Common use of Provider Dispute Resolution Procedure Clause in Contracts

Provider Dispute Resolution Procedure. Blue Shield and Group agree to meet and confer in good faith to resolve any disputes that arise under this Agreement, except for dispute relating to the procedure whereby this Agreement may be terminated, which disputes shall be governed exclusively by Paragraph 11.2 hereof. If such disputes remain unresolved, they may be referred to the Blue Shield Provider Dispute Resolution Committee. Disputes may be submitted in writing addressed to Blue Shield Dispute Resolution Committee, Attn: Network Manager, Provider Services, P. O. Xxx 000000, Xx Xxxxxx Xxxxx, XX 00000-0000. Disputes referred to the Blue Shield Provider Dispute Resolution Committee shall be decided within thirty (30) days of referral. If such disputes cannot be resolved by the Blue Shield Provider Dispute Resolution Committee, Blue Shield and Group agree to submit the dispute to binding arbitration pursuant to Section 11.2 of this Agreement. Group further agrees that the procedures set forth in this Paragraph 11.1 may be used in the event that a Group Provider has a dispute with Group. Pursuit by Group of a dispute through the processes described in this Article XI. shall not modify nor relieve Group of any obligations to continue to provide services to Members in accordance with and to comply with all terms of this Agreement.

Appears in 2 contracts

Samples: Provider Agreement (Prospect Medical Holdings Inc), Shared Savings Provider Agreement (Prospect Medical Holdings Inc)

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Provider Dispute Resolution Procedure. Blue Shield and Group agree to meet and confer in good faith to resolve any disputes that arise under this Agreement, except for dispute relating to the procedure whereby this Agreement may be terminated, which disputes shall be governed exclusively by Paragraph 11.2 hereof. If such disputes remain unresolved, they may be referred to the Blue Shield Provider Dispute Resolution Committee. Disputes may be submitted in writing addressed to Blue Shield Dispute Resolution Committee, Attn: Network Manager, Provider Services, P. O. Xxx 000000, Xx Xxxxxx Xxxxx, XX 00000-0000. Disputes referred to the Blue Shield Provider Dispute Resolution Committee shall be decided within thirty (30) days of referral. If such disputes cannot be resolved by the Blue Shield Provider Dispute Resolution Committee, Blue Shield and Group agree to submit the dispute to binding arbitration pursuant to Section 11.2 of this Agreement. Group further agrees that the procedures set forth in this Paragraph 11.1 may be used in the event that a Group Provider has a dispute with Group. Pursuit by Group of a dispute through the processes described in this Article XI. , shall not modify nor relieve Group of any obligations to continue to provide services to Members in accordance with and to comply with all terms of this Agreement.

Appears in 2 contracts

Samples: Shared Savings Provider Agreement (Prospect Medical Holdings Inc), Savings Provider Agreement (Prospect Medical Holdings Inc)

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Provider Dispute Resolution Procedure. Blue Shield and Group agree to meet and confer in good faith to resolve any disputes that arise under this Agreement, except for dispute relating to the procedure whereby this Agreement may be terminated, which disputes shall be governed exclusively by Paragraph 11.2 hereof. If such disputes remain unresolved, they may be referred to the Blue Shield Provider Dispute Resolution Committee. Disputes may be submitted in writing addressed to Blue Shield Dispute Resolution Committee, Attn: Network Manager, Provider Services, P. O. Xxx Box 000000, Xx Xxxxxx Xxxxx, XX 00000-0000. Disputes Xisputes referred to the Blue Shield Provider Dispute Resolution Committee shall be decided within thirty (30) days of referral. If such disputes cannot be resolved by the Blue Shield Provider Dispute Resolution Committee, Blue Shield and Group agree to submit the dispute to binding arbitration pursuant to Section 11.2 of this Agreement. Group further agrees that the procedures set forth in this Paragraph 11.1 may be used in the event that a Group Provider has a dispute with Group. Pursuit by Group of a dispute through the processes described in this Article XI. , shall not modify nor relieve Group of any obligations to continue to provide services to Members in accordance with and to comply with all terms of this Agreement.

Appears in 1 contract

Samples: Agreement (Prospect Medical Holdings Inc)

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