Common use of Professional Review Process Clause in Contracts

Professional Review Process. Any instance where there is a possible violation of Professional Requirements; the issue will first be referred to the State Dental Director and Chief Dental Officer for review. If it is deemed that there is insufficient evidence, Provider will be notified that no action is required. If it is deemed that there is sufficient evidence that the Provider has failed to fulfill the Professional Requirements, Provider will be given written notice and thirty (30) days to rectify the situation. In the event that the Chief Dental Officer determines that there is potential risk to Members due to the violation, Avesis shall have the right to immediately terminate the Provider with cause as set forth in Section K of this Agreement. If Provider does not successfully rectify the situation, termination will occur as referenced in Section K.

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

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Professional Review Process. Any instance where there is a possible violation of Professional Requirements; the issue will first be referred to the State Dental Director and Chief Dental Officer for review. If it is deemed that there is insufficient evidence, Participating Provider will be notified that no action is required. If it is deemed that there is sufficient evidence that the Participating Provider has failed to fulfill the Professional Requirements, Participating Provider will be given written notice and thirty (30) days to rectify the situation. In the event that the Chief Dental Officer determines that there is potential risk to Members due to the violation, Avesis shall have the right to immediately terminate the Participating Provider with cause as set forth in Section K of this Agreement. If Participating Provider does not successfully rectify the situation, termination will occur as referenced in Section K.

Appears in 1 contract

Samples: Provider Agreement

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Professional Review Process. Any instance where there is a possible violation of Professional Requirements; , the issue will first be referred to the State Dental Director and Chief Dental Officer for review. If it is deemed that there is insufficient evidence, Participating Provider will be notified that no action is required. If it is deemed that there is sufficient evidence that the Participating Provider has failed to fulfill the Professional Requirements, Participating Provider will be given written notice and thirty (30) days to rectify the situation. In the event that the Chief Dental Officer determines that there is potential risk to Members due to the violation, Avesis shall have the right to immediately terminate the Participating Provider with cause as set forth in Section K of this Agreement. If Participating Provider does not successfully rectify the situation, termination will occur as referenced in Section K.

Appears in 1 contract

Samples: Provider Agreement

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