Ombudsman Log definition

Ombudsman Log shall contain, at a minimum, the Enrollee’s name, address and telephone number and any other contact information, the reason for the participating pharmacy location’s denial (an unreasonable delay in filling a prescription, a denial of a prescription and/or the termination of a prescription), the pharmacy’s name (and store number, if applicable), the date of the call, a detailed explanation of the final resolution, and the name of prescribed good or service.
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Examples of Ombudsman Log in a sentence

  • If the Health Plan has authorization requirements for prescribed drug services and is subject to the Hernandez Settlement Agreement (HSA), the Health Plan may allow the telephone help line staff to act as Hernandez Ombudsman, pursuant to the terms of the HSA, so long as the Health Plan maintains a Hernandez Ombudsman Log.

  • The Health Plan may maintain the Hernandez Ombudsman Log as part of the Health Plan’s telephone help line log, so long as the Health Plan can access the Hernandez Ombudsman Log information separately for reporting purposes.

  • Regarding the purchase cards that we touched on earlier, I understand you to say that there was a$5,000 limit on a monthly basis.

  • If the PSN has authorization requirements for prescribed drug services and is subject to the Hernandez Settlement Agreement (HSA), the PSN may allow the telephone help line staff to act as Hernandez Ombudsman, pursuant to the terms of the HSA, so long as the PSN maintains a Hernandez Ombudsman Log.

  • The Ombudsman should email the completed Ombudsman Log to Secretary within 48 hours of closing the file.

  • The Health Plan may maintain the Hernandez Ombudsman Log as part of the Health Plan‘s telephone help line log, so long as the Health Plan can access the Hernandez Ombudsman Log information separately for reporting purposes.

  • If a property is thought to be posing a threat public health or a nuisance then the following action will be taken; 1) The owner or occupier will be asked to remove the rubbish or clean the area that is creating the problem.

  • The PSN may maintain the Hernandez Ombudsman Log as part of the PSN’s telephone help line log, so long as the PSN can access the Hernandez Ombudsman Log information separately for reporting purposes.

  • However, the Ombudsman may not serve as a mediator.Once the Ombudsman service commences as to a particular matter, the 180 day filing deadline set forth in the Code of Ethics and Arbitration manual for the filing of ethics complaints or arbitration requests is suspended until the Ombudsman service has concluded.The Ombudsman on call will receive an email with the Ombudsman Log which will be completed by SAR staff.

  • Email completed Ombudsman Log to the Secretary within 48 hours of closing the file.

Related to Ombudsman Log

  • Ombudsman means the Company Ombudsman of AllianceBernstein, or any of his/her staff members.

  • Ombud ’ means each of the following:

  • Quality Assurance Program means the overall quality program and associated activities including the Department’s Quality Assurance, Design-Builder Quality Control, the Contract’s quality requirements for design and construction to assure compliance with Department Specifications and procedures.

  • Ombudsperson means the Ombudsperson of British Columbia;

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Approved abuse education training program means a training program using a curriculum approved by the abuse education review panel of the department of public health or a training program offered by a hospital, a professional organization for physicians, or the department of human services, the department of education, an area education agency, a school district, the Iowa law enforcement academy, an Iowa college or university, or a similar state agency.

  • Mobile crisis outreach team means a crisis intervention service for minors or families of minors experiencing behavioral health or psychiatric emergencies.

  • Enrollee means any person entitled to health care services from a carrier.

  • Database Management System (DBMS) A system of manual procedures and computer programs used to create, store and update the data required to provide Selective Routing and/or Automatic Location Identification for 911 systems. Day: A calendar day unless otherwise specified. Dedicated Transport: UNE transmission path between one of CenturyLink’s Wire Centers or switches and another of CenturyLink’s Wire Centers or switches within the same LATA and State that are dedicated to a particular customer or carrier. Default: A Party’s violation of any material term or condition of the Agreement, or refusal or failure in any material respect to properly perform its obligations under this Agreement, including the failure to make any undisputed payment when due. A Party shall also be deemed in Default upon such Party’s insolvency or the initiation of bankruptcy or receivership proceedings by or against the Party or the failure to obtain or maintain any certification(s) or authorization(s) from the Commission which are necessary or appropriate for a Party to exchange traffic or order any service, facility or arrangement under this Agreement, or notice from the Party that it has ceased doing business in this State or receipt of publicly available information that signifies the Party is no longer doing business in this State.

  • New jobs training program or “program” means the project or projects established by a community college for the creation of jobs by providing education and training of workers for new jobs for new or expanding industry in the merged area served by the community college. The proceeds of the certificates, as authorized by the Act, shall be used only to fund program services related to training programs made necessary by the creation of new jobs.

  • Privacy Commissioner means the person occupying the position of Privacy Commissioner from time to time pursuant to the Privacy Xxx 0000.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Valuation manual means the manual of valuation instructions adopted by the NAIC as specified in this section or as subsequently amended.

  • MCO means an organization having a certificate of authority or certificate of registration from the 11 Washington State Office of Insurance Commissioner that contracts with HCA under a comprehensive 12 risk contract to provide prepaid health care services to eligible HCA Enrollees under HCA managed 13 care programs.

  • Safety Management System has the meaning given to it in the ISM Code.

  • Training program means a standardized medication

  • StarCompliance Code of Ethics application means the web-based application used to electronically pre-clear personal securities transactions and file many of the reports required herein. The application can be accessed via the AB network at: https://alliance-ng.starcompliance.com/.

  • Consumer fireworks means fireworks devices that are designed to produce visible effects by combustion, that are required to comply with the construction, chemical composition, and labeling regulations promulgated by the United States consumer product safety commission under 16 CFR parts 1500 and 1507, and that are listed in APA standard 87-1, 3.1.2, 3.1.3, or 3.5. Consumer fireworks does not include low-impact fireworks.

  • Quality Assurance Plan or “QAP” shall have the meaning set forth in Clause 11.2;

  • Prescription monitoring program means the electronic system within the Department of Health Professions that monitors the dispensing of certain controlled substances.

  • FFATA means the Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as amended by §6202 of Public Law 110-252. FFATA, as amended, also is referred to as the “Transparency Act.”

  • Database Management System (“DBMS”) is a computer process used to store, sort, manipulate and update the data required to provide Selective Routing and ALI.

  • Public Works Director means the director of public works, or his or her designee.

  • Consumer advocate means the consumer advocate referred to in Iowa Code chapter 475A.

  • Objective medical evidence means reports of examinations or treatments; medical

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.