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Common use of UTILIZATION REVIEW AND QUALITY ASSURANCE Clause in Contracts

UTILIZATION REVIEW AND QUALITY ASSURANCE. 1. The INSURER will establish a Quality of Care Program with the following guidelines:

Appears in 6 contracts

Sources: Health Insurance Contract (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp)

Related Clauses

  • Quality Assurance/Quality Control
  • COUNTY’S QUALITY ASSURANCE PLAN
  • Quality Assurance
  • Quality Assurance Program
  • SMHS Governance, Safety and Quality Requirements

Parent Clauses

  • Program Integrity Requirements
  • MISCELLANEOUS
  • Compliance
  • Manner of Performance
  • Responsibilities of Provider

Sub-Clauses

  • Sharing of Information with Beneficiaries
  • to DHCS
  • Health Information System
  • Information requirements
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