) abide by decisions of the applicable appeals, grievance and review committees. Company will make available to Provider information concerning the Member appeal, grievance and external review procedures at the time of entering into this Agreement.

Member Grievance Dispute Resolution. Provider agrees to to: (a) cooperate with and with, participate in and abide by decisions of Company’s applicable medical necessity, appeal, grievance and external review procedures for Members (including, but not limited to, Medicaid Medicare appeals and expedited appeals procedures), ; and (b) provide Company with the information necessary to resolve same, and (c) abide by decisions of the applicable appeals, grievance and review committees. Company will make available to Provider information concerning the Member appeal, grievance and external review procedures at the time of entering into this Agreement.