Quality Control/Operations Audits. To assure the accuracy of claims-processing functions, the Claims Administrator shall have prepared periodic quality control/operations audits conducted by an internal Quality Control Supervisor and by outside auditors. The audits shall be designed to evaluate the accuracy and consistency of application of the eligibility criteria and the accuracy of Claims payments, including review of supporting documentation.
Appears in 4 contracts
Samples: Settlement Facility and Fund Distribution Agreement, Settlement Facility and Fund Distribution Agreement, Settlement Facility and Fund Distribution Agreement
Quality Control/Operations Audits. To assure the accuracy of claims-processing functions, the Claims Administrator shall have prepared periodic quality control/operations audits conducted by an internal Quality Control Supervisor and by outside auditors. The audits shall be designed to evaluate the accuracy and consistency of application of the eligibility criteria and criteria, the accuracy of Claims payments, including review of supporting documentation.
Appears in 1 contract
Samples: Settlement Facility and Fund Distribution Agreement
