Common use of Utilization Review Clause in Contracts

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der the plan. Blue Shield has completed documen- tation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 8 contracts

Samples: Coverage and Health Service Agreement, Service Agreement, Service Agreement

AutoNDA by SimpleDocs

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers Sub- scribers and health plan providers the process used to authorize or deny health care services un- der under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"), as required under un- der Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 7 contracts

Samples: Coverage and Health Service Agreement, Coverage and Health Service Agreement, Coverage and Health Service Agreement

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers Sub- scribers and health plan providers the process used to authorize or deny health care services un- der under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"), as required under un- der Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 5 contracts

Samples: Coverage and Health Service Agreement, Coverage and Health Service Agreement, Coverage and Health Service Agreement

Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der the plan. Blue Shield has completed documen- tation docu- mentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 2 contracts

Samples: Coverage and Health Service Agreement, Coverage and Health Service Agreement

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der the plan. Blue Shield has completed documen- tation docu- mentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 1 contract

Samples: Coverage and Health Service Agreement

AutoNDA by SimpleDocs

Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services Services un- der the plan. Blue Shield has completed documen- tation docu- mentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 1 contract

Samples: Coverage and Health Service Agreement

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process pro- cess used to authorize or deny health care services un- der Ser- vices under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization ReviewRe- view"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department De- partment at the telephone number indicated on your Identification Card.

Appears in 1 contract

Samples: Coverage and Health Service Agreement

Time is Money Join Law Insider Premium to draft better contracts faster.