Procedures
Insofar as a Medicare+Choice organization offers benefits under a Medicare+Choice plan through agreements with physicians, the organization shall establish reasonable procedures relating to the participation (under an agreement between a physician and the organization) of physicians under such a plan. Such procedures shall include—
(A)#
providing notice of the rules regarding participation,
(B)#
providing written notice of participation decisions that are adverse to physicians, and
(C)#
providing a process within the organization for appealing such adverse decisions, including the presentation of information and views of the physician regarding such decision.