提供者手册

公平听证程序

当 PAC 基于与能力或专业行为相关的问题拒绝认证、重新认证、发布制裁或终止网络提供者时,提供者可以请求第二级上诉,即公平听证会。公平听证会请求必须在 PAC 通知之日起 30 天内提出。提供者将收到关于公平听证会的地点、时间和日期的书面通知,该日期不得少于从提供者收到上诉请求之日起 30 天。

Additionally, the provider will receive an explanation of the hearing procedures, and a list of witnesses, if any, expected to testify on behalf of Carelon. The Chair of the PAC will identify peer reviewers who will participate as the Fair Hearing Panel, assuring representation of the discipline of the practitioner requesting the appeal. These peers will not have any economic interest adverse to provider, nor will they have participated in the decisions of the PAC or NCC. One member of the Fair Hearing Panel will be selected to act as the hearing officer and will preside over the Fair Hearing. Both Carelon and the provider will make reasonable efforts to establish a mutually agreed upon date for the hearing. Both Carelon and the provider have the right to legal representation at the Fair Hearing. The provider will receive a written recommendation from the panel within 15 business days after the Fair Hearing. The Fair Hearing process as set forth above is subject to applicable state and federal law.