Common use of AvMed’s Role Clause in Contracts

AvMed’s Role. We do not, by virtue of making coverage, benefit, and payment decisions, exercise any control or direction over the medical judgment or clinical decisions of any Health Care Provider. Any decisions we make concerning appropriateness of setting, or whether any service is Medically Necessary, shall be deemed to be made solely for purposes of determining whether such services are covered, and not for purposes of recommending any treatment or non-treatment. In addition, we assume no liability for any loss or damage arising as a result of acts or omissions of any Health Care Provider.