independent review committee means the independent review committee of the investment fund established under National Instrument 81-107 Independent Review Committee for Investment Funds;
Peer review means evaluation of professional services rendered by a professional practitioner.
Independent review organization means an entity that is accredited to conduct independent external reviews of adverse benefit determinations.
Expedited review means an examination, in accordance with
Supervisory Review means ongoing clinical case reviews in accordance with procedures developed by ADMINISTRATOR, to determine the appropriateness of Diagnosis and treatment and to monitor compliance to the minimum ADMINISTRATOR and Medi-Cal charting standards. Supervisory review is conducted by the program/clinic director or designee.
Review means a financial or operational audit, investigation, inspection or other form of review requested or required by the LHIN under the terms of LHSIA or this Agreement, but does not include the annual audit of the HSP’s financial statements;
Records Review means any assessment the Province conducts pursuant to section A7.4 (Records Review).
Utilization review means the prospective (prior to), concurrent (during) or retrospective (after) review of any service to determine whether such service was properly authorized, constitutes a medically necessary service for purposes of benefit payment, and is a covered healthcare service under this plan. WE, US, and OUR means Blue Cross & Blue Shield of Rhode Island. WE, US, or OUR will have the same meaning whether italicized or not. YOU and YOUR means the subscriber or member enrolled for coverage under this agreement. YOU and YOUR will have the same meaning whether italicized or not.
Investigation Committee means the Investigation Committee appointed by the Board under Regulation 5 of these Regulations;
Evaluation Committee means a body appointed to perform the evaluation of Offerors’ proposals.
Expert Determination the process described in Paragraph 6 of Schedule 8.3 (Dispute Resolution Procedure);
Permit revision means any permit modification or administrative permit amendment.
Evaluation Committee Report means a report prepared by the Procurement Manager and the Evaluation Committee for contract award. It will contain written determinations resulting from the procurement.
Administrative Review means any decision making process of the director requested by a party aggrieved with an action taken under these rules except the hearing process described in OAR 436-001.
Evaluation Team means the team appointed by the City; “Information Meeting” has the meaning set out in section 2.2;