Common use of Second Medical Opinion Clause in Contracts

Second Medical Opinion. A consultation with a peer requested by the beneficiary, the HCO, a Participating Physician or the INSURER to assess the appropriateness of a previous recommendation for surgery or medical treatment. SECONDARY or SPECIALTY PHYSICIAN: A physician such as a dermatologist, urologist or cardiologist, who provides professional services on a referral from a Primary Care Provider.

Appears in 3 contracts

Samples: Terms and Conditions (Triple-S Management Corp), Terms And (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp)

AutoNDA by SimpleDocs

Second Medical Opinion. A consultation with a peer requested by the beneficiary, the HCO, a Participating Physician or the INSURER to assess the appropriateness of a previous recommendation for surgery or medical treatment. SECONDARY or SPECIALTY PHYSICIAN: A physician such as a dermatologist, urologist or cardiologist, who provides professional services on a referral from a Primary Care ProviderProvider SUBSCRIBER: The beneficiary covered under the individual coverage of the plan or the principal beneficiary who grants eligibility to all those beneficiaries included under the family coverage.

Appears in 2 contracts

Samples: Terms and Conditions (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp)

Second Medical Opinion. A consultation with a peer requested by the beneficiary, the HCO, a Participating Physician or the INSURER to assess the appropriateness of a previous recommendation for surgery or medical treatment. SECONDARY or SPECIALTY PHYSICIAN: A physician such as a dermatologist, urologist or cardiologist, who provides professional services on a referral from a Primary Care Provider.

Appears in 1 contract

Samples: Health Insurance Contract (Triple-S Management Corp)

AutoNDA by SimpleDocs

Second Medical Opinion. A consultation with a peer requested by the beneficiary, the HCO, a Participating Physician or the INSURER to assess the appropriateness of a previous recommendation for surgery or medical treatment. SECONDARY or SPECIALTY PHYSICIAN: A physician such as a dermatologist, urologist or cardiologist, who provides professional services on a referral from a Primary treatment pursuant to the Medicaid Managed Care ProviderRegulations and this contract.

Appears in 1 contract

Samples: Preventive Services (Triple-S Management Corp)

Time is Money Join Law Insider Premium to draft better contracts faster.