Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each Claims Review Sample and CHN shall furnish such documentation to the IRO prior to the IRO initiating its review of each Claims Review Sample. If the IRO accepts any supplemental documentation from CHN after the IRO has completed its initial review of each Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.
Appears in 2 contracts
Samples: Corporate Integrity Agreement, Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 2 contracts
Samples: Integrity Agreement, Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN Provider shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN Provider after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.
Appears in 2 contracts
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Practitioner shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Practitioner after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 2 contracts
Samples: Integrity Agreement, Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN Xxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 2 contracts
Samples: Integrity Agreement, Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 2 contracts
Samples: Integrity Agreement, Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample and CHN UHS or the Subject Facility shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN UHS or the Subject Facility after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 2 contracts
Samples: Corporate Integrity Agreement (Universal Health Services Inc), Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xx. Xxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xx. Xxxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 2 contracts
Samples: Integrity Agreement, Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Practitioner shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Practitioner after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 2 contracts
Samples: Integrity Agreement, Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN LHMC shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN LHMC after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xx. Xxxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xx. Xxxxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN DOCS shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN DOCS after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.review.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Skyline shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Skyline after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample and CHN Prime shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Prime after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Inpatient Medical Necessity Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Inpatient Medical Necessity Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims Invoices in each Claims Review Quarterly Invoice Sample and CHN Dia-Foot shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each Claims Review the Quarterly Invoice Sample. If the IRO accepts any supplemental documentation or materials from CHN Dia-Foot after the IRO has completed its initial review of each Claims Review the Quarterly Invoice Sample (Supplemental Invoice Materials), the IRO shall include the following identify in the Claims Quarterly Invoice Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its its review. In addition, the IRO shall include a narrative in the Quarterly Invoice Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN LabTox shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN LabTox after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN SPI shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN SPI after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN Edgewater shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN Edgewater after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Springfield shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Springfield after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Khanna shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Khanna after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample and CHN AmeriCare shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN AmeriCare after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN FHG shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN FHG after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN Arora shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN Arora after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.review.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN Chatterjee shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Chatterjee after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims and Cardiac Procedures Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims and Cardiac Procedures Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xx. Xxx and Interventional Cardiology shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xx. Xxx and Interventional Cardiology after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xxxxx Pharmacy shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxx Pharmacy after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN the Practice shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN the Practice after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xxxx Clinic shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxx Clinic after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN OC and Xxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN OC and Xxxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Center for Pain Management shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Center for Pain Management after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xxxxx, Integrated, Golden Management or the Covered Entity (as applicable) shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation from CHN or materials after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN MBPC shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN MBPC after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample and CHN Neurosurgical Associates shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Neurosurgical Associates after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN OGCC shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN OGCC after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Foot Healers shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Foot Healers after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Hanflink shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Hanflink after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Align shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Align after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Bhayani shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Bhayani after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN PC, Xxxxx, and Bandar shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN PC, Xxxxx, and Bandar after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN RAPHA shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN RAPHA after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN the Providers shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN the Providers after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample and CHN Oglethorpe shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Oglethorpe after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Gonzaga shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Gonzaga after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN Qamar shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Qamar after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Dia-Foot shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Dia-Foot after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Gardi shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Gardi after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Kumar shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Kumar after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample and CHN APM, Park Center, and Xxxxxx shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN APM, Park Center, and Xxxxxx after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN MMW shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN MMW after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Claims Review Quarterly Cl�ims Sample and CHN Xxxxx Pharmacy shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxx Pharmacy after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO's reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN Xxxxx-JCA shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxx-JCA after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN Qin shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Qin after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN APS shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN APS after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample and CHN Prime shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Prime after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Inpatient Medical Necessity Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Inpatient Medical Necessity Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN DLDC shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN DLDC after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN Xxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims and Cardiac Procedures Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims and Cardiac Procedures Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN GLML shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN GLML after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN Xxxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xx. Xxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xx. Xxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample and CHN Radeas shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Radeas after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Klurfeld shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Klurfeld after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample and CHN the PPOA Location shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN a PPOA Location after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xx. Xxxxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xx. Xxxxxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN LCPCC shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN LCPCC after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the ofthe Paid Claims in each Quarterly Claims Review Sample and CHN Northwest ENT shall furnish such documentation docwnentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation from CHN or materialscfrom Northwest ENT after the IRO has completed its initial review of each ofthe Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO 's reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Alaska Neurology shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Alaska Neurology after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN the Covered Entities shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN the Covered Entities after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) and the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN Xx. Xxxxxx shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN Xx. Xxxxxx after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.review.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in selected as part of each Quarterly Claims Review Sample and CHN Xxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Provider shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Provider after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each selected as part of the Claims Review Sample and CHN PGS shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN PGS after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Lan Apothecary shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Lan Apothecary after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN EPIPG shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN EPIPG after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN CBHA shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN CBHA after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each selected as part of the Claims Review Sample and CHN UMHS shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN UMHS after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xxxxxx shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxxx after the IRO has completed its initial review of each the Quarterly Claims Review Sample Samples (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Xxxxxxxx Clinic shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxxxxx Clinic after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN LFAC shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN LFAC after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Princeton Pathology shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Princeton Pathology after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN I&L shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN I&L after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Dr. Uradu and UTC shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Dr. Uradu and UTC after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each the Claims Review Sample Sample, and CHN the Health Quest Covered Entity shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN the Health Quest Covered Entity after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN Dakwa and HEAG shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Dakwa or HEAG after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN Provider shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN Provider after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.review.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each selected as part of the Claims Review Sample and CHN Xxxxxx shall furnish such documentation and materials to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN Xxxxxx after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review. In addition, the IRO shall include a narrative in the Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Corporate Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN Balotin shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN Balotin after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.review.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation and materials required for its review of the Paid Claims in each Quarterly Claims Review Sample and CHN MPG shall furnish such documentation and materials to the IRO IRO, prior to the IRO initiating its review of each the Quarterly Claims Review Sample. If the IRO accepts any supplemental documentation or materials from CHN MPG after the IRO has completed its initial review of each the Quarterly Claims Review Sample (Supplemental Materials), the IRO shall include the following identify in the Quarterly Claims Review Report: (i) a description of Report the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.. In addition, the IRO shall include a narrative in the Quarterly Claims Review Report describing the process by which the Supplemental Materials were accepted and the IRO’s reasons for accepting the Supplemental Materials.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN Tauth shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN Tauth after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.review.
Appears in 1 contract
Samples: Integrity Agreement
Supplemental Materials. The IRO shall request all documentation required for its review of the Paid Claims in each the Claims Review Sample and CHN CFS shall furnish such documentation to the IRO prior to the IRO initiating its review of each the Claims Review Sample. If the IRO accepts any supplemental documentation from CHN CFS after the IRO has completed its initial review of each the Claims Review Sample (Supplemental Materials), the IRO shall include the following in the Claims Review Report: (i) a description of the Supplemental Materials, (ii) the date the Supplemental Materials were accepted, (iii) the IRO’s reason(s) for accepting the Supplemental Materials, and (iv) the relative weight the IRO gave to the Supplemental Materials in its review.review.
Appears in 1 contract
Samples: Integrity Agreement