Review Protocol A narrative description of how the Claims Review was conducted and what was evaluated.
Claims Review Population A description of the Population subject to the Claims Review.
Review Procedure If the Plan Administrator denies part or all of the claim, the claimant shall have the opportunity for a full and fair review by the Plan Administrator of the denial, as follows:
Claims Review Methodology a. C laims Review Population. A description of the Population subject to the Quarterly Claims Review.
Review Process A/E's Work Product will be reviewed by County under its applicable technical requirements and procedures, as follows:
Review Procedures The Parties agree to jointly conduct a review, sampling transactions of the incidents managed under this Agreement. Findings that are inconsistent with the normal or accepted way of doing business will be reconciled on a case by case basis. Any decision to further examine records will be considered on a case by case basis and appropriate follow up action agreed upon by all agencies involved. Payment for Protection Services (use if appropriate) Geographic, Statewide or Sub-Geographic (local) operating plans and procurement documents or agreement will establish billing procedures for Fee Basis Protection Services.
AUDIT REVIEW PROCEDURES A. Any dispute concerning a question of fact arising under an interim or post audit of this AGREEMENT that is not disposed of by AGREEMENT, shall be reviewed by LOCAL AGENCY’S Chief Financial Officer.
Claims Review Objective A clear statement of the objective intended to be achieved by the Claims Review.
Additional RO Review Criteria (1) In addition to the requirements in Subparagraph 34A, the RO must:
