Examples of Non-Plan Provider in a sentence
Covered Services rendered in a Non-Plan Provider facility will be paid at the Non-Participating Provider facility payment level.
Non-Plan Provider Services provided or arranged by criminal justice institutions for Members in the custody of law enforcement officers, unless the Services are covered as Out-of-Plan Emergency Services.
Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with Blue Cross and Blue Shield or in a Non-Plan Provider facility will be paid at the Non-Participating Provider facility payment level.DETOXIFICATIONCovered Services received for detoxification are not subject to the Substance Use Disorder Treatment provisions specified above.
You are responsible for any Non-Plan Provider Emergency Service charges that exceed payments made by HPN.
When seeking reimbursement from HPN for expenses incurred in connection with services received from Non-Plan Providers, the Member must complete a Non-Plan Provider Claim Form and submit it to the HPN Claims Department with copies of all of the medical records, bills and/or receipts from the Provider.