Common use of Plan as Final Authority Clause in Contracts

Plan as Final Authority. Health Plans retain the right to make the final decision regarding the appropriateness of drug utilization or the denial of a benefit to any Member, subject to the terms of this Agreement.

Plan as Final Authority. Health Plans retain the right to make the final decision regarding the appropriateness of drug utilization health care services or the denial of a benefit to any Member, subject to the terms of this Agreement.