Emergency Admission Notification Clause Samples
Emergency Admission Notification. The Insured must report all emergency admissions to the Member Services Department by calling the Member Services Department at ▇▇▇-▇▇▇-▇▇▇▇ within twenty-four (24) hours of admission, or as soon as reasonably possible, to authorized continued care. All Emergency Services admissions are reviewed Retrospectively to determine if the treatment received was Medically Necessary and appropriate and was for Emergency Services as defined in this AOC. If such Emergency Services are provided by Non-Plan Providers, all Medically Necessary professional, Inpatient or outpatient Emergency Services will be Covered Services.
Emergency Admission Notification. The Member must report all emergency admissions to the Member Services Department within 24 hours of admission or as soon as reasonably possible to authorize continued care by calling (▇▇▇) ▇▇▇-▇▇▇▇ or 1-800-777-
Emergency Admission Notification. The Member must report all emergency admissions to the Member Services Department by calling ▇▇▇-▇▇▇-▇▇▇▇ within twenty-four
Emergency Admission Notification. SHL recommends that the Insured or the Insured’s Physician or practitioner making a specific request for services verify benefits under this Plan and the Prior Authorization requirements prior to providing services. The Attachment B, Services Requiring Prior Authorization list is subject to change periodically and may be modified at any time without notification The Insured must report all emergency admissions to the Member Services Department within twenty-four (24) hours of admission or as soon as reasonably possible to authorized continued care by contacting the Member Services Department at (▇▇▇) ▇▇▇-▇▇▇▇ or 1-800-888- 2264. All Emergency Services admissions are reviewed Retrospectively to determine if the treatment received Failure of the Insured to comply with the requirements of SHL’s Managed Care Program will result in a reduction of benefits. Benefits payable for Covered Services which are not Prior Authorized by SHL’s Managed Care Program will be reduced to 50% of what the Insured would have received with Prior Authorization.