{"component": "clause", "props": {"groups": [{"samples": [{"hash": "2nEVsnylCdG", "uri": "/contracts/2nEVsnylCdG#second-opinion", "label": "Contract for Medicaid Managed Care Services", "score": 36.1728286743, "published": true}, {"hash": "g6zo7s74ogX", "uri": "/contracts/g6zo7s74ogX#second-opinion", "label": "Medicaid Managed Care Services Agreement", "score": 36.1701431274, "published": true}, {"hash": "5Xjm26bNTKv", "uri": "/contracts/5Xjm26bNTKv#second-opinion", "label": "Contract for Medicaid Managed Care Services", "score": 36.1701431274, "published": true}], "snippet_links": [{"key": "a-member", "type": "definition", "offset": [0, 8]}, {"key": "qualified-health-professional", "type": "definition", "offset": [48, 77]}, {"key": "the-network", "type": "clause", "offset": [85, 96]}, {"key": "network-provider", "type": "clause", "offset": [106, 122]}, {"key": "provide-a", "type": "definition", "offset": [143, 152]}, {"key": "the-contractor-must", "type": "clause", "offset": [169, 188]}, {"key": "arrange-for", "type": "clause", "offset": [189, 200]}, {"key": "a-non", "type": "clause", "offset": [221, 226]}, {"key": "participating-provider", "type": "definition", "offset": [227, 249]}, {"key": "allowed-cost", "type": "definition", "offset": [285, 297]}, {"key": "the-member", "type": "clause", "offset": [307, 317]}, {"key": "responsible-for", "type": "clause", "offset": [325, 340]}, {"key": "cost-of", "type": "clause", "offset": [345, 352]}], "snippet": "A member is entitled to a second opinion from a qualified health professional within the network or, if a network provider is not available to provide a second opinion, the Contractor must arrange for a second opinion by a non-participating provider outside of the network. Except for allowed cost-sharing, the member is not responsible for the cost of obtaining a second opinion.", "size": 50, "hash": "1d48aeb6af819f1e130b5589d9f2a3bf", "id": 1}, {"samples": [{"hash": "hKVPa2KBaxI", "uri": "/contracts/hKVPa2KBaxI#second-opinion", "label": "Health Insurance Terms", "score": 23.5065021515, "published": true}, {"hash": "btUCtkreUwx", "uri": "/contracts/btUCtkreUwx#second-opinion", "label": "Health Insurance Agreement", "score": 23.5065021515, "published": true}, {"hash": "9Bd7M6ebmiu", "uri": "/contracts/9Bd7M6ebmiu#second-opinion", "label": "Health Insurance Agreement", "score": 22.4757022858, "published": true}], "snippet_links": [{"key": "in-certain-cases", "type": "definition", "offset": [0, 16]}, {"key": "the-insurance", "type": "clause", "offset": [18, 31]}, {"key": "medical-specialist", "type": "definition", "offset": [68, 86]}, {"key": "the-public", "type": "clause", "offset": [410, 420]}, {"key": "healthcare-system", "type": "definition", "offset": [432, 449]}, {"key": "form-of", "type": "clause", "offset": [547, 554]}, {"key": "by-telephone", "type": "clause", "offset": [625, 637]}, {"key": "third-opinion", "type": "clause", "offset": [724, 737]}], "snippet": "In certain cases, the insurance covers consultation with a relevant medical specialist if you: \u2022 Have a life-threatening or particularly serious disease or injury. \u2022 Are faced with the choice of receiving particularly risky treatment, which may be life-threatening or result in permanent injury. If we consider that you should be offered a second opinion, we will refer you to a relevant medical specialist in the public or private healthcare system. If you are facing a difficult decision or if there is uncer- tainty regarding your diagnosis or form of treatment, we offer advisory consultation with our doctors and nurses by telephone. This also applies if two doctors disagree about your diagnosis or form of treatment (third opinion).", "size": 8, "hash": "d6460f73a45d00d39b6d7fe0c1d3f4d2", "id": 5}, {"samples": [{"hash": "d0oChGQcCfI", "uri": "/contracts/d0oChGQcCfI#second-opinion", "label": "Collective Bargaining Agreement", "score": 24.3552360535, "published": true}, {"hash": "3uP0TyWFdTu", "uri": "/contracts/3uP0TyWFdTu#second-opinion", "label": "Collective Bargaining Agreement", "score": 24.3278579712, "published": true}, {"hash": "jk8KkoThS18", "uri": "/contracts/jk8KkoThS18#second-opinion", "label": "Collective Bargaining Agreement", "score": 22.9780979156, "published": true}], "snippet_links": [{"key": "the-superintendent-or-his", "type": "clause", "offset": [3, 28]}, {"key": "medical-certification", "type": "clause", "offset": [80, 101]}, {"key": "in-writing", "type": "clause", "offset": [155, 165]}, {"key": "the-employee", "type": "clause", "offset": [167, 179]}, {"key": "health-care-provider", "type": "definition", "offset": [298, 318]}, {"key": "the-selected", "type": "clause", "offset": [354, 366]}, {"key": "on-a-regular-basis", "type": "definition", "offset": [408, 426]}, {"key": "the-designated", "type": "definition", "offset": [556, 570]}, {"key": "provider-shall", "type": "clause", "offset": [598, 612]}], "snippet": "If the Superintendent or his/her designee has reason to doubt the validity of a medical certification, the Superintendent or his/her designee may require, in writing, the employee to obtain a second opinion at the BSC's expense. The Superintendent or his/her designee is permitted to designate the health care provider to furnish the second opinion, but the selected health care provider may not be employed on a regular basis by the BSC. Any contacts under this paragraph between the Superintendent or his/her designee or his/her health care provider and the designated second opinion health care provider shall be in writing.", "size": 11, "hash": "520041b68e4a5ffd2f32abd11ec6b26a", "id": 3}, {"samples": [{"hash": "7BLSGZOQUXH", "uri": "/contracts/7BLSGZOQUXH#second-opinion", "label": "Master Agreement", "score": 35.3190307617, "published": true}, {"hash": "5YZKHdAvR8d", "uri": "/contracts/5YZKHdAvR8d#second-opinion", "label": "Master Agreement", "score": 35.0215492249, "published": true}, {"hash": "ck8Su7ZhVm4", "uri": "/contracts/ck8Su7ZhVm4#second-opinion", "label": "Master Agreement", "score": 28.6920032501, "published": true}], "snippet_links": [{"key": "if-an-employee", "type": "clause", "offset": [0, 14]}, {"key": "emergency-surgery", "type": "definition", "offset": [42, 59]}, {"key": "the-employee", "type": "clause", "offset": [99, 111]}, {"key": "to-receive", "type": "definition", "offset": [128, 138]}, {"key": "extra-cost", "type": "definition", "offset": [162, 172]}, {"key": "third-opinion", "type": "clause", "offset": [300, 313]}, {"key": "insurance-program", "type": "definition", "offset": [319, 336]}, {"key": "pay-for", "type": "definition", "offset": [342, 349]}], "snippet": "If an employee\u2019s physician recommends non-emergency surgery or procedure (on an in-patient basis), the employee may be required to receive another opinion, at no extra cost to that employee. If the second opinion does not confirm the need for surgery, the employee or dependent may elect to obtain a third opinion. The insurance program will pay for such third opinion.", "size": 8, "hash": "ec589c62f6c1435884f914b2a5be318e", "id": 4}, {"samples": [{"hash": "jZyAz3FaogV", "uri": "/contracts/jZyAz3FaogV#second-opinion", "label": "Collective Bargaining Agreement", "score": 24.9592494965, "published": true}, {"hash": "deWdtBVHpW6", "uri": "/contracts/deWdtBVHpW6#second-opinion", "label": "Collective Bargaining Agreement", "score": 24.9592494965, "published": true}, {"hash": "csRs5JBzFfn", "uri": "/contracts/csRs5JBzFfn#second-opinion", "label": "Collective Bargaining Agreement", "score": 22.9592494965, "published": true}], "snippet_links": [{"key": "where-the-employer", "type": "clause", "offset": [12, 30]}, {"key": "the-certification", "type": "clause", "offset": [67, 84]}, {"key": "the-employer-may", "type": "clause", "offset": [104, 120]}, {"key": "not-covered-by-insurance", "type": "clause", "offset": [160, 184]}, {"key": "eligible-employee", "type": "definition", "offset": [195, 212]}, {"key": "health-care-provider", "type": "definition", "offset": [244, 264]}, {"key": "by-the-employer", "type": "clause", "offset": [288, 303]}, {"key": "certified-by", "type": "definition", "offset": [331, 343]}, {"key": "original-certification", "type": "clause", "offset": [348, 370]}, {"key": "the-provider", "type": "definition", "offset": [372, 384]}, {"key": "on-a-regular-basis", "type": "definition", "offset": [429, 447]}], "snippet": "In any case where the Employer has reason to doubt the validity of the certification as outlined above, the Employer may require, at the Employer's expense, if not covered by insurance, that the eligible employee obtain the opinion of a second health care provider designated or approved by the Employer concerning any information certified by the original certification. The provider of the second opinion shall not be employed on a regular basis by the Employer.", "size": 22, "hash": "987f913bff30ff9b90e5cd62225a9c8a", "id": 2}, {"samples": [{"hash": "7qUJvfi6GSL", "uri": "/contracts/7qUJvfi6GSL#second-opinion", "label": "Medicaid Managed Specialty Supports and Services Concurrent Waiver Program Agreement", "score": 24.5750026703, "published": true}, {"hash": "lfZdDFEKQ8x", "uri": "/contracts/lfZdDFEKQ8x#second-opinion", "label": "Michigan Abw Non Pregnant Childless Adults Waiver (Adult Benefits Waiver) Section 1115 Demonstration", "score": 23.5758628845, "published": true}, {"hash": "jBqqajqVANl", "uri": "/contracts/jBqqajqVANl#second-opinion", "label": "Medicaid Managed Specialty Supports and Services Concurrent Waiver Program Agreement", "score": 23.5758628845, "published": true}], "snippet_links": [{"key": "the-beneficiary", "type": "definition", "offset": [3, 18]}, {"key": "provide-for-a", "type": "definition", "offset": [43, 56]}, {"key": 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{"samples": [{"hash": "4lXmEoBoyDn", "uri": "/contracts/4lXmEoBoyDn#second-opinion", "label": "Intergovernmental Agreement", "score": 27.6666736603, "published": true}, {"hash": "fLWxroqfKXF", "uri": "/contracts/fLWxroqfKXF#second-opinion", "label": "Intergovernmental Agreement", "score": 26.5533275604, "published": true}, {"hash": "hRY5WEpVrRk", "uri": "/contracts/hRY5WEpVrRk#second-opinion", "label": "Intergovernmental Agreement", "score": 26.4084568024, "published": true}], "snippet_links": [{"key": "commitment-to", "type": "clause", "offset": [7, 20]}, {"key": "insurance-programs", "type": "definition", "offset": [64, 82]}, {"key": "right-to", "type": "definition", "offset": [98, 106]}, {"key": "qualified-health-care-professional", "type": "definition", "offset": [138, 172]}, {"key": "the-network", "type": "clause", "offset": [181, 192]}, {"key": "medicaid-providers", "type": "definition", "offset": [205, 223]}, {"key": "arrange-for", "type": "clause", "offset": [228, 239]}, {"key": "qualified-provider", "type": "definition", "offset": [310, 328]}, {"key": "the-program", "type": "clause", "offset": [332, 343]}, {"key": "at-no-cost", "type": "definition", "offset": [345, 355]}], "snippet": "Global Commitment to Health enrollees served through the public insurance programs shall have the right to obtain a second opinion from a qualified health care professional, within the network of enrolled Medicaid providers, or arrange for the ability of the enrollee to obtain a second opinion by enrolling a qualified provider in the program, at no cost to the enrollee.", "size": 6, "hash": "c6e0d4d1a04aad29b1d7c3ee73e95429", "id": 8}, {"samples": [{"hash": "9BPw7edrNkG", "uri": "/contracts/9BPw7edrNkG#second-opinion", "label": "<<program>> Contract", "score": 24.515794754, "published": true}, {"hash": "gaZ4ZAIezJT", "uri": "/contracts/gaZ4ZAIezJT#second-opinion", "label": "Partnership Agreement", "score": 24.3538665771, "published": true}, {"hash": "3V0pSQAJVxV", "uri": 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The MCO shall arrange for the member to obtain a second opinion outside the network, at no cost to the member, if the MCO does not have a health professional qualified to provide a second opinion.", "size": 5, "hash": "a279a655557450cc4ff2ab34aadeb516", "id": 9}, {"samples": [{"hash": "7agZBrOoqAP", "uri": "/contracts/7agZBrOoqAP#second-opinion", "label": "Collective Bargaining Agreement", "score": 31.5864162445, "published": true}, {"hash": "gsGf8FsPStT", "uri": "/contracts/gsGf8FsPStT#second-opinion", "label": "Collective Bargaining Agreement", "score": 25.2655715942, "published": true}, {"hash": "hbq5ZUu8JXM", "uri": "/contracts/hbq5ZUu8JXM#second-opinion", "label": "Collective Bargaining Agreement", "score": 23.2053394318, "published": true}], "snippet_links": [{"key": "a-qualified", "type": "clause", "offset": [111, 122]}, {"key": "to-the-employee", "type": "definition", "offset": [200, 215]}], "snippet": "If the Guild believes that the conclusions of the doctor are in error, it may obtain a second examination from a qualified doctor at its own expense. 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