Disruptive Behavior. The PPO may terminate a Member’s coverage for cause if the Member’s behavior is disruptive, unruly, abusive or uncooperative to the extent that his continuing membership in the PPO seriously impairs the PPO’s ability to provide Covered Services to either that Member or to other Members. Termination will occur after the PPO has made a reasonable effort to resolve the problem presented by the Member, including encouraging the Member to utilize the PPO’s internal appeal procedure as set forth in Section 5 of this Certificate.
Appears in 2 contracts
Sources: Direct Access Preferred Provider Organization Contract, Direct Access Preferred Provider Organization Contract