Provider Appeal. is Provider’s written notice to Blue Shield challenging, appealing, or requesting reconsideration of a claim, requesting resolution of billing determinations, such as bundling/unbundling of claims/procedure codes or allowances, or disputing administrative policies & procedures, administrative terminations, retro-active contracting, or any other issue related to the parties’ respective obligations under this Agreement.
Appears in 7 contracts
Samples: Independent Provider Agreement, Provider Agreement, Independent Provider Agreement
Provider Appeal. is Provider’s written notice to Blue Shield challenging, appealing, or requesting reconsideration of a claim, requesting resolution of billing determinations, such as bundling/unbundling of claims/procedure codes or allowances, or disputing administrative policies poflicies & procedures, administrative terminations, retro-active contracting, or any other issue related to the parties’ respective obligations under this Agreement.
Appears in 2 contracts
Samples: Allied & Ancillary Provider Agreement, Allied & Ancillary Provider Agreement
