Claims Review Methodology Sample Clauses

Claims Review Methodology a. C laims Review Population. A description of the Population subject to the Quarterly Claims Review.‌
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Claims Review Methodology. 1) Claims Review Population. A description of the Population subject to the Claims Review.
Claims Review Methodology a. SAMPLING UNIT. A description of the Item as that term is utilized for the Claims Review.
Claims Review Methodology a. Claims Review Objective: A clear statement of the objective intended to be achieved by the DRG or Laboratory Claims Review.
Claims Review Methodology 

Related to Claims Review Methodology

  • Review Procedure If the Plan Administrator denies part or all of the claim, the claimant shall have the opportunity for a full and fair review by the Plan Administrator of the denial, as follows:

  • Review Procedures The Parties agree to jointly conduct a review, sampling transactions of the incidents managed under this Agreement. Findings that are inconsistent with the normal or accepted way of doing business will be reconciled on a case by case basis. Any decision to further examine records will be considered on a case by case basis and appropriate follow up action agreed upon by all agencies involved.

  • Claims and Review Procedures 6.1 For all claims other than Disability benefits:

  • Methodology 1. The price at which the Assuming Institution sells or disposes of Qualified Financial Contracts will be deemed to be the fair market value of such contracts, if such sale or disposition occurs at prevailing market rates within a predefined timetable as agreed upon by the Assuming Institution and the Receiver.

  • Selection Procedures In selecting the Loan Assets to be Pledged pursuant to this Agreement, no selection procedures were employed which are intended to be adverse to the interests of the Lenders.

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