Common use of External Review Clause in Contracts

External Review. The MA Organization will comply with any requests by Quality Improvement Organizations to review the MA Organization's medical records in connection with appeals of discharges from hospitals, skilled nursing facilities, and home health agencies.

Appears in 9 contracts

Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.

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External Review. The MA Organization will comply with any requests by Quality Improvement Organizations to review the MA Organization's ’s medical records in connection with appeals of discharges from hospitals, skilled nursing facilities, and home health agencies.

Appears in 5 contracts

Samples: HealthSpring, Inc., HealthSpring, Inc., Molina Healthcare Inc

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