Special Investigation Unit (SIU) definition

Special Investigation Unit (SIU) means an insurer's unit or division that is established to investigate suspected insurance fraud. The SIU may be comprised of insurer employees or by contracting with other entities
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Examples of Special Investigation Unit (SIU) in a sentence

  • The Contractor shall employ a Special Investigation Unit (SIU) Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines.

  • The Utilization Management Manager shall work with the Special Investigation Unit (SIU) Manager to assure that service billing and utilization issues are documented and reported to the SIU, and matters requiring SIU review or investigation shall be timely submitted within five (5) business days to enable recovery of overpayments or other appropriate action.

  • The Utilization Management Manager (or Claims Manager, as applicable) shall work with the Special Investigation Unit (SIU) Manager to assure that service billing and utilization issues are documented and reported to the SIU, and matters requiring SIU review or investigation shall be timely submitted within five (5) business days to enable recovery of overpayments or other appropriate action.

  • The Contractor must employ a Special Investigation Unit (SIU) Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines.

  • Members assigned to the Special Investigation Unit (SIU) and Crime Suppression Task Force as of the ratification date will continue to be allowed use of a City vehicle for business and commute purposes only.

  • General Agent shall comply with all Regulations in carrying out the claims handling responsibilities under this Agreement, including Special Investigation Unit (SIU) regulations and all required related regulatory reporting.

  • CONTRACTOR’s Special Investigation Unit (SIU) shall collaborate with the ADMINISTRATOR’s Office of Compliance, and HCA Quality Management Services (QMS) as requested by ADMINISTRATOR.

  • He/she is also designated as the Head of the Special Investigation Unit (SIU), in charge of coordinating any investigation of actual or suspected fraud, with assistance provided by Internal Audit.

  • The Claims Manager (or Utilization Management Manager, as applicable) shall work with the Special Investigation Unit (SIU) Manager to assure that service billing and utilization issues are documented and reported to the SIU, and matters requiring SIU review or investigation shall be timely submitted within five (5) business days to enable recovery of overpayments or other appropriate action.

  • If any Person is both a Member Covered Person and a M&O Covered Person with respect to any Liabilities (excluding, for the avoidance of doubt, Liabilities in respect of any Excluded Claims), such Person shall be entitled to be indemnified for such Liabilities to the greatest extent that either a Member Covered Person or a M&O Covered Person is entitled to indemnification for such matters under this Agreement.