Utilization review entity or "entity" means a person or entity performing utilization review.
Utilization review entity means an individual or entity that
Utilization review entity or “entity” means an insurer or managed care health insurance plan licensee that performs utilization review or upon whose behalf utilization review is performed with regard to the health care or proposed health care that is the subject of the final adverse determination.
Examples of Utilization review entity in a sentence
Utilization review entity (URE) means an entity that conducts utilization review, other than a health carrier performing review for its own health plans.
The DepEd has recently had a proposal approved to feed all of the identified SAM children nationally in the coming school year.
More Definitions of Utilization review entity
Utilization review entity means an individual or entity that performs prior authorization for one or more of the following entities: (1) an employer with employees in New Jersey who are covered under a health benefits plan; (2) a carrier; and (3) any other individual or entity that provides, offers to provide, or administers hospital, outpatient, medical, or other health benefits to a person treated by a health care provider in New Jersey under a policy, plan, or contract. A carrier shall be a utilization review entity if it performs prior authorization.
Utilization review entity or "entity" means a person or entity performing utilization review. "Utilization review plan" or "plan" means a written procedure for performing review.
Utilization review entity means an insurer or managed care health insurance plan licensee that
Utilization review entity means an individual or entity which performs pre-authorization for one or more of the following entities:
Utilization review entity means an individual or entity that conducts utilization review.
Utilization review entity means any person that performs prior authorization for an issuer.
Utilization review entity means an individual or entity which performs pre-authorization or step