Common use of Payment Denial and Appeal Process Clause in Contracts

Payment Denial and Appeal Process. In the event that a payment for a rendered service is denied by the District, Crossroads Health may submit an appeal to the District. The District will provide a representative to review the invoice and to discuss the reason for denial and to adjust the payment if appropriate. In the event of any dispute arising from any bill submitted by Crossroads Health, each party will have access to all reasonable and necessary documents and records that would, at the discretion of either party, tend to sustain its claim. Participant records will only be released to the extent allowable under Ohio and federal law. Crossroads Health will not be liable for payment for services provided to Participants which have not been authorized according to Section II of this agreement.