Common use of Managed Care Process Clause in Contracts

Managed Care Process. The Medical Director and/or SHL's Utilization Review Committee will review proposed services and supplies to be received by an Insured to determine: • If the services are Medically Necessary and/or appropriate. • The appropriateness of the proposed setting. • The required duration of treatment or admission.

Managed Care Process. The Medical Director and/or SHL's Utilization Review Committee will review proposed services and supplies to be received by an Insured to determine: •  If the services are Medically Necessary and/or appropriate. •  The appropriateness of the proposed setting. •  The required duration of treatment or admission.