Provider Complaint System. a. The Health Plan shall establish and maintain a provider complaint system that permits a provider to dispute the Health Plan’s policies, procedures, or any aspect of a Health Plan’s administrative functions, including proposed actions and claims.
Appears in 5 contracts
Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.), Attachment (Amerigroup Corp)
Provider Complaint System. a. The Health Plan shall establish and maintain a provider Provider complaint system that permits a provider Provider to dispute the Health Plan’s policies, procedures, or any aspect of a Health Plan’s administrative functions, including proposed actions and claimsActions.
Appears in 5 contracts
Samples: Contract (Wellcare Health Plans, Inc.), Amerigroup Corp, Wellcare Health Plans, Inc.
