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TABLE OF CONTENTS QUICK REFERENCE GUIDE ......................................................................................................................................................... 4 MEMBER INFORMATION ............................................................................................................................................................ 6 Member Eligibility .......................................................................................................................
PRIOR AUTHORIZATION ............................................................................................................................................................. 35 General Rules ......................................................................................................................................................................... 35 Authorization Rules by Place of Service ........................................................................................................
Dear Valued Provider and Staff: I would like to extend a warm welcome and thank you for participating with Bravo Health’s network of Participating Providers. We value our relationship with all of our Providers and are committed to working with you to meet the needs of your Bravo Health patients. For more than ten years we have been focusing on serving the healthcare needs of people with Medicare.
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MEMBER ELIGIBILITY Anyone who meets the following criteria is eligible to enroll in one of Bravo Health’s HMO Benefit Plans. • • • Must be enrolled in Medicare, both Part A and Part B. Must reside in one of the following Counties: • Bexar • El Paso • Harris Must not have End Stage Renal Disease (ESRD) at time of enrollment.
You can verify HMO (Bravo Classic, Bravo Healthy Heart, Bravo Gold or Bravo Select) Member eligibility in three ways: o Online through Emdeon or other office management software o By calling Provider services at 1-888-353-3789 o Through our Interactive Voice Response (IVR) System at 1-866-467-3126 The IVR System is available 24 hours a day, 7 days a week.
MEMBER HOLD HARMLESS Participating Providers are prohibited from balance billing Bravo Health Members including, but not limited to, situations involving non-payment by Bravo Health, insolvency of Bravo Health, or Bravo Health’s breach of its Agreement.
Bravo Health’s Members have additional rights over their health information. They have the right to: • • • Send Bravo Health a written request to see or get a copy of information that we have about them, or amend their personal information that they believe is incomplete or inaccurate. If we did not create the information, we will refer Bravo Health’s Member to the source, such as you.
Member’s information, including prescription drug event data, to Medicare, which may release it for research and other purposes that follow all applicable Federal statutes and regulations. The right to see Participating Providers, get covered services, and get prescriptions filled within a reasonable period of time Members will get most or all of their health care from Participating Providers, that is, from doctors and other health Providers who are part of Bravo Health.
If Members decide that they want to have an advance directive, there are several ways to get this type of legal form. Members can get a form from their lawyer, from a social worker, from Bravo Health, or from some office supply stores. Members can sometimes get advance directive forms from organizations that give people information about Medicare. Regardless of where they get this form, keep in mind that it is a legal document. Members should consider having a lawyer help them prepare it.
How to get more information about Members rights Members have the right to receive information about their rights and responsibilities and if Members have questions or concerns about their rights and protections, they should be directed to call Member Services. Members can also get free help and information from their State Health Assistance Insurance Program (SHIP). In addition, the Medicare program has written a booklet called Members Medicare Rights and Protections.
h. To notify Bravo Health Member Services and their Providers of any address and phone number changes as soon as possible. i. To use their Bravo Health plan only to access services, medications and other benefits for themselves. ADVANCE MEDICAL DIRECTIVES All Providers, contracted directly or indirectly with Bravo Health, may be informed by the Member that Member has executed, changed or revoked an advance directive.
• • • • Comply with Bravo Health’s Quality Management and Utilization Management programs; Use appropriate designated ancillary services; Comply with emergency care procedures; Comply with Bravo Health access and availability standards as outlined in this manual including after-hours care; Bill Bravo Health on the CMS 1500 claim form or electronically in accordance with Bravo Health billing procedures; When billing ensure that coding is specific enough to capture to acuity and complexity of a Member’s cond
• • • Providers may make available and/or distribute Bravo Health marketing materials and display posters in accordance with and subject to Medicare Marketing Guidelines; Providers may not make available, accept or distribute plan enrollment applications or offer inducements to enroll in a specific plan; and Providers may not offer anything of value to induce a prospective Member to select them as their Provider.
2) Current and complete professional liability information on the application and provide a copy of your current malpractice insurance face sheet. 3) Current and complete hospital affiliation information on the application and a copy of your current appointment or reappointment letter. 4) If no hospital privileges and your specialty warrants hospital privileges, a letter from you detailing your coverage arrangements and a letter from the physician who will admit for you.
4. Physicians credentialed for participation with Bravo Health that are not board certified must have completed an approved residency training program with the following exception noted below. If not board certified, the credentialing staff will verify the physician’s residency. Residencies will be verified through the AMA or AOA physician master profile for the specialty being requested or by writing the residency program itself.
9. Practitioners must hold and maintain a current federal narcotics license. It must include all DEA schedules that the physician prescribes. It is recommended that this license include all of the following DEA Schedules: 2, 2N, 3, 3N, 4, and 5. Pathologists and diagnostic radiologists may be exempted from this criterion. 10. Physicians must have and maintain malpractice insurance of at least $1,000,000 per incident and $3,000,000 aggregate, or minimum amounts according to community standards 11.
ADDITIONAL REQUIREMENTS If the applicant is accepted for participation in Bravo Health the following additional requirements will apply: 1. The physician or allied health professional must continually maintain and comply with all Bravo Health policies and procedures. 2.
6. The completed Office Site Evaluation Form will be placed in the practitioner’s Credentialing file prior to review by the PACC. Member Complaint or Quality of Care Concern 1.
PROVIDERS DESIGNATED AS PRIMARY CARE PHYSICIANS (PCPs) Bravo Health recognizes the following physician types as PCPs: • Family Practice • General Practice • Geriatric Medicine • Internal Medicine Bravo Health also recognizes Infectious Disease physicians as a PCP for Members who may require a specialized physician to manage their specific healthcare needs. CHANGES IN ADMINISTRATIVE, MEDICAL AND/OR REIMBURSEMENT POLICIES From time to time, Bravo Health may amend, alter or clarify its policies.
CLOSING PATIENT PANELS When a Participating Primary Care Physician elects to stop accepting new patients, the Provider’s patient panel is considered closed. If a Participating Primary Care Physician closes his or her patient panel, the decision to stop accepting new patients must apply to all patients regardless of insurance coverage.
Routine Availability Standards PCPs 1 Provider for every 500 Members 1 Provider within 20 miles to Member 1 Provider within 30 minutes to Member Within 4 weeks of the referral OB/GYNs Behavioral Health Providers 1 Provider for every 2500 Members 1 Provider within 20 miles to Member 1 Provider within 30 minutes to Member 1 Provider within 20 miles/minutes to Member 1 Provider within 30 miles/minutes to Member CLAIMS SUBMISSION While Bravo Health prefers electronic submission of claims, both electronic a
• • • • • • Place of service code NPI number Type of service Days and units Anesthesia time in minutes Include the following information for all injectible drugs: 1. Average Wholesale Price (AWP) reimbursed Providers - the National Drug Code (NDC) Number and the NDC unit(s) associated with each drug. 2. Average Sale Price (ASP) reimbursed Providers – the applicable HCPCS code and HCPCS unit(s).
PARTICIPATING PROVIDER CLAIM RECONSIDERATION PROCESS As a Participating Provider, you have the right to initiate a Claim Reconsideration Request and seek to have Bravo Health review its claim adjudication decisions. You have sixty (60) days from the date you received Bravo Health’s claim denial or claim adjustment notice to request a review of our administrative decisions. Your Claim Reconsideration Request must be in writing and include the following information: 1.
SERVICE NOT AUTHORIZED SKILLED NURSING EXHAUSTED 3 7 SUBMITTED W/O NDC NUMBERS SUBMITTED W/O DETAIL 25 32 33 BILL WITH CPT ANESTHESIA CODES PREDATES AUTHORIZATION DATES 103 26 MISSING DIAGNOSIS 72 102 SKILLED AT DIFFERENT LEVEL 63 91 DISCONTINUED PROCEDURE CODE 61 MISSING NUMBER OF UNITS MISSING ANESTHESIA TIME UNITS 60 INCORRECT PLACE OF SERVICE ANESTHESIA TIME UNITS 39 82 MISSING DATE OF SERVICE 38 76 INCLUDED IN BASE RATE SUBMITTED W/O HCPCS CODE 37 SUBMITTED W/O CPT COD
NOT COVERED SEX CHANGE NOT COVERED STERILIZ. REVERSAL NOT COVERED NON RX CONTRACEPT 158 159 155 157 NOT COVERED PRIVATE ROOM NOT COVERED CHARGE BY RELATIVE 154 NOT COVERED FOOT SUPPORT NOT COVERED PRIVATE DUTY NURSE 153 27 The payment for this service is included in the per diem rate. This claim has been previously processed. Please review your records and contact our Provider Service Team for assistance. Please resubmit this claim with the units field completed.
NOT COVERED HEALTH EDUCATION 166 186 SUBMIT WITH CORRECT POS CUSTOMER SERVICE CLAIMS ISSUE RETRO REVIEW IN PROCESS 231 233 234 28 OVERTURNED APPEAL CUSTOMER SERVICE AUTH ISSUE SUBMIT CLAIM WITH INVOICE 223 230 INCLUDED IN STOPLOSS RATE 222 224 INVALID NDC NUMBER PD AT STOPLOSS RATE 221 SUBMIT CLAIM TO MENTAL HEALTH VENDOR 216 217 INCLUDED IN CASE RATE INCLUDED IN ASC RATE 206 PAID AT CASE RATE 204 205 PREVIOUSLY APPLIED TO COPAYMENT INCLUDED IN DRG RATE 200 TO 193 APPLIED
NON QUEST LAB PROVIDER ITEMIZED BILL NOT= TO CHARGES UNLISTED PROCEDURE 281 288 302 INCLUDED IN INPATIENT PER DIEM TRANSPORTATION REACHED 311 312 402 UNIT COST < $1,000 INCORRECT DISCHARGE DATE DRG GROUPER DISCREPANCY 574 612 615 452 BILL WITH SPECIFIC DATES ROUTINE PODIATRY MAX REACHED 451 INCORRECT NUMBER OF UNITS HEARING AID MAXIMUM REACHED 450 560 GLASSES ONE PAIR EVERY 2 YEARS 405 505 MEDICAL NUTRITION THERAPY SMOKING CESSATION PROGRAM 404 29 This stay was authorized as
CLAIMSGUARD ADJUSTMENT CG 30 SYSTEM-CAPITATED SERVICE CAPITATED SERVICE C ADJUSTMENT 999 #C NOT INCLUDED IN DENTAL BENEFIT INCLUDED IN APC PRICE 900 CONTACT HEALTH SERVICES 855 877 INPATIENT COPAYMENTS APPLY INPATIENT DAYS EXHAUSTED 814 NON PAR PROVIDER TIMELY FILING 812 813 INCLUDED IN CMG SUBMIT TO DENTAL HEALTH VENDOR PAID AT CMG 707 810 SUBMIT WITH CMG 706 Please resubmit this claim with operative notes. Please submit this claim to Davis Vision.
NATIONAL PROVIDER IDENTIFIER (NPI) Why the National Provider Identifier? Providers utilize, in many situations, a different provider identification number for every health plan they are submitting claims to. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated that the Secretary of Health and Human Services adopt a standard unique identifier for health care providers called the National Provider Identifier.
NOTE: If a Provider wishes to obtain a copy of the NPI application form they must call to obtain an application form. No e-mail or mail requests for applications will be accepted. Reminder to Providers: A Provider may apply for an NPI using only one of the ways described above. Make sure that the Provider has a correct Social Security Number (SSN) and Federal employee identification number when applying.
THE IMPORTANCE OF HIERARCHICAL CONDITION CATEGORIES (HCC) Effective January 1, 2004, CMS implemented a risk adjustment model in which reimbursement to Medicare Advantage organizations such as Bravo Health is based on hospital inpatient, hospital outpatient, and office-based Provider encounter data. This model predicts health cost expenditures by calculating the disease burden of the population.
Sample Explanation of Benefits Statement Bravo Health Texas, Inc. 7551 Callaghan Road, Suite 310 San Antonio, TX 78229 Forwarding Service Requested P8790028002 TEST 1 0. 3840 SP 0.370 liiiiiiiiiiiiiiiiiiiiillillillillillillilliillillillillillillI Get Well Medical Care, P.A. PO BOX 3012 San Antonio, TX 78229-1234 Date: Vendor Voucher Number: Check ID: Check Number: 06/29/2006 9370 64687 P6041 058522 Explanation of Payment Option: BSEL Claim Number: 205062201700120 Provider Acct. No.
PRIOR AUTHORIZATION - GENERAL RULES The following table outlines the general Bravo Health prior authorization and care direction procedures: Ambulance (Place of Service 41) No Authorization Required for "911" ambulance service Only Medicare covered ambulance services.
Radiology Authorization Bravo: Contact NIA at 1-800-642-2804 for all procedures requiring authorization Senior Partners: Contact 215-606-6336 Contact: 1-888-454-0013 Requests may be faxed to: 1-866-464-0707 Pennsylvania Mid-Atlantic & Texas All Regions Transportation Benefits vary according to plan. See Quick Reference Guide and Benefit Grid for details.
MEDICATIONS AND INJECTIBLES Infusion Therapy (except exclusion list) *see pages 43-44 Injectibles (except Flu, Pneumococcal, Tetanus and Hepatitis B) *see attachment pages 43-44 IMMUNIZATIONS (except Influenza, Tetanus, Hepatitis B and Pneumovax) Immunizations for Travel OUT-PATIENT SERVICES Enhanced External Counter Pulsation (ECP) G0166 (limited to 35 visits per 12 month period) Hyperbaric Oxygen Therapy Interventional Radiology Thoracic Stress Echo RADIOLOGY CT Scans MRA MRI ALL Nuclear Medicine in
INPATIENT SERVICES Acute Hospital Admissions (All) Acute Rehab Admissions (All) Behavioral Health Hospital Admissions (CompCare or Corphealth) *See Behavioral Health Elective Admissions (All) Long Term Acute Care Hospital Admissions (LTACH) (All) Skilled Nursing Admissions (All) Sub acute Admission (All) RADIATION THERAPY Intensity-Modulated Radiation Therapy (IMRT) - Prior authorization is required only for elective admission.
Endoscopy Procedures Gastroenterology (91000-91299) Hyperbaric Oxygen Therapy Interventional Radiology Intracardiac Electrophysiological Procedures (9360093668) Neurological Testing (95812-96120) Out-Patient Therapy *see therapy for auth rule Pain Management Epidural 64400-64530 (ASC approval after 3rd inject) *Performed by Anesthesiologist Pulmonary Testing (94010-94799) Regulated Space (Maryland only) Sleep Studies Surgery Thoracic Stress Echo Vestibular Function Test (92531-92548) Wound Management PROFES
Ambulatory Surgery Center (Place of Service 24) OUTPATIENT SERVICES RADIATION THERAPY Interventional Radiology Pain Management Epidural 64400-64530 (ASC approval after 3rd inject) *Performed by Anesthesiologist Intensity-Modulated Radiation Therapy (IMRT) - Prior authorization is required only for elective admission. A course of therapy occurring as part of an inpatient confinement that has met medical necessity criteria and been authorized does not require separate authorization.
PREVENTIVE CARE The following Preventive Health Care Services DO NOT require authorization: Preventive Care Abdominal Aortic Aneurysm Ultrasound: A one-time screening ultrasound for people at risk (like people who have smoked).
Health & Wellness Texas ForEver Fit Health Education Mailings Smoking Cessation. Includes counseling for two cessation attempts within a 12-month period for Members diagnosed with smoking-related illness or are taking medicines that may be affected by stop smoking tobacco. Counseling for each cessation attempt includes up to four face-to-face visits.
PRIOR AUTHORIZATION – MEDICINES AND INJECTIBLES The following list of drugs requires authorization under the Medicare Part B Benefit: HCPCS Code Short Description HCPCS Code J0129 Abatacept, inj J0735 J0130 Abciximab injection J0770 J7608 Acetylcysteine inh sol u J0132 Short Description HCPCS Code Short Description HCPCS Code Short Description Clonidine hydrochloride Colistimethate sodium inj Q2009 Fosphenytoin, 50 mg J9230 J1458 Galsulfase, inj J7669 J0800 Corticotropin injection
J7198 Anti-inhibitor J0470 Dimecaprol injection J3473 Hyaluronidase, recombinant, inj Ibandronate sodium, inj Q4095 Reclast injection J7197 Antithrombin iii injection J1212 Dimethyl sulfoxide 50% 50 ML J1740 J2993 Reteplase injection J7511 Antithymocyte globuln rabbit J9170 Docetaxel J1742 Ibutilide fumarate injection Q4089 Rhophylac injection J0364 Apomorphine hcl, inj J7639 J0365 Aprotonin, 10,000 kiu J9001 J9017 Arsenic trioxide J0600 J9020 Asparaginase injection J0886
Prior Authorization Request Please fax to: 1-866-464-0707 Or call 1-888-454-0013, extension 336336 TX Type of Request Bexar Elective Harris Expedited Member Name El Paso Date/Time Rec’d ID# PCP/Requesting Provider DOB: Office Contact Person Phone#: Fax# e-mail: Referring To: Specialty/Facility: Service Requested Type of Service ASC Out-Patient Hospital In -Patient Office Procedure DME Home Health PT/OT/ST Medications Medical Surgical Service Description Procedure Description Date
QUALITY IMPROVEMENT PROGRAM Bravo Health is committed to providing access to quality healthcare for all Members in all product lines through the continuous study, implementation and improvement of care to our Members. Quality Improvement (QI) assumes that there is no permanent threshold for good performance. Our Members expect and should be provided a comprehensive and therapeutic health care delivery system that is always evolving and improving.
QUALITY IMPROVEMENT PROGRAM A.
ON-SITE ASSESSMENTS On-site facility assessments are performed to assess the quality of care and services provided by prospective or Participating Providers. Structural elements of quality care and services are evaluated. On-site evaluations must be performed for all PCPs, OB/GYNs, and high volume Behavioral Health Providers prior to initial credentialing and re-credentialing. Components assessed during an on-site evaluation include, but are not limited to, the following: Office Standards 1.
Criteria (indicators) to be evaluated must include, but are not limited to, the following: 1. Demographic/personal data are noted in the record, complete patient name, date of birth, home address and phone number, sex, marital status, insurance, and Member identification number 2. An emergency contact person’s name, address, and phone number, or that there is no contact person is noted in the medical record 3. Each page of the medical record contains patient’s name or Bravo Health identification number 4.
HEALTH SERVICES Bravo Health utilization management staff base their utilization-related decisions on the clinical needs of its Members, the Member’s Benefit Plan, the appropriateness of care, Medicare National Coverage Guidelines, objective, scientifically-based clinical criteria and treatment guidelines, in the context of Provider and/or Member supplied clinical information and other such relevant information.
Bravo Health and delegated utilization review entities will involve actively practicing Providers in its development of criteria and in the development and review of procedures in applying the criteria. Clinical criteria will be reviewed regularly and shall be modified as required to reflect current medical standards. PROSPECTIVE REVIEW PROCESS Bravo Health requires prospective review of non-urgent/non-emergent procedures that require the use of a facility other than the office.
a. b. c. d. e. f. g. h. Member name and identification number Location of service, e.g., hospital or ambulatory surgery setting Primary Care Physician name Attending physician Date of service Diagnosis Surgery, if applicable, with CPT code Clinical information supporting the need for the service to be rendered 2.
CONCURRENT REVIEW 1. Concurrent Review is the process of continual reassessment of the medical necessity and appropriateness of acute inpatient care during a hospital admission in order to ensure Covered Services are being provided at the appropriate level of care. These reviews are conducted telephonically. Bravo Health is responsible for final authorization. 2. The Concurrent Review process is performed telephonically by a licensed nurse.
b. The Provider may make their requests via facsimile, phone or letter for pre-authorization before scheduling the service. c. The Medical Director reviews any request that does not meet Bravo Health’s criteria. d. All Member requests for second opinions and recommendations for second opinions will be provided within the network whenever the opportunity exists. Bravo Health does not require second opinions for procedures. e.
Case Management Case Management is the focused arrangement of the sequence of services and resources necessary to respond to the patient’s overall care requirements in catastrophic or complicated cases. Case Management uses a team approach, which includes the Primary Care Physician, Specialist, Home Health Agencies, Social Workers, family and others as appropriate.
Decision Time Frames Utilization review determinations are made in a timely manner and in compliance with applicable law.
C. All denials for retrospective review are sent to Providers within five working days of making the decision CONTINUITY OF CARE Bravo Health’s policy is to provide for continuity of and coordination of care among medical practitioners treating the same patient, coordination between medical and behavioral care and to minimize potential continuity problems caused when a practitioner leaves a network and has patients in active treatment.
CLINICAL PRACTICE GUIDELINES OUTPATIENT MANAGEMENT OF CONGESTIVE HEART FAILURE IN ADULTS GOALS FOR DIAGNOSTIC EVALUATION INITIAL EVALUATION OF HEART FAILURE DIAGNOSTIC TESTING ADDITIONAL DIAGNOSTIC TESTING SPECIALTY REFERRALS Establish Ejection Fraction and document the Left without resulting Ventricular Dysfunction Determine underlying cause of heart failure Identify precipitating or aggravating correctable factors Develop Management and Treatment Plan Provide baseline information to monitor
CHF PHARMACOLOGICAL TREATMENT OPTIONS - RECOMMENDATIONS ACE Inhibitors (Angiotension Coverting Enzyme) Need to change font to match others Alternative Treatment to ACE Inhibitors Beta - Blockers Diuretics Digoxin Anti-Coagulants (Warfarin) Aldosterone Antagonist Spironolactone Antiarrhythmics Other ACE Inhibitors should be prescribed for patients with left-ventricular systolic dysfunction with EV < 40 unless contraindicated or not tolerated.
Structural heart disease appropriate patients* - Beta-blockers in appropriate patients* - ACE inhibitors in stage A - All measures under Therapy LVH & low EF - Asymptomatic - Valvular disease - Previous MI - LV remodeling incl. E.g.
OUTPATIENT MANAGEMENT OF DIABETES Aspect of Care Glycemic Control Monitor Frequency HbA1c Quarterly or SemiAnnual Fix font so they all match Lipids LDL Annual Retinopathy Dilated-eye examination by an Eye-Care Specialist Annual Nephropathy Microalbumin Annual Target Outcome <7% <100 mg/dl Serum Creatinine Hypertension Blood Pressure Each visit Foot Care Foot exam Annual . Recommendations Target hemoglobin A1c (A1C) should be individualized.
OUTPATIENT MANAGEMENT OF CORONARY AND OTHER VASCULAR DISEASE Antiplatelet Agents/ Anticoagulants Renin-AngiotensinAldosterone System Blockers B-blockers Goal: All patients post MI Blood Pressure Goal: <140/90 mm Hg or <130/80 mm Hg if Diabetes or Renal Insufficiency Cigarette Smoking Goal: Complete Cessation 62 Start aspirin 75 to 162 mg/d and continue indefinitely in all patients unless contraindicated. Gastrointestinal side effects are dose-dependent.
Cholesterol Primary Goal: LDL-C<100 mg/dL If triglycerides are >200 mg/dL, non – HDL-C should be <130 mg/dL Diabetes Goal: HbA1c <7% Intensive cholesterol-lowering therapy can significantly reduce the risk of major coronary events, strokes and total mortality. LDL-C should be <100mg/dL Further reduction of LDL-C to <70 mg/dL is reasonable. If baseline LDL-C is >100/dL, initiate LDLlowering drug therapy.
OUTPATIENT MANAGEMENT OF COPD ASPECT OF CARE Screening Diagnosis Symptoms: Chronic cough throughout the day Any pattern of sputum production Dyspnea that is progressive, persistent, worse on exercise, worse during respiratory infections Repeated episodes of acute bronchitis History of exposure to tobacco smoke , occupational dusts and chemicals Smoke from home cooking and heating fuel Classification by Severity: Stage 0: At Risk Stage 1 Mild COPD Stage 2 Moderate COPD Stage 3 Severe COPD MONITOR It is i
PHARMACEUTICAL MANAGEMENT Bravo Health provides a pharmacy benefit to all of our Members. This benefit consists of a three-tier formulary with a fourth tier for specialty injectible medications. All prescriptions require the Member to pay a co-payment based on the medication’s formulary status. Our formulary can be found on line at www.bravohealth.com. Click on Providers, then Provider Forms and Information.
PART D PHARMACY PRIOR AUTHORIZATION The following drugs DO NOT require prior authorization under the Part D benefit: Accuneb Actimmune Actiq Actonel 30mg Acyclovir inj Adderall/Adderrall XR Alupent Nebulizer Amevive Amphotericin B Inj Anabolic Steroids Anadrol Androgel Anzemet Apokyn Arava Atrovent Amp Avastin Avelox Inj Avonex Balcofen Inj BCG Vaccine Cellcept Cerezyme Inj Ciprofloxacin Inj Cis Platin Inj Cladribine Inj Fosamax 40mg Foscarnet Inj Gabitril Gammar Gammimune N Cognex Concerta Copaxone Cope
ALTERNATIVE DISPUTE RESOLUTION 1. Binding Arbitration. Except as otherwise provided in the Agreement, the Parties agree that any controversy or claim including, but not limited to, any alleged class actions, arising out of or relating to the Agreement or the breach thereof, whether involving a claim in tort, contract or otherwise, that cannot be resolved by informal means, shall be settled by final and binding arbitration as its exclusive remedy.
5. Scheduling and Timing of Arbitration. The arbitrators must begin the formal arbitration hearing within one hundred-twenty (120) days of the date the last arbitrator is appointed. The arbitration hearing must be completed within sixty (60) days following the close of discovery.
7. Evidence. Any arbitration pursuant to this Section shall be conducted by the Arbitrators under the guidance of the Federal Rules of Evidence. The Arbitrators, however, shall not be required to conform strictly to such Rules in conducting any such arbitration. The Arbitrators shall conduct such evidentiary or other hearings as they deem necessary or appropriate and thereafter shall make their determination within ten (10) days of any evidentiary hearing or motion.
9. Confidentiality of Arbitration. Except in connection with the enforcement of such award or as otherwise may be required by law, all aspects of such arbitration proceeding will be held in strict confidence by the Parties and arbitrators and shall not be disclosed to any third party without the prior written consent of the disclosing Party. The parties agree that a breach of the terms of this confidentiality requirement will cause immediate and irreparable harm to the disclosing party.
Bravo Health Adult Prevention and Screening Guidelines - 2008 PPD Osteoporosis Every 1-2 for women age 40 and older Yearly for women age 50 and older Routine screening beginning at age 65.
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Bravo Health 7551 Callaghan Road, Suite 310 San Antonio, TX 78229 Provider Services: 1-800-291-0396 Sales Inquiries: 1-866-790-9079 TTY: 1-800-964-2591 (for the hearing impaired) www.bravohealth.
