Blue Focus definition
Examples of Blue Focus in a sentence
Providers who are Blue Focus POS Participating Professional Providers and Blue Focus POS Participating Facility Providers.
The previous provider must agree to meet the contractual terms applicable to comparable Blue Focus POS Providers or Participating Providers.
In order to receive the highest level of payment from The Plan, the Member must receive services from a Blue Focus POS Participating Professional Provider who is an obstetrician or gynecologist.
In certain circumstances, as outlined in the Network Exception Policy of The Plan’s Blue Focus Network Adequacy and Quality Assurance (MCNAQA) Policies, In-Network Benefits may be available for services provided by an Out-of-Network specialist when a Blue Focus specialist is not available.
Blue Focus is a point of service product that allows a Member the choice of receiving services from providers in the Blue Focus POSSM Provider Network, or the Blue Cross and Blue Shield of Montana provider network or from nonparticipating providers.
The highest level of Benefits will be for services provided by a Blue Focus POS network provider.
Generally, The Plan will pay the Allowable Fee for a Covered Medical Expense directly to the Blue Focus POS Participating Provider or Participating Provider.
Participating Primary Care Providers have contracted with the Blue Focus POS Provider Network and have agreed to accept Members for care and to adhere to the network’s policies concerning waiting time for appointments, on-call coverage, preventive care, credentialing, and quality improvement.
Selection of a Primary Care Provider At the time of application, each person applying for Membership must select a Primary Care Provider from the Blue Focus POS Provider Network.
Selection of a Primary Care Provider At the time of application, each person applying for Membership must select a Primary Care Provider from the Blue Focus POS Provider Network.