Medical Record Review. The INSURER will establish a program to monitor the appropriateness of care being provided, the adequacy and consistency of record keeping, and completeness of records, as described in the INSURER's Proposal. The INSURER shall notify the ADMINISTRATION on a quarterly basis of all findings in the Medical Record Review Program. The ADMINISTRATION may review and/or audit Program records and reports at any time.
Appears in 3 contracts
Samples: Terms and Conditions (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp)
Medical Record Review. The INSURER will establish a program to monitor the appropriateness of care being provided, the adequacy and consistency of record keeping, and completeness of records, as described in the INSURER's Proposal. The INSURER shall notify the ADMINISTRATION on a quarterly basis of all findings in the Medical Record Review Program. The ADMINISTRATION may review and/or audit Program records and reports at any time.
Appears in 1 contract
Samples: Health Insurance Contract (Triple-S Management Corp)
