§ 108D-11 Managed care entity grievance and appeal procedures, generally
§ 108D-12 Managed care entity grievances
§ 108D-13 Standard managed care entity level appeals
§ 108D-14 Expedited managed care entity level appeals
§ 108D-15 Contested case hearings on disputed adverse benefit determinations
§ 108D-15.1 Expedited contested case hearings on disputed adverse benefit determinations
§ 108D-16 Notice of final decision and right to seek judicial review

Terms Used In North Carolina General Statutes > Chapter 108D > Article 2 - Enrollee Grievances and Appeals

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Continuance: Putting off of a hearing ot trial until a later time.
  • Contract: A legal written agreement that becomes binding when signed.
  • Dismissal: The dropping of a case by the judge without further consideration or hearing. Source:
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.