Review of Appeal of Provider Appeals Committee Panel Decisions Sample Clauses

Review of Appeal of Provider Appeals Committee Panel Decisions. Decisions made by the Panel may be appealed to the Board of Directors for review ("Review of Appeal") by sending a written Notice of Appeal by certified mail, return receipt requested to the Chair of the Board of Directors at Delta Dental’s corporate offices, which must be received by the Chair of the Board of Directors within thirty (30) days from the date of the Panel’s decision. No new or additional matters not raised during the original hearing and not otherwise reflected in the record shall be introduced at the Board of Directors Review of Appeal unless the Board of Directors shall, in its sole discretion, allow such new matters to be offered. Participating Dentist shall not be entitled to more than one hearing and one Board of Directors Review of Appeal of a termination. Failure of the Panel or Board of Directors to comply with a time limit specified herein shall not invalidate their actions. Failure to appeal the Panel’s decision within the time and in the manner herein provided shall be a waiver of the Participating Dentist's right to such an appeal.
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