Claims Review Process. Contractor shall have a retrospective automated claims review process to examine patterns of subsequent fills for opioids and identify subsequent fills that exceed Contractor established limitations.
Appears in 3 contracts
Sources: Contract for Furnishing Health Services by a Managed Care Organization, Contract for Furnishing Health Services by a Managed Care Organization, Contract for Furnishing Health Services by a Managed Care Organization
Claims Review Process. Contractor shall have a retrospective automated claims review process to examine patterns of subsequent ofsubsequent fills for opioids and identify subsequent fills that exceed Contractor established limitations.
Appears in 1 contract
Sources: Contract