Certificate of Coverage definition

Certificate of Coverage means a written certification provided by any source that offers medical care coverage, including the Plan, for the purpose of confirming the duration and type of an individual’s previous coverage.

Certificate of Coverage means the subscription certificate issued to a subscriber by Delta Dental setting forth the terms and conditions of this group dental plan. The group subscriber shall be responsible for distributing copies of the certificate of coverage to subscribers.

Certificate of Coverage means the approval given dischargers that meet the requirements of coverage under a general permit.

Examples of Certificate of Coverage in a sentence

• A Member’s rights under a Certificate of Coverage do not give rise to any rights on behalf of Provider or any other persons unless specifically set forth in this Agreement.

• The clinical procedure and coding policies provide information about what services are reimbursable under the Certificate of Coverage.

• Provider shall not bill, charge, collect a deposit from, seek compensation from, seek remuneration from, surcharge, or have any recourse against a Member or persons acting on behalf of a Member (other than Plan), except if the applicable Certificate of Coverage specifies a Copayment, Coinsurance or Deductible must be collected by Provider or as permitted under the coordination of benefits section of this Agreement.

• Provider agrees not to charge Members for Non-Covered Services unless Provider has informed the Member before providing the services that the services are not covered under the Member’s Certificate of Coverage, and the Member has agreed to pay for the Non-Covered Services in writing before receiving the Non-Covered Services.

• In administering self-funded Products, Plan is not the insurer, guarantor, or underwriter of the liability of payment to provide Covered Services to, or for Members, under any Certificate of Coverage.

More Definitions of Certificate of Coverage

Certificate of Coverage or “COC” means this document, including Attachment A Benefit Schedule and any other Attachments, Endorsements, Riders or Amendments to it, the Insured’s Enrollment Form, health statements, Insured Identification Card, and all other applications received by SHL.

Certificate of Coverage means a document issued by the department acknowledging that a particular activity for which a registration was submitted to the department is authorized pursuant to this general permit;

Certificate of Coverage means a statement of the essential features and services of the health maintenance organization coverage which is given to the subscriber by the health maintenance organization, medicare provider organization or by the group contract holder.

Certificate of Coverage means the applications, representations, warranties, policies, contracts and other instruments entered into by and between (and which collectively set forth the terms of the HCT Plans and the respective obligations of) HCT and each Member.

Certificate of Coverage means the form prescribed by the department to show proof of financial responsibility as required by IC 34-18-3-2(1) to become a qualified provider.

Certificate of Coverage means an approval granted to a person who meets

Certificate of Coverage means a written grant of coverage under an existing general permit.