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C. Additional Information Regarding the Provider Contract Termination Appeals Process <br />a. Provider Status During a Contract Termination Appeal <br />You will continue as a Participating Provider, however you will be temporarily removed from all <br />provider directories and any pending action by Company is put in abeyance until the appeal is <br />resolved and a final decision is made. If, however, the basis for the termination decision relates to <br />the health, safety or welfare of our members, or if the we have exercised our right to immediately <br />terminate the Provider contract for reasons allowed by the Provider contract, your participation <br />status will be terminated for the duration of the appeal process and reinstated only if you prevail <br />during the Provider Contract Termination Appeal process. <br />b. The Data Bank Reportable Actions <br />Company is required by law to report certain adverse actions or decisions against you to the <br />National Practitioner Data Bank (Data Bank). If our termination decision stands, either by virtue <br />of you choosing not to appeal or if the decision is upheld by the appeals panel, we may be <br />obligated to report this termination to the Data Bank, as applicable. You may not "self -term" to <br />avoid being reported to the Data Bank. Additional information on these reporting requirements is <br />available on the Data Bank website, at www.npdb.hrsa.gov. <br />Asuris Standard MGA Exhibit D Dispute Resolution Process A18816854AA Page 9 of 9 <br />