Common use of Services Not Medically Necessary Clause in Contracts

Services Not Medically Necessary. Payment will be denied for services provided by Group that BlueLincs HMO determines to be not Medically Necessary or Experimental/Investigational/Unproven. Such denied charges may not be collected from the BlueLincs HMO Member.

Appears in 2 contracts

Sources: Bluelincs Hmo Network Addendum, Bluelincs Hmo Network Addendum