Common use of Peer Review Clause in Contracts

Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess the necessity, appropriateness and quality of care furnished as such care is compared to that customarily furnished by the provider's peers and to recognized health care standards.

Appears in 7 contracts

Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.), Health Care Services Contract (Wellcare Health Plans, Inc.)

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Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess peers. It assesses the necessity, appropriateness and quality of care furnished as such care is compared by comparing it to that customarily furnished by the provider's peers and to recognized health care standards.

Appears in 4 contracts

Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.)

Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess peers. The evaluator assesses the necessity, appropriateness and quality of care furnished as such by comparing the care is compared to that customarily furnished by the provider's peers and to recognized health care standards.

Appears in 2 contracts

Samples: Standard Contract, Long Term Care Health Plan Model Contract

Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess ’s peers. The evaluator assesses the necessity, appropriateness and quality of care furnished as such by comparing the care is compared to that customarily furnished by the provider's ’s peers and to recognized health care standards.

Appears in 2 contracts

Samples: Core Contract Provisions, Core Contract Provisions

Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess ’s peers. The evaluation assesses the necessity, appropriateness and quality of care furnished as such by the provider in comparison to care is compared to that customarily furnished by the provider's ’s peers and to consistency with recognized health care standards.

Appears in 1 contract

Samples: Participating Provider Agreement

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Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess ’s peers. It assesses the necessity, appropriateness and quality of care furnished as such care is compared by comparing it to that customarily furnished by the provider's ’s peers and to recognized health care standards.

Appears in 1 contract

Samples: Standard Contract (Amerigroup Corp)

Peer Review. An evaluation of the professional practices of a provider by the provider's ’s peers in order to assess the necessity, appropriateness and quality of care furnished as such care is compared to that customarily furnished by the provider's ’s peers and to recognized health care standards.

Appears in 1 contract

Samples: Health Care Services Contract (Amerigroup Corp)

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