Medical Management. PHS shall be solely responsible for all claims processing and auditing, health services (including hospital pre-certification, outpatient pre-certification, large claim case management and utilization review) and all risk accounting for the provider bonus arrangements under the HMO Plans.
Appears in 3 contracts
Samples: Marketing and Services Agreement (Physicians Health Services Inc), Marketing and Services Agreement (Physicians Health Services Inc), Marketing and Services Agreement (Physicians Health Services Inc)