IRO's Decision. In addition to the documents and information provided by the Plan and you, or if applicable, your authorized representative, the IRO shall also consider the following information if available and ap propriate:
Appears in 2 contracts
Sources: Health Care Benefit Program, Health Care Benefit Program
IRO's Decision. In addition to the documents and information provided by the Plan and you, or if applicable, your authorized representative, the IRO shall also consider the following information if available and ap propriate:
1. A general description of the reason for the request for external review;
Appears in 1 contract
Sources: Health Care Benefit Agreement