Common use of Concurrent Reviews Clause in Contracts

Concurrent Reviews. When you make a request for additional treatment, when we had previously approved a course of treatment that is about to end, the Health Plan will make concurrent review determinations within one (1) working day of receiving the request or within one working day of obtaining all the necessary information so long as the request for authorization of additional services is made prior to the end of prior authorized services. In the event that the our review results in the end or limitation of Health Care Services, we will make a review determination with sufficient advance notice so that you can file a timely Grievance or Appeal of our decision. If you have an Urgent Medical Condition, then a request for concurrent review will be handled like any other pre-service request for review when an Urgent Medical Condition is involved, except that our decision will be made within one (1) working day. If the Health Plan authorizes an extended stay or additional Health Care Services under the concurrent review, the Health Plan will:

Concurrent Reviews. When you make a request for additional treatment, when we had previously approved a course of treatment that is about to end, the Health Plan will make concurrent review determinations within one (1) working day of receiving the request or within one working day of obtaining all the necessary information so long as the request for authorization of additional services is made prior to the end of prior authorized services. In the event that the our review results in the end or limitation of Health Care Services, we will make a review determination with sufficient advance notice so that you can file a timely Grievance or Appeal of our decision. If you have an Urgent Medical Condition, then a request for concurrent review will be handled like any other pre-service request for review when an Urgent Medical Condition is involved, except that our decision will be made within one (1) working day. If the Health Plan authorizes an extended stay or additional Health Care Services under the concurrent review, the Health Plan will:

Concurrent Reviews. When you make a request for additional treatment, when we had previously approved a course of treatment that is about to end, the Health Plan will make concurrent review determinations within one (1) working day of receiving the request or within one (1) working day of obtaining all the necessary information so long as the request for authorization of additional services Services is made prior to the end of prior authorized servicesServices. In the event that the our review results in the end or limitation of Health Care health care Services, we will make a review determination with sufficient advance notice so that you can file a timely Grievance or Appeal of our decision. If you have an Urgent Medical Condition, then a request for concurrent review will be handled like any other pre-service request for review when an Urgent Medical Condition is involved, except that our decision will be made within one (1) working day. If the Health Plan authorizes an extended stay or additional Health Care health care Services under the concurrent review, the Health Plan will:

Concurrent Reviews. When you make a request for additional treatment, when we had previously approved a course of treatment that is about to end, the Health Plan will make concurrent review determinations within one (1) working day of receiving the request or within one (1) working day of obtaining all the necessary information so long as the request for authorization of additional services Services is made prior to the end of prior authorized servicesServices. In the event that the our review results in the end or limitation of Health Care health care Services, we will make a review determination with sufficient advance notice so that you can file a timely Grievance or Appeal of our decision. If you have an Urgent Medical ConditionEmergency Case, then a request for concurrent review will be handled like any other pre-service request for review when an Urgent Medical Condition Emergency Case is involved, except that our decision will be made within one (1) working day. If the Health Plan authorizes an extended stay or additional Health Care health care Services under the concurrent review, the Health Plan will: