Provider Dispute Resolution. Company shall provide a mechanism whereby Provider may raise issues, concerns, controversies or claims regarding the obligations of the Parties under this Agreement. Provider shall exhaust this mechanism prior to instituting any arbitration or other permitted legal proceeding. The Parties agree that any dispute that may arise between the Parties shall not disrupt or interfere with the provision of services to Members. Discussions and negotiations held pursuant to this Section 8.2 shall be treated as inadmissible compromise and settlement negotiations for purposes of applicable rules of evidence.
Provider Dispute Resolution a. Pursuant to Colorado State requirements, a Dentist may dispute an administrative, payment, or other dispute that does not involve a utilization review analysis through a formal provider dispute resolution process. Such process does not include routine provider inquiries that the Corporation resolves in a timely fashion through existing informal processes.
Provider Dispute Resolution. The MCO must include in its provider contracts a clause establishing a claim dispute resolution process between the MCO and the provider. The MCO must have written policies and procedures for registering and responding to claims disputes for out-of-network, in accordance with the claims dispute resolution process for non-contracted providers outlined in Attachment N. The MCO Reporting Manual provides requirements for reporting provider claims dispute resolutions for disputes with non-contracted providers.
Provider Dispute Resolution. Company shall provide a mechanism whereby Hospital may raise issues, concerns, controversies or claims regarding the obligations of the Parties under this Agreement. Hospital shall exhaust this mechanism prior to instituting any arbitration or other permitted legal proceeding. The Parties agree that any dispute that may arise between the Parties shall not disrupt or interfere with the provision of services to Members. Discussions and negotiations held pursuant to this Section 8.2 shall be treated as inadmissible compromise and settlement negotiations for purposes of applicable rules of evidence.
Provider Dispute Resolution a. Pursuant to Colorado State requirements, Hygienist may dispute an administrative, payment, or other dispute that does not involve a utilization review analysis through a formal provider dispute resolution process. Such process does not include routine provider inquiries that the Corporation resolves in a timely fashion through existing informal processes.
Provider Dispute Resolution. Xxxxxxx Xxxxx Plus shall provide a mechanism whereby Laboratory may raise issues, concerns, controversies or claims regarding the obligations of the Parties under this Agreement. Laboratory shall exhaust this mechanism prior to instituting any arbitration or other permitted legal proceeding. The Parties agree that any dispute that may arise between the Parties shall not disrupt or interfere with the provision of services to Members. Discussions and negotiations held pursuant to this Section 8.2 shall be treated as inadmissible compromise and settlement negotiations for purposes of applicable Rules of Evidence for the state courts of PR.
Provider Dispute Resolution. BHS will cooperate with Covered Persons and Provider in resolving disputes regarding delivery of and payment for Covered Services. Further, BHS shall maintain procedures for dispute resolution and appeals, which procedures shall conform to applicable laws and industry standards. Client acknowledges, however, that BHS is acting solely as a PPO/Plan Administrator and shall not be responsible for the quality of care rendered.
