Form Protocol. The Settlement Administrator shall gather and review the Claim Forms received pursuant to the Agreement and fulfill valid claims.
Form Protocol Sample Clauses
Related to Form Protocol
Protocol No action to coerce or censor or penalize any negotiation participant shall be made or implied by any other member as a result of participation in the negotiation process.
COVID-19 Protocols Contractor will abide by all applicable COVID-19 protocols set forth in the District’s Reopening and COVID-19 Mitigation Plan and the safety guidelines for COVID-19 prevention established by the California Department of Public Health and the Ventura County Department of Public Health.
Review Protocol A narrative description of how the Claims Review was conducted and what was evaluated.
How to File an Appeal of a Prescription Drug Denial For denials of a prescription drug claim based on our determination that the service was not medically necessary or appropriate, or that the service was experimental or investigational, you may request an appeal without first submitting a request for reconsideration. You or your physician may file a written or verbal prescription drug appeal with our pharmacy benefits manager (PBM). The prescription drug appeal must be submitted to us within one hundred and eighty (180) calendar days of the initial determination letter. You will receive written notification of our determination within thirty (30) calendar days from the receipt of your appeal. How to File an Expedited Appeal Your appeal may require immediate action if a delay in treatment could seriously jeopardize your health or your ability to regain maximum function, or would cause you severe pain. To request an expedited appeal of a denial related to services that have not yet been rendered (a preauthorization review) or for on-going services (a concurrent review), you or your healthcare provider should call: • our Grievance and Appeals Unit; or • our pharmacy benefits manager for a prescription drug appeal. Please see Section 9 for contact information. You will be notified of our decision no later than seventy-two (72) hours after our receipt of the request. You may not request an expedited review of covered healthcare services already received.
Implementation Report Within 150 days after the Effective Date, Extendicare shall submit a written report to OIG summarizing the status of its implementation of the requirements of this CIA (Implementation Report). The Implementation Report shall, at a minimum, include:
Project Manual A bound manual prepared by the Design Professional. It includes the Invitation to Bid, Instructions to Bidders, the Bid Form, the Specifications, the General Conditions and Supplementary General Conditions.
Software compliance Unless explicitly agreed, software being used and developed to provide the service should: ● Be licensed under an open source and permissive license (like MIT, BSD, Apache 2.0,...). ● The license should provide unlimited access rights to the EGI community. ● Have source code publicly available via a public source code repository (if needed a mirror can be put in place under the EGI organisation in GitHub13.) All releases should be appropriately tagged. ● Adopt best practices: ○ Defining and enforcing code style guidelines. ○ Using Semantic Versioning. ○ Using a Configuration Management frameworks such as Ansible. ○ Taking security aspects into consideration through at every point in time. ○ Having automated testing in place. ○ Using code reviewing. 9 xxxxx://xxx.xxx.xx/about/policy/policies_procedures.html 10 xxxxx://xxxx.xxx.xx/wiki/OMB 11 xxxx://xxx.xxx.xx/ 12 xxxxx://xxx.xxx.xx/portal/index.php?Page_Type=NGI&id=4 13 xxxxx://xxxxxx.xxx/EGI-Foundation ○ Treating documentation as code. ○ Documentation should be available for Developers, administrators, and end users.
Communications Protocol The Parties agree to be bound by the terms and conditions of the communications protocol provided for in Schedule “G” (Communications Protocol).
Protocols Each party hereby agrees that the inclusion of additional protocols may be required to make this Agreement specific. All such protocols shall be negotiated, determined and agreed upon by both parties hereto.
Drug-Free Workplace Certification As required by Executive Order No. 90-5 dated April 12, 1990, issued by the Governor of Indiana, the Contractor hereby covenants and agrees to make a good faith effort to provide and maintain a drug-free workplace. The Contractor will give written notice to the State within ten (10) days after receiving actual notice that the Contractor, or an employee of the Contractor in the State of Indiana, has been convicted of a criminal drug violation occurring in the workplace. False certification or violation of this certification may result in sanctions including, but not limited to, suspension of contract payments, termination of this Contract and/or debarment of contracting opportunities with the State for up to three (3) years. In addition to the provisions of the above paragraph, if the total amount set forth in this Contract is in excess of $25,000.00, the Contractor certifies and agrees that it will provide a drug-free workplace by:
