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7.2 7.3 7.4 8.1 8.2 Washington Entorprlse Providor Agr€em6nt pCS @20.24 July - Wellpoht WashlrEton, lnc, Neootiation of Di$putes. ln the event of a dispute arising out of this Agreoment that is not resolved by, or is not within the scope of relationship managemont set forth in the Agreement, or thal is not resolved by iriformal discussions among the parties, the parties shall negotlate the dlspute. Any party may initiate negotiation by sendlng a written description of the dispute to the other parties by certified or reglstered mail or personal pelivery. The descripilon shall explaln tho nature of the dispute in detail and set forth a proposed resolution, lncluding a speciflc time frame within which the parties musl act, The party recelving lhe letler must respond in writing within thirty (30) days with a detailed explanation of its position and a response to the propbsed resoli-rlion, Wilhin thirty (30) days of the initiating party receiving this response, principals of the party who have authority to seftle the dispute will meet to discuss the resolutlon of the dlspute. The lnltiating iarly shall initiate the scheduling of this negotiatlng sossion. 7,2.1 ln the event the parties are unable to resolve the dispute following the negotiation, a party shall have the right to pursue all available remedios at law or oquity, including injunctive relief. - Qlsoute Resolutlon. Except as_exprossly permitted under Regulatory Requirements or regulations governing dispute resolution, no process forthe resolution of disputes arlsing out of a participating provider contract shall be considerod falr under RCW 48.43.055 unless the process meets all the provisions of WAC 2s4-17O-M0. 7.3.1 A dlspute resolution process may include an initial informal process but must include a formal process for resolution of all contract disputes. 7,3'2 Wellpoint may have different types of dispute resolution processes as necessary for specialized concerns such as provider credentialing oras otherwise requlred by law. For example, disputes over Government Program coverago of Covered Services are subject to the grlovance procodures ostablished for Members, 7.3.3 Wellpoint must allow not less than thirty (30) days after the action giving rise to a dispute for providers to complain and lnitiate the dispute resolution process. 7.3'4 Wellpoint T?y not require alternative dispute resolutlon to the exclusion of judlcial remedies; however, Wellpoint may require altemative dispute resolution prior to judicial rem6dies, 7.3.5 Wollpoint must render a decision on provider complaints within a reasonable tlme for the type of dispute. ln the case of billing dlsputes, Wellpoint must render a decision within sixty (60) days"of the complaint. Period,of ,l.imitatiols. Unless otherwise provided for in this Agreement or a PartlcipaUon Attachment(s), neither party shall commence any aclion at law or equity against the other to recover on any legal or equitbbb dajm arising out of this Agreement ('Action") more than six (6) years after the events whichgave rise to such Action; provided, however, this six (6) year limitation shall not apply to Actions by Wellpoint against Provider related to fraud, waste or abuse which shall be subject to the period of limitations set forth in applicable Regulatory Requirements. ln the sltuation where Provider believes that Wellpolnt underpaid a Clain:r, the Actio-n arisei on the date when Wellpoint first denies the Claim or first pays the Claim in an amount less than expec'ted by Provider. ln the sltuation where Wellpoint bolieves that lt overpaid a Claim, the Action arises when Frovider first contests in writing Wellpoint's notice to lt that the overpayment was made. The deadllne for initiating an Action shall not be tolled by the appeal process, provider dispute resolution process or any other administr;tive process. To the extent an Actlon is timely commenced, it wlll be admlnlslered in accordance with Article Vll of this Agreement, ARTICLE VIII TERM AND TERMINATION Term of Agreement. This Agreement shall commence at 12:01AM on the Effective Date for a term of one (1 )year, and shall continue automatically in effect thereafter for consecutlve one (1) year terms unless otherwise termlnated as provlded herein. fermlnation Witno , Either party may terminate this Agreement without cause at any tlme by givlng at least one hundred elghly (180) days prior written notice of termination to the other party, trt6twtttrstdnOing tne foregoing, should a Participation Aftachment(s) contain a longer without cause termination periodl the Agreement shall contlnue ln effect only for such applicable Partlcipation Attachment(s) until the iermination without cause notice period in the applicable Partlclpation Aitachment(s) ends, I 1 1 83932156 05/0512025