Common use of Compliance with IRO Decision Clause in Contracts

Compliance with IRO Decision. If the IRO reverses The Plan’s adverse benefit determination or final internal adverse benefit determination, The Plan will immediately approve coverage that was the subject of the adverse benefit determination or final internal adverse benefit determination according to the written terms and Benefits of the Contract.

Compliance with IRO Decision. If the IRO reverses The Plan’s adverse benefit determination or final internal adverse benefit determination, The Plan will shall immediately approve coverage of the recommended or requested health care service or treatment that was the subject of the adverse benefit determination or final internal adverse benefit determination according to the written terms and Benefits of the Contractdetermination.

Compliance with IRO Decision. If the IRO reverses The Plan’s adverse benefit determination or final internal adverse benefit determination, The Plan will immediately approve provide coverage that was the subject of the adverse benefit determination or final internal adverse benefit determination issue payment according to the written terms and Benefits of the Contract.