If any party declines to accept that decision, that party has seven days in which to file a formal written appeal of that decision to both boards of HPM and clinic.

Upon receipt of the notice of appeal, a grievance committee shall be convened within 30 days to decide this appeal. The grievance committee shall be a committee of HPM or a nationally recognized arbitration panel, as mutually agreed upon. The
committee shall provide the aggrieved party with an opportunity to be heard prior to making its final decision. All other procedures concerning the grievance committee shall be binding upon all of the parties to the appeal and all third party
beneficiaries (other than member) and no further appeal shall be permitted.  The cost of the grievance committee shall be equally borne by the parties to the arbitration.