Common use of IRO's Decision Clause in Contracts

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