Common use of Concurrent Review Clause in Contracts

Concurrent Review. Concurrent review processes address the appropriateness of an admission, continued stay setting and level of care as well as identify and prevent delays in care, clinical coverage decisions and discharge planning. United makes concurrent review determinations within one (1) working day of obtaining all necessary information. In the case of a determination to approve an extended stay or additional services, United will notify Provider by telephone and provide written or electronic confirmation to the Customer and Provider within one (1) working day thereafter. Written or electronic notification shall include the number of extended days or the next review date, the new total number of days or services approved, and the date of admission or initiation of services. In the case of an adverse determination, within 24 hours United will notify Provider by telephone and will provide written or electronic notification to the Customer and Provider within one (1) working day thereafter. The service will continue without liability to the Customer until the Customer has been notified of the determination.

Concurrent Review. Concurrent review processes address the appropriateness of an admission, continued stay setting and level of care as well as identify and prevent delays in care, clinical coverage decisions and discharge planning. United UBH makes concurrent review determinations within one (1) working day of obtaining all necessary information. In the case of a determination to approve an extended stay or additional services, United UBH will notify Provider by telephone and provide written or electronic confirmation to the Customer Member and Provider within one (1) working day thereafter. Written or electronic notification shall include the number of extended days or the next review date, the new total number of days or services approved, and the date of admission or initiation of services. In the case of an adverse determination, within 24 hours United UBH will notify Provider by telephone and will provide written or electronic notification to the Customer Member and Provider within one (1) working day thereafter. The service will continue without liability to the Customer Member until the Customer Member has been notified of the determination.