Common use of Certification procedure Clause in Contracts

Certification procedure. Certification must be requested by you within the following periods: Five or more business days before the proposed admission date or the commencement of treatment. In the event of being admitted into a Hospital or outpatient emergency room or urgent care center for nonemergency services; within 48 hours or as soon as reasonably possible. Before admission to a Skilled Nursing Facility or Hospice care program or before Home Health Care Services are scheduled to begin. Verbal Certification may be given by Health Net. Written Certification will be sent to you and the provider of service. If Certification is denied for a covered service, Health Net will send a written notice to you and to the provider of the service.

Certification procedure. Certification must be requested by you within the following periods: • Five or more business days before the proposed admission date or the commencement of treatment. • In the event of being admitted into a Hospital or outpatient emergency room or urgent care center for nonemergency services; within 48 hours or as soon as reasonably possible. • Before admission to a Skilled Nursing Facility or Hospice care program or before Home Health Care Services are scheduled to begin. Verbal Certification may be given by Health Net. Written Certification will be sent to you and the provider of service. If Certification is denied for a covered service, Health Net will send a written notice to you and to the provider of the service.