Internal review definition
Internal review means the process an insurer uses to review an insured's adverse benefit determination before the adverse benefit determination is submitted for independent review.
Internal review means procedures established by a health benefit plan, pursuant to the provisions of Section 4 of this act, for an internal reevaluation of an initial decision to deny coverage of or reimbursement for a medical treatment or service that is otherwise a covered benefit, and the subsequent decision by the health benefit plan to grant or deny such coverage or reimbursement.
Internal review means a review under section 156 of the Act. O. Reg. 379/11, s. 7 (6).
Examples of Internal review in a sentence
Internal review panel members must be present physically or by video or telephone conferencing to hear the Grievance.
Internal review and corrective action shall be carried out pursuant to the Department of Aging & Disabilities’ Policies and Procedures Manual.
Internal review of Assessments/Plans – Contractor will internally review at least 25% of all Assessments and Treatment plans.
Internal review (Desk Audit) of Contract performance will be conducted by CMH at its discretion.
Internal review of employment actions ▇▇▇▇▇ is committed to attempting to resolve employee‘s concerns in an informal manner wherever possible.
More Definitions of Internal review
Internal review means any internal investigation, conducted by the Sheriff or his designee, on a member or members of the bargaining unit, for incidents or events that arise from official acts or behaviors of the member, which could result in disciplinary action being taken, up to and including termination of employment.
Internal review means the review under section 432E-5 of an enrollee's complaint by a health carrier.
Internal review means procedures established by a health benefit plan, pursuant to the provisions of Section 4 1 of this act, for an internal reevaluation of an initial decision to deny coverage of or reimbursement for a medical treatment or service that is
Internal review means a review of an adverse
Internal review means procedures established by a health
Internal review means the contract is being reviewed internally by Legal, Risk, or other SLCC department.
Internal review means evaluation of the performance of an Accredited Practitioner by an appropriately qualified and experienced professional person(s) internal to UnitingCare Health.