Common use of Validation Review Clause in Contracts

Validation Review. In the event OIG has reason to believe that: (a) any Quarterly Claims Review fails to conform to the requirements of this IA; or (b) the IRO’s findings or Quarterly Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Review complied with the requirements of the IA and/or the findings or Quarterly Claims Review results are inaccurate (Validation Review). ▇▇▇▇▇ shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long as it is initiated within one year after ▇▇▇▇▇’▇ final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ in writing of its intent to conduct a Validation Review and the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Review or to correct the inaccuracy of the Quarterly Claims Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims Rehab Medical Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Rehab Medical Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Rehab Medical Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Rehab Medical Review results are inaccurate (Validation Review). ▇▇▇▇▇ Kindred shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of a Rehab Medical Review submitted as it is part of Kindred’s final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇’▇ Kindred’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ Kindred in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ Kindred shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Rehab Medical Review or to correct the inaccuracy of the Quarterly Claims Review Rehab Medical Review; and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Review results are inaccurate (Validation Review). ▇▇▇▇▇ Toccoa shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long as it is agents. Any Validation Review of a Claims Review submitted as‌‌ part of Toccoa’s final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇’▇ Toccoa’s final submission (as described in Section II) is received by OIG. OIG.‌ Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ Toccoa in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ Toccoa shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Review or to correct the inaccuracy of the Quarterly Claims Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims Arrangements Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Arrangements Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Arrangements Review results are inaccurate (Validation Review). ▇▇▇▇▇ shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of an Arrangements Review submitted as it is part of ▇▇▇▇▇’▇ final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇’▇ final submission (as described in Section II) is received by OIG. OIG.‌ Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Arrangements Review or to correct the inaccuracy of the Quarterly Claims Arrangements Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: (a) any Quarterly Claims Review fails to conform to the requirements of this IA; or (b) the IRO’s findings or Quarterly Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Review complied with the requirements of the IA and/or the findings or Quarterly Claims Review results are inaccurate (Validation Review). ▇▇▇▇▇ shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long as it is initiated within one year after ▇▇▇▇▇’▇ ’ final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ in writing of its intent to conduct a Validation Review and the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Review or to correct the inaccuracy of the Quarterly Claims Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Review results are inaccurate (Validation Review). ▇▇▇▇▇ UMHS shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of a Claims Review submitted as it is part of UMHS’s final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇’▇ UMHS’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ UMHS in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ UMHS shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Review or to correct the inaccuracy of the Quarterly Claims Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims Arrangements Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Arrangements Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Arrangements Review results are inaccurate (Validation Review). ▇▇▇▇▇ Memorial Health shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of an Arrangements Review submitted as it is part of Memorial Health’s final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇’▇ Memorial Health’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ Memorial Health in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ Memorial Health shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Arrangements Review or to correct the inaccuracy of the Quarterly Claims Arrangements Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims Arrangements Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Arrangements Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Arrangements Review results are inaccurate (Validation Review). ▇▇▇▇▇ Balboa shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of an Arrangements Review submitted as it is part of ▇▇▇▇▇▇’s final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇’▇ ▇’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇▇ in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇▇ shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Arrangements Review or to correct the inaccuracy of the Quarterly Claims Arrangements Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims Arrangements Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Arrangements Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Arrangements Review results are inaccurate (Validation Review). ▇▇▇▇▇ Hebrew Homes shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of an Arrangements Review submitted as it is part of Hebrew Homes’ final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇’▇ Hebrew Homes’ final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ Hebrew Homes in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ Hebrew Homes shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Arrangements Review or to correct the inaccuracy of the Quarterly Claims Arrangements Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: (a) any Quarterly Claims Review fails to conform to the requirements of this IA; or (b) the IRO’s findings or Quarterly Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Review complied with the requirements of the IA and/or the findings or Quarterly Claims Review results are inaccurate (Validation Review). ▇▇▇▇▇▇▇ shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long as it is initiated within one year after ▇▇▇▇▇’▇ Krentel’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇▇▇ in writing of its intent to conduct a Validation Review and the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇▇▇ shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Review or to correct the inaccuracy of the Quarterly Claims Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇▇▇ prior to conducting a Validation Review. However, the final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims Arrangements Review fails to conform to the requirements of this IACIA; or (b) the Legal IRO’s findings or Quarterly Claims Arrangements Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Arrangements Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Arrangements Review results are inaccurate (Validation Review). ▇▇▇▇▇ Tuomey shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of an Arrangements Review submitted as it is part of ▇▇▇▇▇▇’▇ final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇▇’▇ final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ Tuomey in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ Tuomey shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Arrangements Review or to correct the inaccuracy of the Quarterly Claims Arrangements Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims IRO Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims applicable IRO Review complied with the requirements of the IA CIA Corporate Integrity Agreement Forest Laboratories, Inc. and/or the findings or Quarterly Claims Review results are inaccurate (Validation Review). ▇▇▇▇▇ Forest shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of Reports submitted as it is part of Forest’s final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇’▇ ▇’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify Forest of its intent to do so and provide a written explanation of why OIG believes such a review is necessary. To resolve any concerns raised by OIG, ▇▇▇▇▇▇ in writing may request a meeting with OIG to: (a) discuss the results of its intent to conduct a Validation any Review and the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes submissions or findings; (b) present any additional or relevant information to clarify the results of the Quarterly Claims applicable Review or to correct the inaccuracy of the Quarterly Claims Review Review; and/or to (c) propose alternatives to the proposed Validation Review. ▇▇▇▇▇▇ agrees to provide any additional information as may be requested by OIG under this Section III.D.3 in an expedited manner. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ Forest prior to conducting a Validation Review. However, the final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: : (a) any Quarterly Claims Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Review results are inaccurate (Validation Review). ▇▇▇▇▇ 21st Century shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of a Claims Review submitted as it is part of 21st Century’s final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇’▇ 21st Century’s final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ 21st Century in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ 21st Century shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Review or to correct the inaccuracy of the Quarterly Claims Review and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.

Validation Review. In the event OIG has reason to believe that: (a) any Quarterly Claims Rehab Medical Review fails to conform to the requirements of this IACIA; or (b) the IRO’s findings or Quarterly Claims Rehab Medical Review results are inaccurate, OIG may, at its sole discretion, conduct its own review to determine whether the Quarterly Claims Rehab Medical Review complied with the requirements of the IA CIA and/or the findings or Quarterly Claims Rehab Medical Review results are inaccurate (Validation Review). ▇▇▇▇▇ Kindred shall pay for the reasonable cost of any such review performed by OIG or any of its designated agents so long agents. Any Validation Review of a Rehab Medical Review submitted as it is part of Kindred’s final Annual Report shall be initiated within no later than one year after ▇▇▇▇▇▇▇’▇ final submission (as described in Section II) is received by OIG. Prior to initiating a Validation Review, OIG shall notify ▇▇▇▇▇ Kindred in writing of its intent to conduct a Validation Review do so and provide an explanation of the reasons OIG has determined a Validation Review is necessary. ▇▇▇▇▇ Kindred shall have up to 30 days following the date of the OIG’s written notice to submit a written response to OIG that includes any additional or relevant information to clarify the results of the Quarterly Claims Rehab Medical Review or to correct the inaccuracy of the Quarterly Claims Review Rehab Medical Review; and/or to propose alternatives to the proposed Validation Review. OIG will attempt in good faith to resolve any Quarterly Claims Review issues with ▇▇▇▇▇ prior to conducting a Validation Review. However, the The final determination as to whether or not to proceed with a Validation Review shall be made at the sole discretion of OIG.