Provider Review Sample Clauses

Provider Review. When the Carrier or a covered person does not agree with the appropriateness of a service provided or a charge made under the Plan by an optometrist practising in Ontario, the matter may be presented to the licensing college under the Ontario Health Disciplines Act for resolution. Similar matters involving other providers or optometrist practising outside Ontario may be referred by the Carrier to the appropriate licensing agency or, where, operative, to peer review. The Carrier will seek to establish peer review where it does not exist.

Provider Review. Provider will regularly assess, test, and monitor the effectiveness of the Information Security Program’s key controls, systems, and procedures. Provider will conduct information security risk assessments of the physical and logical security measures and safeguards it maintains, as applicable to its protection of Aramark Information. Such assessments shall be conducted at least annually and whenever there is a material change in Provider’s business or technology practices that may negatively impact the privacy, confidentiality, security, integrity or availability of Aramark Information. At least quarterly, Provider shall perform vulnerability tests and assessments against all systems Processing Aramark Information. At least annually, Provider shall perform penetration tests against any internet‐facing systems used in connection with the Services. Upon Xxxxxxx’s request, Provider shall provide a summary of such assessments and tests, including a description of any significant risks identified and an overview of the remediation efforts undertaken to address such risks. Such assessments and tests should be conducted by independent third parties or internal personnel independent of those who develop or maintain the organization’s information systems or information security program. If any audit results in Provider

Provider Review. The written description shall document how Physicians and other health professionals will be involved in reviewing quality of care and the provision of health services and how feedback to health professionals and Contractor staff regarding performance and Enrollee results will be provided.

Provider Review. When the Carrier or a covered person does not agree with the appropriateness of a service provided or a charge made under the Plan by a dentist practicing in Ontario, the matter may be presented to the licensing college under the Ontario Health Disciplines Act for resolution. Similar matters involving other providers or dentist practicing outside Ontario may be referred by the Carrier to the appropriate licensing agency or, where operative, to peer review. The Carrier will seek to establish peer review where it does not exist.