AMENDMENTS TO THIS CONTRACT. Amendments which we include with this Contract or send to you at a later date are incorporated and fully made a part of this Contract. CONFLICT WITH EXISTING LAW In the event that any provision of this Contract is in conflict with Minnesota or federal law, only that provision is hereby amended to conform to the minimum requirements of the law. HOW TO USE THE NETWORK This provision contains information you need to know in order to obtain network benefits. This Contract provides coverage for your services provided by our network of participating providers and facilities. Network Provider. This is any one of the participating licensed physicians, dentists, mental health, substance use disorder or other health care providers, facilities and pharmacies listed in your network directory, which has entered into an agreement with us to provide health care services to you. If a Network Provider refuses to continue to provide care to you, we shall furnish you with the name, address, and telephone number of other participating providers in the same area of medical specialty. Network providers are available to view free of charge by logging on to your “myHealthPartners” account at xxxxxxxxxxxxxx.xxx. If you need assistance locating a physician or other health care providers in your network, please contact Member Services. Provider Network Notifications. We are required to update our online provider directory on a monthly basis with any changes to our provider network, including provider changes from in-network status to non-network status. If you tell us that your service was provided before our online provider directory was updated to remove your provider from our network, we must reprocess your claim to pay benefits at the in-network benefit level, unless we notified you directly of the network change prior to the service being provided. This paragraph does not apply if we are able to verify that our online provider directory displayed the correct provider network status at the time the service was provided. Non-Network Providers. These are licensed physicians, dentists, mental health, substance use disorder or other health care providers, facilities and pharmacies not participating as network providers. ABOUT THE NETWORK To obtain Network Benefits for covered services, you must receive services from your network providers. To go to a non-network provider, you must receive authorization from us for these services to be covered as Network Benefits. There are limited exceptions as described in this Contract.
Appears in 4 contracts
Samples: www.healthpartners.com, www.healthpartners.com, www.healthpartners.com
AMENDMENTS TO THIS CONTRACT. Amendments which we include with this Contract or send to you at a later date are incorporated and fully made a part of this Contract. CONFLICT WITH EXISTING LAW In the event that any provision of this Contract is in conflict with Minnesota or federal law, only that provision is hereby amended to conform to the minimum requirements of the law. HOW TO USE THE NETWORK This provision contains information you need to know in order to obtain network benefits. This Contract provides coverage for your services provided by our network of participating providers and facilities. Designated Physician, Provider or Facility: This is a current list of network physicians, providers or facilities which are authorized to provide certain covered services as described in this Contract. Call Member Services for a current list. Network Provider. This is any one of the participating licensed physicians, dentists, mental health, substance use disorder and chemical health or other health care providers, facilities and pharmacies listed in your network directory, which has entered into an agreement with us to provide health care services to you. If a Network Provider refuses to continue to provide care to you, we shall furnish you with the name, address, and telephone number of other participating providers in the same area of medical specialty. Network To see what physicians and other healthcare providers are available to view free of charge by logging on to in your network, log onto your “myHealthPartners” account at xxxxxxxxxxxxxx.xxx. If you need assistance locating a physician or other health care providers in your network, please contact Member Services. Provider Network Notifications. We are required to update our online provider directory on a monthly basis with any changes to our provider network, including provider changes from in-network status to non-network status. If you tell us that your service was provided before our online provider directory was updated to remove your provider from our network, we must reprocess your claim to pay benefits at the in-network benefit level, unless we notified you directly of the network change prior to the service being provided. This paragraph does not apply if we are able to verify that our online provider directory displayed the correct provider network status at the time the service was provided. Non-Network Providers. These are licensed physicians, dentists, mental health, substance use disorder and chemical health or other health care providers, facilities and pharmacies not participating as network providers. ABOUT THE NETWORK To obtain Network Benefits for covered services, you must receive services from your network providers. To go to a non-network provider, you must receive authorization from us for these services to be covered as Network Benefits. There are limited exceptions as described in this Contract. Network. This is the network of participating network providers described in the network directory. Network Clinics. These are participating clinics providing ambulatory medical services. Service Area. This is the geographical area in which the network provides services to members. Contact Member Services for information regarding the service area.
Appears in 3 contracts
Samples: www.healthpartners.com, www.healthpartners.com, www.healthpartners.com
AMENDMENTS TO THIS CONTRACT. Amendments which we include with this Contract or send to you at a later date are incorporated and fully made a part of this Contract. CONFLICT WITH EXISTING LAW In the event that any provision of this Contract is in conflict with Minnesota or federal law, only that provision is hereby amended to conform to the minimum requirements of the law. HOW TO USE THE NETWORK This provision contains information you need to know in order to obtain network benefits. This Contract provides coverage for your services provided by our network of participating providers and facilities. Designated Physician, Provider or Facility: This is a current list of network physicians, providers or facilities which are authorized to provide certain covered services as described in this Contract. Call Member Services for a current list. Network Provider. This is any one of the participating licensed physicians, dentists, mental health, substance use disorder and chemical health or other health care providers, facilities and pharmacies listed in your network directory, which has entered into an agreement with us to provide health care services to you. If a Network Provider refuses to continue to provide care to you, we shall furnish you with the name, address, To see what physicians and telephone number of other participating providers in the same area of medical specialty. Network healthcare providers are available to view free of charge by logging on to in your network, log onto your “myHealthPartners” account at xxxxxxxxxxxxxx.xxx. If you need assistance locating a physician or other health care providers in your network, please contact Member Services. Provider Network Notifications. We are required to update our online provider directory on a monthly basis with any changes to our provider network, including provider changes from in-network status to non-network status. If you tell us that your service was provided before our online provider directory was updated to remove your provider from our network, we must reprocess your claim to pay benefits at the in-network benefit level, unless we notified you directly of the network change prior to the service being provided. This paragraph does not apply if we are able to verify that our online provider directory displayed the correct provider network status at the time the service was provided. Non-Network Providers. These are licensed physicians, dentists, mental health, substance use disorder and chemical health or other health care providers, facilities and pharmacies not participating as network providers. ABOUT THE NETWORK To obtain Network Benefits for covered services, you must receive services from your network providers. To go to a non-network provider, you must receive authorization from us for these services to be covered as Network Benefits. There are limited exceptions as described in this Contract. Network. This is the network of participating network providers described in the network directory. Network Clinics. These are participating clinics providing ambulatory medical or dental services. Service Area. This is the geographical area in which the network provides services to members. Contact Member Services for information regarding the service area.
Appears in 3 contracts
Samples: www.healthpartners.com, www.healthpartners.com, www.healthpartners.com
AMENDMENTS TO THIS CONTRACT. Amendments which we include with this Contract or send to you at a later date are incorporated and fully made a part of this Contract. CONFLICT WITH EXISTING LAW In the event that any provision of this Contract is in conflict with Minnesota or federal law, only that provision is hereby amended to conform to the minimum requirements of the law. HOW TO USE THE NETWORK This provision contains information you need to know in order to obtain network benefits. This Contract provides coverage for your services provided by our network of participating providers and facilities. Designated Physician, Provider or Facility: This is a current list of network physicians, providers or facilities which are authorized to provide certain covered services as described in this Contract. Call Member Services for a current list. Network Provider. This is any one of the participating licensed physicians, dentists, mental health, substance use disorder and chemical health or other health care providers, facilities and pharmacies listed in your network directory, which has entered into an agreement with us to provide health care services to you. If a Network Provider refuses to continue to provide care to you, we shall furnish you with the name, address, and telephone number of other participating providers in the same area of medical specialty. Network To see what physicians and other healthcare providers are available to view free of charge by logging on to in your network, log onto your “myHealthPartners” account at xxxxxxxxxxxxxx.xxx. If you need assistance locating a physician or other health care providers in your network, please contact Member Services. Provider Network Notifications. We are required to update our online provider directory on a monthly basis with any changes to our provider network, including provider changes from in-network status to non-network status. If you tell us that your service was provided before our online provider directory was updated to remove your provider from our network, we must reprocess your claim to pay benefits at the in-network benefit level, unless we notified you directly of the network change prior to the service being provided. This paragraph does not apply if we are able to verify that our online provider directory displayed the correct provider network status at the time the service was provided. Non-Network Providers. These are licensed physicians, dentists, mental health, substance use disorder and chemical health or other health care providers, facilities and pharmacies not participating as network providers. ABOUT THE NETWORK To obtain Network Benefits for covered services, you must receive services from your network providers. To go to a non-network provider, you must receive authorization from us for these services to be covered as Network Benefits. There are limited exceptions as described in this Contract. Network. This is the network of participating network providers described in the network directory. Network Clinics. These are participating clinics providing ambulatory medical or dental services. Service Area. This is the geographical area in which the network provides services to members. Contact Member Services for information regarding the service area.
Appears in 2 contracts
Samples: www.healthpartners.com, www.healthpartners.com
AMENDMENTS TO THIS CONTRACT. Amendments which we include with this Contract or send to you at a later date are incorporated and fully made a part of this Contract. CONFLICT WITH EXISTING LAW In the event that any provision of this Contract is in conflict with Minnesota or federal law, only that provision is hereby amended to conform to the minimum requirements of the law. HOW TO USE THE NETWORK This provision contains information you need to know in order to obtain network benefits. This Contract provides coverage for your services provided by our network of participating providers and facilities. Designated Physician, Provider or Facility: This is a current list of network physicians, providers or facilities which are authorized to provide certain covered services as described in this Contract. Call Member Services for a current list. Network Provider. This is any one of the participating licensed physicians, dentists, mental health, substance use disorder and chemical health or other health care providers, facilities and pharmacies listed in your network directory, which has entered into an agreement with us to provide health care services to you. If a Network Provider refuses to continue to provide care to you, we shall furnish you with the name, address, To see what physicians and telephone number of other participating providers in the same area of medical specialty. Network healthcare providers are available to view free of charge by logging on to in your network, log onto your “myHealthPartners” account at xxxxxxxxxxxxxx.xxx. If you need assistance locating a physician or other health care providers in your network, please contact Member Services. Provider Network Notifications. We are required to update our online provider directory on a monthly basis with any changes to our provider network, including provider changes from in-network status to non-network status. If you tell us that your service was provided before our online provider directory was updated to remove your provider from our network, we must reprocess your claim to pay benefits at the in-network benefit level, unless we notified you directly of the network change prior to the service being provided. This paragraph does not apply if we are able to verify that our online provider directory displayed the correct provider network status at the time the service was provided. Non-Network Providers. These are licensed physicians, dentists, mental health, substance use disorder and chemical health or other health care providers, facilities and pharmacies not participating as network providers. ABOUT THE NETWORK To obtain Network Benefits for covered services, you must receive services from your network providers. To go to a non-network provider, you must receive authorization from us for these services to be covered as Network Benefits. There are limited exceptions as described in this Contract. Network. This is the network of participating network providers described in the network directory. Network Clinics. These are participating clinics providing ambulatory medical services. Service Area. This is the geographical area in which the network provides services to members. Contact Member Services for information regarding the service area.
Appears in 2 contracts
Samples: www.healthpartners.com, www.healthpartners.com