Qualified Physicians definition
Examples of Qualified Physicians in a sentence
Whether Employee is Permanently Disabled shall be certified to the Company by a Qualified Physician (as hereinafter defined), or if requested by Employee a panel of three Qualified Physicians.
Employee and the Company may in any instance, and in lieu of a determination by a Qualified Physician or panel of Qualified Physicians, agree between themselves that Employee is Permanently Disabled.
The Employee shall receive full compensation, benefits and reimbursement of expenses pursuant to the terms of this Agreement from the date disability begins until the date the Employee receives written notice that the Qualified Physician or the panel of Qualified Physicians, as the case may be, has certified the Employee's disability or until the Employee begins to receive disability benefits pursuant to any disability insurance policy of the Company, whichever occurs first.
The determination of the individual Qualified Physician or a majority of the panel of Qualified Physicians, as the case may be, shall be binding and conclusive for all purposes.
The Employee and the Company may, in any instance, and in lieu of a determination by a Qualified Physician or a panel of Qualified Physicians, agree between themselves that the Employee is disabled for purposes of this Section 4.4, in which event the parties understand and agree that any such determination shall only be applicable for purposes of this Agreement.
Contractor also agrees to require each of its Qualified Physicians to participate in helping resolve the grievances described in Section 5.6 hereof.
Contractor and each of its Qualified health professionals shall permit Company to include the name, address, and telephone number of it or its Qualified Physicians in its list of Medical Services Entities distributed to Enrollees; provided, however, that such rights shall not extend to the listing of such Qualified Physicians or Contractor in any newspaper, radio, or television advertising without the prior written consent of Contractor.
In the performance of the work, duties, and obligations of Contractor under this Agreement, it is mutually understood and agreed that Contractor and each of its Qualified Physicians are at all times acting and performing as independent contractors, practicing medicine, or providing for the delivery of medical services.
In the event that utilization review and quality management activities are the sole responsibility of Company, Company shall fully advise Contractor of the methods used and underlying information relied on to develop, implement, and manage or monitor utilization and quality on an ongoing basis, and shall develop a mechanism to allow Qualified Physicians to participate in the development of utilization review and quality management ongoing assessment and evaluation.
Otherwise, all other information, including the general manner by which Contractor is paid under this Agreement and the general terms and conditions of this Agreement, may be shared with non-parties in the reasonable and prudent judgment of the Parties to this Agreement or Qualified Physicians.