Advisor Use in Claims Dispute Sample Clauses

Advisor Use in Claims Dispute. The contract must indicate that the PHP shall accept Provider’s designated, North Carolina licensed, physician advisor with knowledge of the unit and care of the Member as Provider’s approved representative for a claim or prior authorization in review or dispute.
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Advisor Use in Claims Dispute. The contract must indicate that the PIHP shall accept Provider’s designated, North Carolina licensed, physician advisor with knowledge of the unit and care of the Member as provider’s approved representative for a claim or prior authorization in review or dispute.
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Advisor Use in Claims Dispute. United shall accept Provider’s designated, North Carolina licensed, physician advisor with knowledge of the unit and care of the Member as Provider’s approved representative for a claim or prior authorization in review or dispute.
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Advisor Use in Claims Dispute. Alliance shall accept Provider’s designated, North Carolina licensed, physician advisor with knowledge of the unit and care of the Member as Provider’s approved representative for a claim or prior authorization in review or dispute. The following provisions are required verbatim by NC DHHS and are incorporated into this Contract in compliance with Alliance’s Tailored Plan contract. a. Compliance with State and Federal Laws
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Related to Advisor Use in Claims Dispute

  • Payment Disputes We will not exercise Our rights under Section 6.3 (Overdue Charges) or 6.4 (Suspension of Service and Acceleration) above if You are disputing the applicable charges reasonably and in good faith and are cooperating diligently to resolve the dispute.

  • Resolving Disputes The Company and the customer will use all reasonable endeavours to resolve any dispute between them. If they cannot resolve their dispute between them, they will:- a. Refer the dispute to mediation which will be conducted in accordance with the Resolution Institute New Zealand Standard Mediation Agreement; and b. If mediation is unsuccessful, the matter of dispute shall be referred to a single arbitrator in accordance with the provisions contained in the Arbitration ▇▇▇ ▇▇▇▇ and any amendments. Nothing in this clause will preclude either party from taking immediate steps to seek urgent equitable relief before an appropriate Court.