Claims Review Sample 1 Sample Clauses

Claims Review Sample 1. The IRO shall randomly select and review a sample of 50 Paid Claims from the Hospital Level Detoxification Program Population (Claims Review Sample 1).‌
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Claims Review Sample 1. The IRO shall randomly select and review a sample of 15 Paid Claims from the Inpatient Rehabilitation Services Population (Claims Review Sample 1).‌‌
Claims Review Sample 1. The IRO shall randomly select and review a sample of 50 Paid Claims from the Anticoagulation Clinic Population (Claims Review Sample 1).‌‌

Related to Claims Review Sample 1

  • Claims Review Population A description of the Population subject to the Claims Review.

  • Claims Review Findings a. Narrative Results.‌‌

  • Claims Review The IRO shall perform the Claims Review annually to cover each of the five Reporting Periods. The IRO shall perform all components of each Claims Review.

  • Claims Review Objective A clear statement of the objective intended to be achieved by the Claims Review.

  • Claims Review Methodology a. C laims Review Population. A description of the Population subject to the Quarterly Claims Review.‌

  • Claims Review Report The IRO shall prepare a Claims Review Report as described in this Appendix for each Claims Review performed. The following information shall be included in the Claims Review Report for each Discovery Sample and Full Sample (if applicable).

  • Review Protocol A narrative description of how the Claims Review was conducted and what was evaluated.

  • Review Process A/E's Work Product will be reviewed by County under its applicable technical requirements and procedures, as follows:

  • 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:

  • ADB’s Review of Procurement Decisions 9. All contracts procured under international competitive bidding procedures and contracts for consulting services shall be subject to prior review by ADB, unless otherwise agreed between the Borrower and ADB and set forth in the Procurement Plan. SCHEDULE 5

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