Common use of Cost Effective Care Clause in Contracts

Cost Effective Care. Provider shall provide Covered Services in the most cost effective, clinically appropriate setting and manner. In addition, in accordance with the provider manual(s) and Policies, Provider shall utilize Participating Providers, and when Medically Necessary or appropriate, refer and transfer Members to Participating Providers for all Covered Services, including but not limited to specialty, laboratory, ancillary and supplemental services.

Appears in 2 contracts

Samples: Provider Agreement (American Well Corp), Anthem Blue Cross and Blue Shield Provider Agreement

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Cost Effective Care. Provider shall provide Covered Services in the most cost effective, clinically appropriate effective setting and manner. In addition, in accordance with the provider manual(s) and Policies, Provider shall utilize Participating Providers, and when Medically Necessary or appropriate, refer and transfer Members to Participating Providers for all Covered Services, including but not limited to specialty, laboratory, ancillary and supplemental services.

Appears in 2 contracts

Samples: Provider Agreement (American Well Corp), Business Associate Agreement

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Cost Effective Care. Provider shall provide Covered Services in the most cost effective, clinically appropriate setting and manner. In addition, in accordance with the provider manual(s) and Policies, Provider shall utilize Participating Providers, and when Medically Necessary or appropriate, refer and transfer Members to Participating Providers for all Covered Services, including but not limited to specialty, laboratory, ancillary and supplemental services.

Appears in 2 contracts

Samples: Anthem Blue Cross and Blue Shield Provider Agreement, Anthem Blue Cross and Blue Shield Provider Agreement

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