MC Arbitration

Overview

When arbitration is pursued in Review Representment or Pre-Arbitration Response Review, this flow is executed.  The system will first evaluate the dispute to determine if pre-arbitration was previously filed.  As shown in the excerpt below, pre-arbitration is not always a requirement for escalation to arbitration.

If pre-arbitration was previous executed, the existing case will be escalated to arbitration.  If no pre-arbitration case exists, a new arbitration case will be filed.  Once case filing/escalation is complete, the dispute will move to the Arbitration Response while a response is awaited.

Review Arbitration

References