Claims review or audit Sample Clauses

Claims review or audit. 6.1.1 In addition to the powers of the Minister’s powers under the PDCAA, MHSAL may, at its option and at any time, conduct a review or audit the accounts and records of the PHARMACY OWNER relating to any Claim submitted by the PHARMACY OWNER to determine whether the PHARMACY OWNER has complied with the terms and conditions of this Agreement. 6.1.2 Any review or audit will be conducted by MHSAL’s auditors, inspectors or representatives in accordance with the following provisions and at the times and in conformance with the relevant provisions of the Manual: (a) MHSAL will provide the PHARMACY OWNER with advance notice of any review or audit and MHSAL’s auditors, inspectors or representatives will endeavor to conduct the review or audit within the time frames set out in the Manual; (b) the scope and coverage of any review or audit shall be determined by the Minister and may take the form of any one or more of the processes set out in the Manual;
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Related to Claims review or audit

  • Claims Review The IRO shall perform the Claims Review annually to cover each of the five Reporting Periods. The IRO shall perform all components of each Claims Review.

  • Claims Review Report The IRO shall prepare a Claims Review Report as described in this Appendix for each Claims Review performed. The following information shall be included in the Claims Review Report for each Discovery Sample and Full Sample (if applicable).

  • Claims Review Population A description of the Population subject to the Claims Review.

  • Claims Review Methodology ‌‌ a. C laims Review Population. A description of the Population subject‌‌ to the Quarterly Claims Review.

  • Grievance Committee The Hospital will recognize a Grievance Committee composed of the Chief ▇▇▇▇▇▇▇ and not more than (as set out in Local Provisions Appendix) employees selected by the Union who have completed their probationary period. A general representative of the Union may be present at any meeting of the Committee. The purpose of the Committee is to deal with complaints or grievances as set out in this Collective Agreement. The Union shall keep the Hospital notified in writing of the names of the members of the Grievance Committee appointed or selected under this Article as well as the effective date of their respective appointments. A Committee member shall suffer no loss of earnings for time spent during their regular scheduled working hours in attending grievance meetings with the Hospital up to, but not including arbitration. The number of employees on the Grievance Committee shall be determined locally.