Information on Internal Appeals

(1) The RBPO or ACO shall make information about its internal appeals process available to Patients and the public through the following means: (a) Notice available in writing at all locations where Patients regularly seek care; and (b) Hard copy or electronic copy of the notice to Patients upon request. (2) The RBPO or ACO, upon Primary Care Provider selection or Patient attribution, may provide notice by mail, email, website, patient portal or distribute the notice directly to Patients during an office visit. (3) Notices shall include how to make an appeal. Such notices shall inform Patients of the right to authorize a representative to act on the Patient’s behalf during the appeals process. The RBPO or ACO may require the Patient to authorize a representative in writing. (4) Notices shall include the toll-free number, website, and email address maintained by the Office of Patient Protection.