Utilization Data. The contractor shall conduct a quarterly analysis of utilization data, including inpatient utilization, and shall follow-up on cases of potential under- and over-utilization. Over- and under-utilization shall be determined based on comparison to established medical community standards. See Section A.7.7 of the Appendices (Table 5) for a description of utilization data to be submitted to the Department.
Utilization Data. DMAP will maintain Medicaid Utilization Information applicable to the Covered Product(s) for use in calculating the State Supplemental Rebate. DMAP will provide aggregate Medicaid Utilization Information applicable to Covered Product(s) to Manufacturer on a Quarterly basis in connection with the invoicing required under paragraph 3.E.
Utilization Data. Contractor agrees to provide, for each member, person-level records that describe the care received by that individual during his or her enrollment period with the Contractor, such as records shall be provided at intervals specified by EOHHS. In addition, Contractor agrees to provide aggregate utilization data for all members at such intervals as required by the State.
Utilization Data. Agency will maintain Medicaid Utilization Information applicable to the Covered Product(s) for use in calculating the State Supplemental Rebate. Agency will provide aggregate Medicaid Utilization Information applicable to Covered Product(s) to Manufacturer on a quarterly basis in connection with the invoicing required under paragraph 3.e.
Utilization Data. The Customer acknowledges and agrees that to the extent permitted by law, the aggregated data derived from telemetric information and data related to how Users access and use the Software (including, but not limited to, stack trace data and reports related thereto) are owned by Sharegate and do not constitute Customer Data.
Utilization Data. SlamData will have the right to collect, extract, compile synthesize, and analyze data or information resulting from Your utilization of the SlamData Software. To the extent collected by SlamData, such data will be solely owned by SlamData and may be used by SlamData for any lawful business purpose without a duty of accounting to You or any third party, provided that such data is used only in an aggregated form without specifically identifying You as the source of the data.
Utilization Data. Physician Group shall, upon request, provide Health Plan with information on the utilization and cost of Capitated Services provided to Enrollees in such detail as to allow Health Plan to conduct analysis of costs as required by HCFA, as dictated by sound business practices and for the conduct of quality assurance and utilization review activities by Plan. Such information to be provided by Physician Group will not include information beyond that customarily provided on a claim form such as Form HCFA-1500 and shall be provided in the form of a paper report, computer disc or computer tape as agreed by the parties. Required data will be delivered by Physician Group to Health Plan not later than forty-five (45) days following written request by Health Plan.
Utilization Data. OHA will maintain Medicaid Utilization Information applicable to the Covered Product(s) for use in calculating the State Supplemental Rebate. OHA will provide aggregate Medicaid Utilization Information applicable to Covered Product(s) to Manufacturer on a Quarterly basis in connection with the invoicing required under paragraph 3.E.
Utilization Data. To the extent that Provider is responsible for the coordination of care for Medi-Cal Members, Health Plan agrees to share with Provider any utilization data that DHCS has provided to Health Plan, and Provider agrees to receive the utilization data provided and use, as able, for the purpose of Medi-Cal Member care coordination.
Utilization Data. The subcontractor agrees to submit MCO utilization data in the format specified by the MCO, so the MCO can meet the Department’s specifications required by Article XIV, Reports and Data, page 217.
