Readiness Review Includes all plans to be implemented in one or more Service Areas on the anticipated Operational Start Date. At a minimum, the HMO shall, for each HMO Program:
Project Review A. Programmatic Allowances
Review Process A/E's Work Product will be reviewed by County under its applicable technical requirements and procedures, as follows:
Claims Review Objective A clear statement of the objective intended to be achieved by the Claims Review.
Business Review Meetings In order to maintain the relationship between the Department and the Contractor, each quarter the Department may request a business review meeting. The business review meeting may include, but is not limited to, the following: • Successful completion of deliverables • Review of the Contractor’s performance • Review of minimum required reports • Addressing of any elevated Customer issues • Review of continuous improvement ideas that may help lower total costs and improve business efficiencies.
Transition Review Period In accordance with Article 35, Layoff and Recall, the Employer may require an employee to complete a transition review period.
Claims Review Population A description of the Population subject to the Claims Review.
Claims Review Findings a. Narrative Results.
Review Protocol A narrative description of how the Claims Review was conducted and what was evaluated.
Claims Review Report The IRO shall prepare a Claims Review Report as described in this Appendix for each Claims Review performed. The following information shall be included in the Claims Review Report for each Discovery Sample and Full Sample (if applicable).
