Second Level Review definition

Second Level Review means a review performed by a Division
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Second Level Review means a review performed by a Division Medical Director who has clinical expertise in managing a Member’s condition or disease. Second Level Review is used to screen for medical necessity and compare the findings to clinical data in the Member’s medical record to ensure Division Members are receiving medically appropriate and high quality care.
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Second Level Review means a review of a First Level Review decision by an internal review committee. (See section 13.)
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Examples of Second Level Review in a sentence

  • An internal review committee will hold a Second Level Review hearing within 60 days after We get the request.

  • Second Level Review: During the second level of review, factors such as an applicant’s past performance, billing, license status, ADA compliance, agency demographics, need, resources available, and other criteria are considered and scored.

  • If You ask that We delay the Second Level Review hearing, We will not unreasonably deny Your request.

  • The Second Level Review Team may also advance for consideration “Recommended” projects that meet one or more of the Statutorily Required Project Selection Priorities.

  • Section E.2.d below explains that the Second Level Review Team and Senior Level Review Team will consider and apply the Statutorily Required Project Selection Priorities.

  • You may review Your appeal file as part of the Second Level Review.

  • The analysis team will send each reviewed application to a Second Level Review Team.The Second Level Review Team will be comprised of DOT and interagency staff.

  • If You ask Us to submit a First Level Review decision to External Review, there will not be a Second Level Review.

  • Dissenting Votes at the School level and Provost ReviewPromotion requests with dissenting votes are subject to Second Level Review.

  • You must ask for a Second Level Review in writing by mail, hand delivery, e-mail or fax at the addresses shown above.


More Definitions of Second Level Review

Second Level Review means an evaluation of an enrolled person or their medical record to assess the adequacy and clinical soundness of their assessment and treatment plan, to verify determination of serious mental illness, and/or to deny admission or continued stay to an Acute Inpatient Hospital, Inpatient Psychiatric Hospital, Inpatient Psychiatric Facility for Persons Under 21 Years of Age or Institution for Mental Disease for persons 65 years of age or older.
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Second Level Review means a review performed by a Division of Developmental Disabilities (Division) Medical Director who has the appropriate clinical expertise in managing a Member’s condition or disease. Second Level Review is used to screen for
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Related to Second Level Review

  • Peer review means evaluation of professional services rendered by a professional practitioner.

  • Ground Level means the level of the referred point of exposed surface of the ground as indicated in the drawing.

  • Sound level meter means an instrument which includes a microphone, amplifier, RMS detector, integrator or time averager, output meter, and weighting networks used to measure sound pressure levels.

  • Second Level Domain means that portion of a domain name to the left of the right-most period, up to the second period from the right, if any, plus the Top Level Domain. (In the example, “XXXXXXXXX.XXX”.) “Third Level Domain” means that portion of a domain name to the left of the second period from the right, if any, up to the third period from the right, if any, plus the Second Level Domain. (In the example, “XXXXXXXXX.XXXXXXXXX.XXX”.).

  • Clinical review criteria means the written screening procedures, decision abstracts, clinical protocols, and practice guidelines used by a health carrier to determine the necessity and appropriateness of health care services.

  • Sound level means the A-weighted Sound Pressure Level;

  • Barrier Level means the Barrier Level as specified in § 1 of the Product and Underlying Data.

  • Peer support specialist means an individual who has experienced a severe and persistent mental illness and who has successfully completed standardized training to provide peer support services through the medical assistance program or the Iowa Behavioral Health Care Plan.

  • Working level month (WLM) means an exposure to 1 working level for 170 hours (2,000 working hours per year divided by 12 months per year is approximately equal to 170 hours per month).

  • Utilization review plan or "plan" means a written procedure for performing review.

  • Periodic Review means a review conducted by Ofwat for the purpose of determining one or more Price Controls in accordance with Part III of Condition B, but so that references in Part IV of Condition B to a Periodic Review shall exclude any review carried out under paragraph 11 of that Condition and shall include the determination by the Competition and Markets Authority of the relevant questions or, as the case may be, the disputed determination referred to it under paragraph 16 of Condition B;

  • How We Will Calculate Your Balance We use a method called "average daily balance (including new purchases)." See Your Account Agreement for details.

  • Working level (WL) means any combination of short-lived radon daughters in 1 liter of air that will result in the ultimate emission of 1.3E+5 MeV of potential alpha particle energy. The short-lived radon daughters are—for radon-222: polonium-218, lead-214, bismuth-214, and polonium-214; and for radon-220: polonium-216, lead-212, bismuth-212, and polonium-212.

  • Elevated blood lead level means a level of lead in blood that is any of the following:

  • Severity Level means the actual impact of a Defect on a user’s operational environment as further described in the table below.

  • 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.