Common use of Notification of Enrollee’s PCP Clause in Contracts

Notification of Enrollee’s PCP. The MCO may not refuse to cover emergency services solely based on the emergency room provider or hospital not notifying the enrollee’s primary care provider, MCO, or BMS of the enrollee’s screening and treatment within ten (10) calendar days of presentation for emergency services. Nothing is this provision precludes the MCO from complying with all other emergency service claims payment requirements as set forth in this contract.

Notification of Enrollee’s PCP. The MCO may not refuse to cover emergency services solely based on the emergency room provider or hospital not notifying the enrollee’s primary care provider, MCO, or BMS DHHR of the enrollee’s screening and treatment within ten (10) calendar days of presentation for emergency services. Nothing is this provision precludes the MCO from complying with all other emergency service claims payment requirements as set forth in this contract.

Notification of Enrollee’s PCP. The MCO may not refuse to cover emergency services solely based on the emergency room provider or hospital not notifying the enrollee’s primary care provider, MCO, or BMS of the enrollee’s screening and treatment within ten (10) 10 calendar days of presentation for emergency services. Nothing is this provision precludes the MCO from complying with all other emergency service claims payment requirements as set forth in this contract.

Notification of Enrollee’s PCP. The MCO may shall not refuse to cover emergency services solely based on the emergency room provider or hospital not notifying the enrollee’s primary care provider, MCO, or BMS of the enrollee’s screening and treatment within ten (10) 10 calendar days of presentation for emergency services. Nothing is this provision precludes the MCO from complying with all other emergency service claims payment requirements as set forth in this contract.