Utilization Data. The contractor shall conduct a quarterly analysis of utilization data, including inpatient utilization, and shall follow-up on cases of potential under- and over-utilization. Over- and under-utilization shall be determined based on comparison to established medical community standards. See Section A.7.7 of the Appendices (Table 5) for a description of utilization data to be submitted to the Department.
Utilization Data. Customer understands and agrees that the aggregated data derived from telemetric information and data related to how Customer accesses and uses Rencore Governance (including, but not limited to, feature and function of Rencore Governance being used by Customer) is owned by Rencore.
Utilization Data. DMAP will maintain Medicaid Utilization Information applicable to the Covered Product(s) for use in calculating the State Supplemental Rebate. DMAP will provide aggregate Medicaid Utilization Information applicable to Covered Product(s) to Manufacturer on a Quarterly basis in connection with the invoicing required under paragraph 3.E.
Utilization Data. OHA will maintain Medicaid Utilization Information applicable to the Covered Product(s) for use in calculating the State Supplemental Rebate. OHA will provide aggregate Medicaid Utilization Information applicable to Covered Product(s) to Manufacturer on a Quarterly basis in connection with the invoicing required under paragraph 3.E.
Utilization Data. To the extent Provider undertakes coordination of care obligations and functions for Members, Blue Shield agrees to share any utilization data that DHCS has provided to Blue Shield, and Provider agrees to receive the utilization data provided and use it solely for the purpose of Member Care Coordination.
Utilization Data. Upon request from Membersy, Client shall furnish to Membersy, at least quarterly, deidentified dental care utilization data from participating Providers for both Members and non-Members for the purpose of analyzing Plan utilization. Client may provide Membersy with access to the practice management system (“PMS”) serving Client and Providers for the purpose of obtaining this data, in which case the Parties shall cooperate to facilitate such access and to minimize costs to both Parties and disruption to Client operations. All utilization data provided by Client to Membersy shall be anonymized and de-identified prior to Client providing such data to Membersy so that such data does not qualify as “protected health information,” “personal information” or like term under applicable laws, rules or regulations.
Utilization Data. Contractor agrees to provide, for each member, person-level records that describe the care received by that individual during his or her enrollment period with the Contractor, such as records shall be provided at intervals specified by EOHHS. In addition, Contractor agrees to provide aggregate utilization data for all members at such intervals as required by the State.
Utilization Data. Agency will maintain Medicaid Utilization Information applicable to the Covered Product(s) for use in calculating the State Supplemental Rebate. Agency will provide aggregate Medicaid Utilization Information applicable to Covered Product(s) to Manufacturer on a quarterly basis in connection with the invoicing required under paragraph 3.e.
Utilization Data. Apollo is expressly permitted to use Utilization Data to develop, improve, and support its products and services.
Utilization Data. Medical Group must submit to PacifiCare utilization data pertaining to all Covered Services provided or arranged by Medical Group and Participating Providers to Members as described in this Agreement and the Provider Manual. Such utilization data includes all Member-specific encounter data reasonably required by PacifiCare to conduct utilization review and to comply with all reporting requirements of Governmental Agencies.
