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C. Addltlonal Information Regarding the Provider Contract Tennination Appeals Procesa <br />a. Provider Status During a Contract Termination Appeal <br />You will continue as a Partlelpaling Provider, however you will be temporarily removed from an <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, safely 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 Iha Provider Contract Termination Appeal process. <br />b. The Data Bank Reportable Actlona <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 lo the Data Bank_ Additional Information on these reporting requirements is <br />available on the Data Bank website, at www.npdb.hrsa.gov. <br />AaurlI Standard MGA Exhibit D Dlspul11 Resolution Process A18811185~AA Paga II ore