Medical Plan Management. 1) Provide monthly and/or quarterly review and analysis of health and dental benefit plan expenses including an analysis of claims data and summaries of claims, administrative and stop-loss expenses.
Medical Plan Management
Utilization Management Contractor shall maintain a utilization management program that complies with applicable laws, rules and regulations, including Health and Safety Code § 1367.01 and other requirements established by the applicable State Regulators responsible for oversight of Contractor.