Common use of Specialty Physicians Clause in Contracts

Specialty Physicians. You are entitled to see participating Specialty Physicians. Under this Engage Plan, Members may need a PCP referral to see a Specialty Physician. This means you will need to get approval in advance from your PCP to see certain Specialty Physicians and to receive certain services. Referrals will be processed electronically as Physician-to-Physician transactions, meaning that your PCP will create and send the referral to the Specialty Physician electronically. This process allows PCPs to establish referrals in a manner that is faster, easier and more convenient for all.

Specialty Physicians. You are entitled to see participating Specialty Physicians. Under this Engage Plan, Members may need you must have a referral from your PCP referral in order to see a Specialty Physician. This means that you will need to must get approval in advance from your PCP before visiting a Specialty Physician in order for services to see certain Specialty Physicians and to receive certain servicesbe covered. Referrals will be processed electronically as Physician-to-Physician transactions, meaning that your PCP will create and send the referral directly to the Specialty Physician electronically. This process allows PCPs to establish referrals in a manner that is faster, easier and more convenient for all.