Review Procedure If the Plan Administrator denies part or all of the claim, the claimant shall have the opportunity for a full and fair review by the Plan Administrator of the denial, as follows:
Review Protocol A narrative description of how the Claims Review was conducted and what was evaluated.
Review Process A/E's Work Product will be reviewed by County under its applicable technical requirements and procedures, as follows:
Review Procedures The Parties agree to jointly conduct a review, sampling transactions of the incidents managed under this Agreement. Findings that are inconsistent with the normal or accepted way of doing business will be reconciled on a case by case basis. Any decision to further examine records will be considered on a case by case basis and appropriate follow up action agreed upon by all agencies involved.
Claims Review Population A description of the Population subject to the Claims Review.
Claims Review Objective A clear statement of the objective intended to be achieved by the Claims Review.
Claims Review Findings a. Narrative Results.
Claims Review Methodology a. C laims Review Population. A description of the Population subject to the Quarterly Claims Review.
AUDIT REVIEW PROCEDURES A. Any dispute concerning a question of fact arising under an interim or post audit of this AGREEMENT that is not disposed of by AGREEMENT, shall be reviewed by LOCAL AGENCY’S Chief Financial Officer.