Common use of Sanctions and Grievance Processes Clause in Contracts

Sanctions and Grievance Processes. Pursuant to participation in Crescent’s or Payor’s Medical Management Programs, Provider will cooperate with Crescent’s, a Payor’s or a TPA’s sanction processes and will cooperate with Members in any applicable grievance processes for Members. An outline of applicable sanction and grievance processes will be distributed to Provider by Crescent, TPA or Payor, as appropriate, and a copy of relevant grievance and sanctions provisions of applicable Medical Management Programs will be provided to Provider upon request. Crescent will, and will require Payors and TPAs to, give Providers prior written notice of revisions of any applicable grievance or sanctions processes, allowing a reasonable time (not less than thirty (30) days) for Provider to comply with such revisions.

Appears in 2 contracts

Samples: Participating Allied Health Provider Agreement, Participating Allied Health Provider Agreement

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Sanctions and Grievance Processes. Pursuant to participation in Crescent’s or Payor’s Medical Management Programs, Provider Facility will cooperate with Crescent’s's, a Payor’s or a TPA’s sanction processes and will cooperate with Members in any applicable grievance processes for Members. An outline of applicable sanction and grievance processes will be distributed to Provider Facility by Crescent, TPA or Payor, as appropriate, and a copy of relevant grievance and sanctions provisions of applicable Medical Management Programs will be provided to Provider Facility upon request. Crescent will, and will require Payors and TPAs to, give Providers Facility prior written notice of revisions of any applicable grievance or sanctions processes, allowing a reasonable time (not less than thirty (30) days) for Provider Facility to comply with such revisions.

Appears in 2 contracts

Samples: Participating Facility Agreement, Participating Facility Agreement

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Sanctions and Grievance Processes. Pursuant to participation in Crescent’s or Payor’s Medical Management Programs, Provider Physician will cooperate with Crescent’s, a Payor’s or a TPA’s sanction processes and will cooperate with Members in any applicable grievance processes for Members. An outline of applicable sanction and grievance processes will be distributed to Provider Physician by Crescent, TPA or Payor, as appropriate, and a copy of relevant grievance and sanctions provisions of applicable Medical Management Programs will be provided to Provider Physician upon request. Crescent will, and will require Payors and TPAs to, to give Providers Physicians prior written notice of revisions of any applicable grievance or sanctions processes, allowing a reasonable time (not less than thirty (30) days) for Provider Physician to comply with such revisions.

Appears in 1 contract

Samples: Participating Physician Agreement

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