Retrospective Review. The INSURER will establish a Retrospective review Program that will address quality and utilization problems that may arise, as described in the INSURER's Proposal. The INSURER shall notify the ADMINISTRATION on a quarterly basis of all findings in the Retrospective Review Program. The ADMINISTRATION may review and/or audit the program findings at any time.
Appears in 6 contracts
Samples: Health Insurance Contract (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp)
