It does not form part of the contract between you and the School. Non-Participating Certified Clinical Nurse Specialist means a Certified Clinical Nurse Specialist who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.Ĭomplaints Procedure means the School's procedure for handling complaints from parents, as amended from time to time for legal or other substantive reasons, or in order to assist the proper administration of the School. Labor law decision means an administrative merits determination, arbitral award or decision, or civil judgment, which resulted from a violation of one or more of the laws listed in the definition of “labor laws”. Notice of Appeal means a notice containing the information set out in Schedule VI Įxpedited Dispute Timetable means the accelerated timetable for the resolution of disputes as set out in paragraph 2.6 Decisions regarding an Expedited Appeal are generally made within seventy-two (72) hours from the Plan’s receipt of the request.Įxpedited review means an examination, in accordance withĪppeal Board means the State Charter School Appeal Resolutions rendered pursuant to the Expedited Citation Appeal Procedure shall not be considered as precedent or binding on the Commission or the courts of this state.Įxpedited Appeal means if a Member appeals a decision regarding a denied request for Prior Authorization (Pre-Service Claim) for an Urgent Care Claim, the Member or Member’s Authorized Representative can request an Expedited Appeal, either orally or in writing. MacBride states that while the proposed Expedited Citation Appeal Procedure, which embraces many of the features of the Expedited Complaint Procedure enacted by the Legislature, may make sense from a practical perspective, it lacks a comparable statutory mandate. We retain the requirement that citation appeals of a certain dollar value are classified as expedited citation appeals, subject to Rule 6.1 concerning the Expedited Citation Appeal Procedure. It is reasonable to adopt an Expedited Citation Appeal Procedure for citations where the total dollar amount does not exceed the amount specified in § 1702.1.
TEB also points out that under the proposed Expedited Citation Appeal Procedure, a hearing would be held without a court reporter, no findings of fact or conclusions of law are required, and the parties have the right to apply for rehearing. Specifically, MacBride argues that the following proposed Expedited Citation Appeal Procedures are contrary to statute: elimination of findings of fact participation without an attorney (the comments also question whether the cited authority can be represented by anon-attorney under the expedited procedure) and the lack of transcripts. We also clarify that parties to the Expedited Citation Appeal Procedure cannot be represented by an attorney or other representative. The following Citation Appellate Rules do not apply to an Expedited Citation Appeal: Rule 9 Exchange of Information Rule 13 Party Representative/Evidence) (only as toparty representative, not as to evidence) and Rule 14 Obtaining a Transcript. TEB supports an Expedited Citation Appeal Procedure for the smaller citations. Separately stated findings of fact and conclusions of law will be made in the resolution addressing the Expedited Citation Appeal. H�*�2T0T0�37U0Ȟ�\�\y\FzP~.Examples of Expedited Citation Appeal in a sentence � 0 obj/AP/N>/AS/Off>endobj11430 0 obj/Type/XObject/BBox/FormType 0 obj/Type/XObject/BBox/FormType 0 9.5 8.75]/FormType 1/Filter/FlateDecode>streamĮndstreamendobj11433 0 obj>endobj11434 0 obj>endobj11435 0 obj/Type/XObject/BBox/FormType 1>stream � 1s�X8W ����ȝ ��\� �6Rȁ� � 0 obj/Type/XObject/BBox/FormType 1/Filter/FlateDecode>streamĮndstreamendobj11422 0 objendobj11423 0 objendobj11424 0 objendobj11425 0 obj/Type/XObject/BBox/FormType 1/Filter/FlateDecode>streamĮndstreamendobj11426 0 obj/AP/N>/AS/Off>endobj11427 0 obj/Type/XObject/BBox/FormType 1>stream �)/Type/Annot/Ff 41943040/MK>/AP>endobj11416 0 obj/Type/XObject/BBox/FormType 1/Filter/FlateDecode>streamĮndstreamendobj11417 0 objendobj11418 0 obj/AP/N>/AS/Off>endobj11419 0 obj/Type/XObject/BBox/FormType 1>streamĮndstreamendobj11420 0 obj/Type/XObject/BBox/FormType 1>stream
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