Common use of Verification of Eligibility Clause in Contracts

Verification of Eligibility. As set forth in the Provider Manual, Group and Group Providers shall verify the eligibility of Members and provide services to individuals claiming eligibility but whose name does not appear on Blue Shield’s Eligibility List. Verification of eligibility shall not limit the rights of Blue Shield to retroactively adjust eligibility, as set forth in Paragraph 6.3 of this Agreement.

Appears in 4 contracts

Samples: Provider Agreement (Prospect Medical Holdings Inc), Savings Provider Agreement (Prospect Medical Holdings Inc), Agreement (Prospect Medical Holdings Inc)

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Verification of Eligibility. As set forth in the Provider Manual, Group and Group Providers shall verify verity the eligibility of Members and provide services to individuals claiming eligibility but whose name does not appear on Blue Shield’s Eligibility List. Verification of eligibility shall not limit the rights of Blue Shield to retroactively adjust eligibility, as set forth in Paragraph 6.3 of this Agreement.

Appears in 1 contract

Samples: Shared Savings Provider Agreement (Prospect Medical Holdings Inc)

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