Claims Review Report Clause Samples
The claims-review-report clause establishes the requirement for a formal assessment and documentation of claims submitted under a contract. Typically, this involves a designated party reviewing the details and supporting evidence of a claim, then preparing a written report that outlines findings, recommendations, or decisions regarding the claim's validity. This process ensures that claims are evaluated consistently and transparently, helping to resolve disputes efficiently and maintain accountability between the parties.
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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 Beneficiary Sample performed for each hospice selected by the OIG.
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).
Claims Review Report. The following information shall be included in the Claims Review Report for each Discovery Sample and Full Sample (if applicable).
Claims Review Report. OAS shall prepare a report based upon the Consulting Contract Review.
Claims Review Report. The following information shall be included in the Claims Review Report for each 30-claim sample and Full Sample (if applicable).
Claims Review Report. The IRO shall prepare a Claims Review Report for each Quarterly Claims Review performed (Quarterly Claims Review Report). The following information shall be included in each Quarterly Claims Review Report.
Claims Review Report. The following information shall be included in each Claims Review Report:
Claims Review Report. Depending on whether Rotech conducted an internal Claims Review with an IRO Verification Review or the IRO conducted the Claims Review, Rotech and/or the IRO shall prepare a report based upon the Claims Review performed (the "Claims Review Report"). Information to be included in the Claims Review Report is detailed in Appendix A to this CIA.
Claims Review Report. The IRO shall prepare a report based on the Claims Reviews performed. The report shall contain the information described in Appendix B and shall be submitted to HealthSouth’s Compliance Officer and the Corporate Integrity Agreement HealthSouth Corporation Board Compliance Committee and included in the Annual Report required by Section V.B. of this CIA.
Claims Review Report. The following information shall be included in each -------------------- Claims Review Report for the Claims Review(s) performed:
1. Claims Review Methodology Rotech CIA App. A