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Docusign Envelope lD: 7 4E827C5-FAB8-8084-827C-41 4AD59920A6 <br />5.6 <br />delivery by e-mail, the notice is deemed given on the date sent. AII notices are deemed given if <br />delivered as specified in this section. <br />b. Names & Addresses. The name, mailing address, e-mail address, and facsimile number set forth <br />under the Signature Page will be the particular party's information for delivery of notice. Each palty <br />may change its information through written notice in compliance with this section without amending <br />this Agreement. <br />Amendments. <br />a, Regulatory Amendments, Health Plan may, without Provider's consent, immediately amend this <br />Agreement to maintain consistency and/or compliance with any state or federal law, policy, directive, <br />or government sponsored program requirement. <br />b. Non-Regulatory Amendments. Notwithstanding the Regulatory Amendments sestion, Health Plan <br />may otherwise amend this Agleement upon sixty (60) days prior written notice to Provider. If <br />Provider does not deliver to Health Plan a written notice of rejection of the amendment within that <br />sixty (60) day period, the amendment shall be deemed accepted by and shall be binding upon <br />Provider. In the event that the amendment is considered a "material amendment" as defined in RCW <br />48.39.005, Provider shall have the right to reject the amendment and such rejection will not affect the <br />existing terms of the Agreement. <br />Assignment. Provider may not assign, transfer, subcontract or delegate, in whole or in part, any rights, <br />duties, or obligations under this Agreement without the prior written consent of Health Plan. Subject to <br />the fotegoing, this Agreement is binding upon, and inutes to the benefit of the Health Plan and Provider <br />and their respective successors in interest and assigns. Neither the acquisition of Health Plan nor a change <br />of its legal name shall be deemed an assignment. <br />Dispute Resolution Process. <br />a. Submission of Non-Claims Payment Related Disputes <br />i. Provider shall submit any dispute (other than a dispute relating to Claims Payment, which are <br />subject to Section 2.8(g)) to Health Plan in writing within sixty (60) clays of when the issue arises, <br />ii. Provider shall submit such disputes to the attention of Health Plan's Provider Services <br />Department. <br />b. Ilealth Plan Response fo Non-Claims Payment Related Disputes <br />i. Health Plan shall use best efforts to acknowledge by phone, e-mail or other writing, receipt of a <br />dispute (other than a dispute relating to Claims, which are subject to Section 2.8(g)) within seven <br />(7) business days, <br />ii. Health Plan's decision regarding disputes shall be communicated within sixty (60) days of Health <br />Plan's leceipt cf Provider's written conespondence requesting review. If additional time is <br />required, Health Plan shall communicate this information to Provider within sixty (60) days. <br />iii. Health Plan shall use its best efforts to investigate and resolve disputes within sixty (60) days of <br />Health Plan's receipt of Provider's written correspondence. <br />c. Nonbinding Mcdiation. If Health Plan fails to grant or reject Provider's request for review of a <br />dispute within thirty (30) days after it is received, the Provider may proceed as if the complaint has <br />been rejected. If Provider is dissatisfied with llealth Plan's final resolution of a dispute, Provider may <br />submit the dispute to nonbinding mediation pursuant !o chapter 7.07 RCW. Nonbinding mediation <br />shall not be utilized to adjudicate matters that primarily involve review of Provider's professional <br />competence or professional conduct and shall not be available as amechanism for appeal ofany <br />determinations made as to such matters. <br />Corrective Action, Fair Hearing Plan, and Rcporting to the State of Washington Medical <br />Commisslon and the NPDB. Provider has a procedural right to appeal in the event that Health Plan's <br />peer review committee recommends filing a report to the Washington Medical Commission and the <br />5.7 <br />5.8 <br />5.9 <br />MHWPROV22,3 MFIWPSA./Revised Jan 2024 Page 15 ol25