Common use of Ancillary Tests and Procedures Clause in Contracts

Ancillary Tests and Procedures. Except as otherwise set forth in the Provider Manual, any ancillary testing and/or procedures (e.g., radiologic, laboratory, etc.) required in the treatment of Blue Shield Members shall be performed by Provider unless (a) Provider does not have the facilities or capacity to perform a particular test or procedure, or (b) it is Medically Necessary to have the test or procedure performed by persons other than Provider. Provider shall, as set forth in the Provider Manual, obtain authorization from Blue Shield prior to performing such ancillary test or procedures.

Ancillary Tests and Procedures. Except as otherwise set forth in the Provider Manual, any ancillary testing and/or procedures (e.g., radiologic, laboratory, etc.) required in the treatment of Blue Shield Members shall be performed by Provider Provider, unless (a) Provider does not have the facilities or capacity to perform a particular test or procedure, or (b) it is Medically Necessary to have the test or procedure performed by persons other than Provider. Provider shall, as set forth in the Provider Manual, obtain authorization from Blue Shield prior to performing such ancillary test or procedures.