Physician designee definition
Examples of Physician designee in a sentence
In determining if a service or supply is Medically Necessary, HMO’s Patient Management Medical Director or its Physician designee will consider: • information provided on the Member's health status; • the opinion of Health Professionals in the generally recognized health specialty involved; • the opinion of the attending Physicians, which have credence but do not overrule contrary opinions; and • any other relevant information brought to HMO's attention.
In determining if a service or supply is Medically Necessary, HMO’s Patient Management Medical Director or its Physician designee will consider: • information provided on the Member's health status; • the opinion of Health Professionals in the generally recognized health specialty involved; • the opinions of the attending Physicians, which have credence but do not overrule contrary opinions; and • any other relevant information brought to HMO's attention.
The Member, or the Provider acting on behalf of a Member with the Member’s consent, shall have the opportunity to discuss and appeal that determination with the HMO Medical Director and/or the Physician designee who rendered the determination.