Common use of Quantitative Results Clause in Contracts

Quantitative Results. i. Total number and percentage of instances in which the IRO determined that the coding of the Paid Claims submitted by Provider differed from what should have been the correct coding. ii. Total number and percentage of instances in which the IRO determined that a Paid Claim was not appropriately documented. iii. Total number and percentage of instances in which the IRO determined that a Paid Claim was for items or services that were not medically necessary. iv. Total dollar amount of Paid Claims included in the Claims Review Sample and the net Overpayment associated with the Claims Review Sample. v. Error Rate in the Claims Review Sample.

Quantitative Results. i. Total number and percentage of instances in which the IRO determined that the coding of the Paid Claims submitted by Provider CHN differed from what should have been the correct coding. ii. Total number and percentage of instances in which the IRO determined that a Paid Claim was not appropriately documented. iii. Total number and percentage of instances in which the IRO determined that a Paid Claim was for items or services that were not medically necessary. iv. Total dollar amount of Paid Claims included in the Claims Review Sample and the net Overpayment associated with the Claims Review Sample. v. Error Rate in the Claims Review Sample.

Quantitative Results. i. Total number and percentage of instances in which the IRO determined that the coding of the Paid Claims submitted by Provider Edgewater differed from what should have been the correct coding. ii. Total number and percentage of instances in which the IRO determined that a Paid Claim was not appropriately documented. iii. Total number and percentage of instances in which the IRO determined that a Paid Claim was for items or services that were not medically necessary. iv. Total dollar amount of Paid Claims included in the Claims Review Sample and the net Overpayment associated with the Claims Review Sample. v. Error Rate in the Claims Review Sample.

Quantitative Results. i. Total number and percentage of instances in which the IRO determined that the coding of the Paid Claims submitted by Provider RAPHA differed from what should have been the correct coding. ii. Total number and percentage of instances in which the IRO determined that a Paid Claim was not appropriately documented. iii. Total number and percentage of instances in which the IRO determined that a Paid Claim was for items or services that were not medically necessary. iv. Total dollar amount of Paid Claims included in the Claims Review Sample and the net Overpayment associated with the Claims Review Sample. v. Error Rate in the Claims Review Sample.