Pre-Authorization. Certain services and supplies under this Certificate may require pre-authorization by HMO to determine if they are Covered Benefits under this Certificate.
Appears in 13 contracts
Sources: Certificate of Coverage, Certificate of Coverage, Group Agreement
Pre-Authorization. Certain services and supplies under this Certificate may require pre-authorization by HMO to determine if they are Covered Benefits under this Certificate. Those services and supplies requiring HMO pre- authorization are indicated in this Certificate.
Appears in 2 contracts
Sources: Certificate of Coverage, Group Agreement
Pre-Authorization. Certain services and supplies under this Certificate may require pre-authorization by HMO HMO’s Medical Director or Designee to determine if they are Covered Benefits under this Certificate.
Appears in 1 contract
Sources: Group Agreement