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.
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Optional Pre-Arbitration disputes: within 45 days from the second presentment Central Site Business Date
All other disputes: within 75 days from the second presentment Central Site Business Date
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.
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Review Arbitration
Rule(s) | MCExecuteArbitration |