what is adverse determination
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- Sec. 843.002. DEFINITIONS. In this chapter: (1) Adverse determination means a determination by a health maintenance organization or a utilization review agent that health care services provided or proposed to be provided to an enrollee are not medically necessary or are not appropriate.
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Overview Two determinations must be made when a physician responds to a patient's concerns about a specific exposure: (1) whether any quantity of the toxicant has known adverse effects on reproduction in humans and (2) whether the substance is present in sufficient quantity to affect the patient or population exposed.
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What is Technical Documentation? What is Technical Documentation? Technical communication is the process of conveying information about technology to an intended audience. A technical document is a writing that contains information. Traditionally, the medium of a document was paper and the information was applied to it as ink either by hand (to make a hand-written document) or by a mechanical process (such as a printing press or a laser printer).
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- Adverse possession is a doctrine under which a person in possession of land owned by someone else may acquire valid title to it, so long as certain common law requirements are met, and the adverse possessor is in possession for a sufficient period of time, as defined by a statute of limitations.
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- Adverse Possession refers to the legal process of obtaining property ownership through recognition of long-standing occupation and use. Often, adverse possession is used to “clear” a land title against a competing claim of ownership. The laws governing adverse possession are found at Sections 78B-2-208 to -219 of the Utah Code. “Adverse” usually means contrary to another person’s claim or interest in the property. If one person can claim title to land, but does not use or occupy it, another person may establish an ownership claim by actually using or occupying it, and paying taxes.
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Adverse Material Fact Law and Legal Definition Adverse Material Fact Law and Legal Definition. An adverse material fact is defined as a fact related to the property not reasonably ascertainable or known to a party which negatively affects the value of the property.. Lafarge N. Am., Inc. v. Discovery Group L.L.C., 574 F.3d 973, 983 (8th Cir. Mo.
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Material Adverse Change (MAC) A material adverse change clause is also used as a measure to cover risk in commercial agreements, such as long-term sale or purchase agreements for products such as power, natural gas and oils, where the adverse events occurring worldwide could affect any of the parties.
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Adverse outcome pathway Adverse outcome pathway. An adverse outcome pathway (AOP) is structured representation of biological events leading to adverse effects and is considered relevant to risk assessment.
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Answering the US Census is Required by Law Persons who knowingly provide false information to the census can be fined up to $500. However, the Census Bureau points out online that under Section 3571 of Title 18, the fine for refusing to answer a bureau survey can be as much as $5,000. Before imposing a fine, the Census Bureau typically attempts to personally contact and interview persons who fail to respond to census questionnaires.
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- unfavorable or antagonistic in purpose or effect: adverse criticism. 2. opposing one's interests or desire: adverse circumstances. 3. being or acting in a contrary direction; opposed or opposing: adverse winds.
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adverse impact adverse impact. The definition of adverse impact is a negative effect that goes against desired conditions. An example of adverse impact is a business move that results in lost money. adverse-impact. The rejection for employment, placement, or promotion of a significantly higher percentage of a protected class, when compared with a non-protected class.
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UNIFORM EMPLOYEE SELECTION GUIDELINES INTERPRETATION AND CLARIFICATION  (Questions and Answers) About Adverse Impact Adverse impact is defined by the Uniform Guidelines as a substantially different rate of selection in hiring, promotion or other employment decision which works to the disadvantage of members of a race, sex or ethnic group (see Question & Answer #10).
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Definition of 'Settlement Option' DOWNLOAD THE APP NOW. Definition of 'Adverse Selection'. Definition: Adverse selection is a phenomenon wherein the insurer is confronted with the probability of loss due to risk not factored in at the time of sale. This occurs in the event of an asymmetrical flow of information between the insurer and the insured.
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Material adverse change A material adverse change ( also called a MAC ) - also formulated as an Material adverse event or Material adverse effect ( either , a MAE ) - contingency is a legal provision often found in mergers and acquisitions contracts and venture financing agreements that enables the acquirer ( or funder ) to refuse to complete the acquisition or merger or ...
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Lowest-observed-adverse-effect level The lowest-observed-adverse-effect level (LOAEL) is the lowest concentration or amount of a substance found by experiment or observation that causes an adverse alteration of morphology, function, capacity, growth, development, or lifespan of a target organism distinguished from normal organisms of the same species under defined conditions of ...
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Adverse effect In medicine, an adverse effect is an undesired harmful effect resulting from a medication or other intervention such as surgery. An adverse effect may be termed a  side effect , when judged to be secondary to a main or therapeutic effect.
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OPINION Hyponyms (each of the following is a kind of opinion): adverse opinion (an opinion concerning financial statements (usually based on an audit by a CPA) that the statements as a whole do not present results fairly or are not in conformity with the generally accepted accounting practices of the United States).
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Adverse Possession Adverse Possession. Adverse possession is a doctrine under which a person in possession of land owned by someone else may acquire valid title to it, so long as certain common law requirements are met, and the adverse possessor is in possession for a sufficient period of time, as defined by a statute of limitations.
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- ANSWER: A Manifestation Determination Hearing is required to suspend a special education student a total of more than 10 days in a school year. This hearing is also required before expulsion. At this hearing it is determined if the behavior was a manifestation of the student's disability.
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- Copyright © 2012 Biddle Consulting Group, Inc. All Rights Reserved. Adverse Impact – Basics 14 • Descriptive statistics (percentages and counts) are insufficient• Descriptive statistics are only ½ the picture.• Adverse Impact conclusions are based on comparisons. – Comparisons against “Reference Comparator ”– Comparisons help to provide interpretable meaning to observed percentages.
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United States National Debt Clock Following in his father’s footsteps, George W. Bush came into office in 2001 as the 43rd president of the United States. His term was marked by the terrorist events of September 11th and the ensuing War on Terror. In 2007, the U.S. entered the longest recession since the Great Depression.
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determination After consideration of the facts, a determination is generally set forth by a court of justice or other type of formal decision maker, such as the head of an Administrative Agency. Determination has been used synonymously with adjudication, award, decree, and judgment.
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- in underwriting and rating. Adverse selection can also take place between insurers, between benefit plans and between markets. In an environment that allows adverse selection to occur unchecked, the insurance-buying public, will in large part, delay the decision to purchase
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Integrated Risk Information System (IRIS) Glossary Definition: An adverse effect, used to define a benchmark dose from which an RfD (or RfC) can be developed. The change in response rate over background of the BMR is usually in the range of 5-10%, which is the limit of responses typically observed in well-conducted animal experiments.
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Avoiding Adverse Impact In the Uniform Guidelines on Employee Selection Procedures, an adverse impact is defined as a substantially different rate of selection in hiring, promotion, or other employment decision which works to the disadvantage of members of a race, sex, or ethnic group..
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Moral Hazard vs Adverse Selection A: Adverse selection occurs when there's a lack of symmetric information prior to a deal between a buyer and a seller, whereas moral hazard occurs when there is asymmetric information between two parties and change in behavior of one party after a deal is struck.