Common use of Standard of Review Clause in Contracts

Standard of Review. In reaching its decision, the IRO will review the claim and will not be bound by any decisions or conclusions reached under The Plan’s internal claims and appeals process. In addition to the documents and information timely received, and to the extent the information or documents are available, the IRO will consider the same documents and information set forth in the Standard of Review paragraph, Standard External Review Procedures section.

Appears in 11 contracts

Sources: Health Insurance Plan, Health Insurance Contract, Health Insurance Contract