INDEPENDENT REVIEW ORGANIZATION QUALIFICATION Sample Clauses

INDEPENDENT REVIEW ORGANIZATION QUALIFICATION. The plan administrator shall enter into agreements for external appeals services with as many independent review organizations as deemed necessary after consultation with affected health benefit plan groups. The agreements shall set forth all terms which the plan administrator deems necessary to assure a full and fair review of appeals, and shall comply with AS 36.30 (the state procurement code).
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Related to INDEPENDENT REVIEW ORGANIZATION QUALIFICATION

  • Required Qualifications At all times during the term of the Contract, Vendor shall have available, under direct employment and supervision and/or subcontract agreement fully incorporating the terms and conditions of the Contract Documents, the required qualified and properly licensed (as applicable) personnel to properly fulfill all the terms and conditions of the Contract.

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