Certification Process. When a pre-certification for a non-urgent service is requested from HealthPartners, an initial determination must be made within 15 calendar days. This time period may be extended for up to 14 days if you agree. If we request an extension we will notify you in advance of the extension and the reasons for the extension. When a pre-certification for an urgent service is requested from HealthPartners, an initial determination must be made within 72 hours, so long as all information reasonably needed to make a decision has been provided. In the event that you have not provided all information necessary to make a decision, you will be notified of such failure within 24 hours. You will then be given 48 hours to provide the requested information. You will be notified of the benefit determination within 48 hours after the earlier of HealthPartners receipt of the complete information or the end of the time granted to you to provide the specified additional information. If the determination is made to approve, we will notify your health care provider by telephone, and we may send written verification. If the initial determination is made not to approve, we will notify your health care provider and hospital, if appropriate, by telephone within one working day of the determination, and we will send written verification with details of the denial. If you want to request an expedited review, or have received a denial of a pre-certification and want to request an appeal, you have a right to do so. If your complaint is not resolved to your satisfaction under certain circumstances, you may request an external review. Refer to the information regarding Complaints and Appeals in section “Disputes and Complaints” for a description of how to proceed. How to contact CareCheck®: You may call (000)-000-0000 in the Minneapolis/St. Xxxx metro area or 0-000-000-0000 outside the metro area from 8:00 a.m. to 5:00 p.m. (Central Time) weekdays. You can leave a recorded message at other times. You may also write CareCheck® at Quality Utilization Management Department, 0000 00xx Xxxxxx Xxxxx, X.X. Box 1309, Minneapolis, MN 55440-1309. ACCESS TO RECORDS AND CONFIDENTIALITY We comply with the state and federal laws governing the confidentiality and use of protected health information and medical or dental records. When your provider releases health information to us according to state law, we can use your protected health information when necessary, for certain health care operations, incl...
Certification Process. Certification is intended to be a collaborative process and supportive of sites’ development and growth. The purpose of certification is to provide feedback, recommendations, and support as part of our ongoing commitment to quality assurance and improvement. A member of the ParentChild+ National Center team will visit each site to conduct the review. The cost of the site visit is included in the initial training and technical assistance fee. The certification visit will consist of: A comprehensive review of the files and administrative procedures in place; An observation of a weekly staff-meeting of the Coordinator and all her/his ELSs; A focus group with ELSs; A meeting between the National Center representative and the Coordinator; and A meeting with the Coordinator’s supervisor, Agency director, and the National Center representative.
Certification Process. On the Certification Date (or Non-Compliance Certification Date, or Accelerated Acquisition Certification Date (as defined below), if applicable), you shall furnish Oracle with a certification signed by a C-level executive of your company verifying the quantity of Processors on which the Deployment Programs are installed and running by you as of the date on which the Deployment Period is terminated, (such certified quantity, the “Certified Deployment”). On the date the Deployment Period is terminated, as applicable, your quantity of Processor licenses for the programs in section A above shall be fixed and limited as set forth in the Certified Deployment. If upon the termination of the Deployment Period a Divested Entity (as defined below) is using the temporary license rights permitted under the terms of section C.4, then for purposes of certifying your use of the Deployment Programs under the terms of this section C.1.b you may not count the program usage of any such Divested Entity.
Certification Process. 3.3.1. The Exporting Party shall provide to the Importing Party all the information necessary for the Importing Party to become and remain familiar with individual Civil Aeronautical Products of the Exporting Party and their certification.
Certification Process. Subject to the terms of this Agreement, Sigma grants to Company, and Company hereby accepts, a world-wide, non-exclusive, non-transferable, royalty- free, revocable only as set forth in Section 13.1 and Section 13.2 (Term and Termination), license (without the right to assign, transfer or convey such rights, in whole or in part) for use of the Sigma ASIC and Licensed Materials as by Company for the following: (i) a license to use the Sigma ASIC and Licensed Materials for the purposes of incorporating the Sigma ASIC and Licensed Materials into the Company Product and designing, developing, and testing the Company Product; and (ii) a license to manufacture or have manufactured Company Product containing the Sigma ASIC and Licensed Materials, the design of which is based in whole or in part on the Sigma ASIC and Licensed Materials, by Manufacturer(s), provided that the Company Product is submitted and passes Certification as set forth in Section 5.1 through Section 5.3 in this Agreement prior to manufacturing the Company Product or distributing to the Company Product to end-users.
Certification Process. For purposes of certification, MPO will establish a process which includes the following:
Certification Process. The certification process will be administered through a third party neutral service contracted by the City to conduct bilingual certification (currently Alta Language Services). Employees wishing to be certified as bilingual must make a written request to the City’s Human Resources Manager. Upon such written request, the Human Resources Manager will evaluate the need for bilingual services, and if the City determines that such services are needed, the Human Resources Division will schedule a telephone and/or in-person bilingual examination with a bilingual certification representative and the employee. The Human Resources Division will administer requested bilingual examinations as soon as practicable, but on no less than a quarterly basis. The bilingual examination will be scored on a pass/fail basis. Examination scores are final and non-appealable. Employees who fail the examination, or who fail to appear for a scheduled examination, may not take another bilingual examination in the same language for a minimum of six (6) months following the failed or missed examination. Employees who pass the examination will be certified as bilingual by the City. Employees who are certified as bilingual by the City shall not be required to recertify to continue to receive the bilingual pay. The City agrees to notify new employees of the bilingual pay program during orientation.
Certification Process. The certification services provided are conducted in accordance with the policies and procedures established by TSL CSI based on the requirements of the various accreditation standards and guidelines.
Certification Process. When a pre-certification for a non-urgent service is requested from HealthPartners, an initial determination must be made within 15 calendar days. This time period may be extended for an additional 15 calendar days, provided that the Plan Manager determines that such extension is necessary due to matters beyond the control of the Plan. If such extension is necessary, you will be notified prior to the expiration of the initial 15-day period. When a pre-certification for an urgent service is requested from HealthPartners, an initial determination must be made within 72 hours, so long as all information reasonably needed to make a decision has been provided. In the event that the claimant has not provided all information necessary to make a decision, the claimant will be notified of such failure within 24 hours. The claimant will then be given 48 hours to provide the requested information. The claimant will be notified of the benefit determination within 48 hours after the earlier of HealthPartners receipt of the complete information or the end of the time granted to the claimant to provide the specified additional information. How to contact CareCheck®: You may call 000-000-0000 in the Minneapolis/St. Xxxx metro area, or 800-316- 9807 (toll-free) outside the metro area, from 8:00 a.m. to 5:00 p.m. (Central Time) weekdays. You can leave a recorded message at other times. You may also write CareCheck® at Quality Utilization Management Department, 0000 00xx Xxxxxx Xxxxx, X.X. Box 1309, Minneapolis, MN 55440-1309. ELIGIBILITY AND EFFECTIVE DATE OF COVERAGE ELIGIBILITY The following persons will be eligible for coverage under this Plan:
