Assignment of IRO Sample Clauses

Assignment of IRO. If your request is eligible for expedited external re­ view, the Director shall immediately assign an IRO on a random basis from the list of IROs approved by the Director; and immediately notify the Plan of the name of the IRO. Upon receipt from the Director of the name of the IRO assigned to conduct the external review, the Plan or its designated utilization review organiza­ tion shall immediately, (but in no case more than 24 hours after receiving such notice) provide to the assigned IRO the documents and any informa­ tion considered in making the Adverse Determination or Final Adverse Determination. In addition, you or your authorized representative may sub­ mit additional information in writing to the assigned IRO. If the Plan or its designated utilization review organization does not provide the documents and information within 24 hours, the IRO may end the external review and make a decision to reverse the Adverse Determination or Final Adverse De­ termination. Within one business day after making the decision to end the external review, the IRO shall notify the Director, the Plan, you and, if appli­ cable, your authorized representative, of its decision to reverse the determination. As expeditiously as your medical condition or circumstances requires (but in no event more than 72 hours after the date of receipt of the request for an expedited external review), the assigned IRO will render a decision whether or not to uphold or reverse the Adverse Determination or Final Adverse De­ termination and will notify the Director, the Plan, you and, if applicable, your authorized representative. If the initial notice regarding its determina­ tion was not in writing, within 48 hours after the date of providing such notice, the assigned IRO shall provide written confirmation of the decision to you, the Director, the Plan and, if applicable, your authorized representat­ ive, including all the information outlined under the standard process above. If the external review was a review of experimental or investigational treat­ ments, each clinical reviewer shall provide an opinion orally or in writing to the assigned IRO as expeditiously as your medical condition or circum­ stances requires, but in no event less than five calendar days after being selected. Within 48 hours after the date it receives the opinion of each clinic­ al reviewer, the IRO will make a decision and provide notice of the decision either orally or in writing to the Director, the Plan, you and ...
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Assignment of IRO. When the Director receives notice that your re­ quest is eligible for external review following the preliminary review, the Director will, within one business day after the receipt of the notice,
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Assignment of IRO. When the Director receives notice that your request is eligible for external review following the preliminary review, the Director will, within one business day after the receipt of the notice, a) assign an IRO on a random basis from those IROs approved by the Director; and (b) notify the Plan, you and your authorized representative, if applicable, of the request's eligibility and acceptance for external review and the name of the IRO.
Sample 1
Assignment of IRO. If your request is eligible for expedited external re- view, the Director shall immediately assign an IRO on a random basis from the list of IROs approved by the Director; and immediately notify the Plan of the name of the IRO. Upon receipt from the Director of the name of the IRO assigned to conduct the external review, the Plan or its designated utilization review organiza- tion shall immediately, (but in no case more than 24 hours after receiving such notice) provide to the assigned IRO the documents and any informa- tion considered in making the Adverse Determination or Final Adverse Determination. In addition, you or your authorized representative may sub- mit additional information in writing to the assigned IRO. If the Plan or its designated utilization review organization does not provide the documents and information within 24 hours, the IRO may end the external review and make a decision to reverse the Adverse Determination or Final Adverse De- termination. Within one business day after making the decision to end the external review, the IRO shall notify the Director, the Plan, you and, if appli- cable, your authorized representative, of its decision to reverse the determination.
Sample 1

Related to Assignment of IRO

  • Assignment of Agreement The following conditions must be satisfied in order to effectuate any assignment of this Agreement:

  • Assignment of Interest The lessee may not assign or sublet any interest held under this lease, including a security interest, without the prior written approval of the lessor. The lessor may approve such assignment or subletting if the lessor finds it to be in the best interest of the state. No such assignment or subletting will be effective until approved by the lessor in writing, and the assignee agrees to be subject to and governed by the provisions of this lease, any subsequent amendments to this lease, any additional stipulations, or reappraisal as deemed appropriate by the lessor, and all applicable laws, regulations, and ordinances in the same manner as the original lessee. No assignment or subletting of the leasehold, or any portion thereof, by the lessee will annul the lessee's obligation to pay the compensation required for the full term of this lease. Except as provided in this lease, no subdivision of the leasehold interest may occur without the prior written approval of the lessor.

  • Assignment of Rights Borrower acknowledges and understands that Agent or Lender may, subject to Section 11.7, sell and assign all or part of its interest hereunder and under the Loan Documents to any Person or entity (an “Assignee”). After such assignment the term “Agent” or “Lender” as used in the Loan Documents shall mean and include such Assignee, and such Assignee shall be vested with all rights, powers and remedies of Agent and Lender hereunder with respect to the interest so assigned; but with respect to any such interest not so transferred, Agent and Lender shall retain all rights, powers and remedies hereby given. No such assignment by Agent or Lender shall relieve Borrower of any of its obligations hereunder. Lender agrees that in the event of any transfer by it of the Note(s)(if any), it will endorse thereon a notation as to the portion of the principal of the Note(s), which shall have been paid at the time of such transfer and as to the date to which interest shall have been last paid thereon.

  • Assignment of Account We may sell, assign, pledge or transfer this Agreement (including any addendum to this Agreement), your account or an interest in your account to a third party without notice to you. In the absence of a notice of such sale or transfer, you must continue to make all required payments to us in accordance with your billing statement.

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