Common use of Benefit Payments Clause in Contracts

Benefit Payments. Blue Shield may pay the benefits of this Agree- ment directly to the Physician, Hospital, or Sub- xxxxxxx. Providers do not receive financial incentives or bonuses from Blue Shield of Cali- fornia. Claims are submitted for payment after Services are received. Requests for payments must be submitted to Blue Shield by the Physician, Hospi- tal or the Subscriber within one (1) year after the month in which Services are rendered or the date of processing of Medicare Benefits. The claim must include itemized evidence of the charges in- curred together with the documentary evidence of the action taken relative to such charges by the Department of Health and Human Services under Medicare. Benefits for Services not covered by Medicare (Part II.B.5.) are payable upon receipt of properly completed claim forms for medically necessary emergency care in a foreign country. All requests for payments and claim forms are to be sent to Blue Shield of California, X.X. Xxx 000000, Xxxxx, Xxxxxxxxxx, 00000-0000. No sums payable hereunder may be assigned without the written consent of Blue Shield. This prohibition shall not apply to ambulance Services or certain Medicare providers as required by sec- tion 4081 of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203) for which Blue Shield shall provide payment directly to the provider. PLEASE READ THE FOLLOWING INFORMATION SO YOU WILL KNOW FROM WHOM OR WHAT GROUP OF PROVIDERS HEALTH CARE MAY BE OBTAINED. An individual Subscriber may select any Hospital or Physician to provide covered Services hereun- der, including such providers outside of California that meet similar requirements as shown in the definitions of these terms.

Appears in 6 contracts

Samples: Medicare Supplement Plan C, Medicare Supplement Plan A, Medicare Supplement Plan G

AutoNDA by SimpleDocs

Benefit Payments. Blue Shield may pay the benefits of this Agree- ment directly to the Physician, Hospital, or Sub- xxxxxxx. Providers do not receive financial incentives or bonuses from Blue Shield of Cali- fornia. Claims are submitted for payment after Services are received. Requests for payments must be submitted to Blue Shield by the Physician, Hospi- tal or the Subscriber within one (1) year after the month in which Services are rendered or the date of processing of Medicare Benefits. The claim must include itemized evidence of the charges in- curred together with the documentary evidence of the action taken relative to such charges by the Department of Health and Human Services under Medicare. Benefits for Services not covered by Medicare (Part II.B.5.) are payable upon receipt of properly completed claim forms for medically necessary emergency care in a foreign country. All requests for payments and claim forms are to be sent to Blue Shield of California, X.X. Xxx 000000P.O. Box 272540, XxxxxChico, XxxxxxxxxxCalifornia, 0000095927-00002540. No sums payable hereunder may be assigned without the written consent of Blue Shield. This prohibition shall not apply to ambulance Services or certain Medicare providers as required by sec- tion 4081 of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203) for which Blue Shield shall provide payment directly to the provider. PLEASE READ THE FOLLOWING INFORMATION SO YOU WILL KNOW FROM WHOM OR WHAT GROUP OF PROVIDERS HEALTH CARE MAY BE OBTAINED. An individual Subscriber may select any Hospital or Physician to provide covered Services hereun- der, including such providers outside of California that meet similar requirements as shown in the definitions of these terms.

Appears in 4 contracts

Samples: Medicare Supplement Plan N, Medicare Supplement Plan G, Medicare Supplement Plan

Benefit Payments. Blue Shield may pay the benefits of this Agree- ment directly to the Physician, Hospital, Hospital or Sub- xxxxxxx. Providers do not receive financial incentives or bonuses from Blue Shield of Cali- fornia. Claims are submitted for payment after Services are received. Requests for payments must be submitted to Blue Shield by the Physician, Hospi- tal tal, or the Subscriber within one (1) year after the month in which Services are rendered or the date of processing of Medicare Benefits. The claim must include itemized evidence of the charges in- curred curred, together with the documentary evidence of the action taken relative to such charges by the Department of Health and Human Services under Medicare. Benefits for Services not covered by Medicare (Part II.B.5II.B.3.) are payable upon receipt of properly completed claim forms for medically necessary emergency care in a foreign country. All requests for payments and claim forms are to be sent to Blue Shield of California, X.X. Xxx 000000, Xxxxx, Xxxxxxxxxx, 00000-0000. No sums payable hereunder may be assigned without the written consent of Blue Shield. This prohibition shall not apply to ambulance Services or certain Medicare providers as required by sec- tion 4081 of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203) for which Blue Shield shall provide payment directly to the provider. PLEASE READ THE FOLLOWING INFORMATION SO YOU WILL KNOW FROM WHOM OR WHAT GROUP OF PROVIDERS HEALTH CARE MAY BE OBTAINED. An individual Subscriber may select any Hospital or Physician to provide covered Services hereun- der, including such providers outside of California that meet similar requirements as shown in the definitions of these terms.

Appears in 1 contract

Samples: Medicare Supplement Plan

Benefit Payments. Blue Shield may pay the benefits of this Agree- ment directly to the Physician, Hospital, Hospital or Sub- xxxxxxx. Providers do not receive financial incentives or bonuses from Blue Shield of Cali- fornia. Claims are submitted for payment after Services are received. Requests for payments must be submitted to Blue Shield by the Physician, Hospi- tal tal, or the Subscriber within one (1) year after the month in which Services are rendered or the date of processing of Medicare Benefits. The claim must include itemized evidence of the charges in- curred curred, together with the documentary evidence of the action taken relative to such charges by the Department of Health and Human Services under Medicare. Benefits for Services not covered by Medicare (Part II.B.5II.B.3.) are payable upon receipt of properly completed claim forms for medically necessary emergency care in a foreign country. All requests for payments and claim forms are to be sent to Blue Shield of California, X.X. Xxx 000000P.O. Box 272540, XxxxxChico, XxxxxxxxxxCalifornia, 0000095927-00002540. No sums payable hereunder may be assigned without the written consent of Blue Shield. This prohibition shall not apply to ambulance Services or certain Medicare providers as required by sec- tion 4081 of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203) for which Blue Shield shall provide payment directly to the provider. PLEASE READ THE FOLLOWING INFORMATION SO YOU WILL KNOW FROM WHOM OR WHAT GROUP OF PROVIDERS HEALTH CARE MAY BE OBTAINED. An individual Subscriber may select any Hospital or Physician to provide covered Services hereun- der, including such providers outside of California that meet similar requirements as shown in the definitions of these terms.

Appears in 1 contract

Samples: Medicare Supplement Plan D

Benefit Payments. Blue Shield may pay the benefits of this Agree- ment directly to the Physician, Hospital, or Sub- xxxxxxx. Providers do not receive financial incentives or bonuses from Blue Shield of Cali- fornia. Claims are submitted for payment after Services are received. Requests for payments must be submitted to Blue Shield by the Physician, Hospi- tal tal, or the Subscriber within one (1) year after the month in which Services are rendered or the date of processing of Medicare Benefits. The claim must include itemized evidence of the charges in- curred together with the documentary evidence of the action taken relative to such charges by the Department of Health and Human Services under Medicare. Benefits for Services not covered by Medicare (Part II.B.5II.B.3.) are payable upon receipt of properly completed claim forms for medically necessary emergency care in a foreign country. All requests for payments and claim forms are to be sent to Blue Shield of California, X.X. Xxx 000000P.O. Box 272540, XxxxxChico, XxxxxxxxxxCalifornia, 0000095927-00002540. No sums payable hereunder may be assigned without the written consent of Blue Shield. This prohibition shall not apply to ambulance Services or certain Medicare providers as required by sec- tion 4081 of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203) for which Blue Shield shall provide payment directly to the provider. PLEASE READ THE FOLLOWING INFORMATION SO YOU WILL KNOW FROM WHOM OR WHAT GROUP OF PROVIDERS HEALTH CARE MAY BE OBTAINED. An individual Subscriber may select any Hospital or Physician to provide covered Services hereun- der, including such providers outside of California that meet similar requirements as shown in the definitions of these terms.

Appears in 1 contract

Samples: Medicare Supplement Plan

AutoNDA by SimpleDocs

Benefit Payments. Blue Shield may pay the benefits of this Agree- ment directly to the Physician, Hospital, or Sub- xxxxxxx. Providers do not receive financial incentives or bonuses from Blue Shield of Cali- fornia. Claims are submitted for payment after Services are received. Requests for payments must be submitted to Blue Shield by the Physician, Hospi- tal tal, or the Subscriber within one (1) year after the month in which Services are rendered or the date of processing of Medicare Benefits. The claim must include itemized evidence of the charges in- curred together with the documentary evidence of the action taken relative to such charges by the Department of Health and Human Services under Medicare. Benefits for Services not covered by Medicare (Part II.B.5II.B.4.) are payable upon receipt of properly completed claim forms for medically necessary emergency care in a foreign country. All requests for any payments and claim forms are to be sent to Blue Shield of California, X.X. Xxx 000000P.O. Box 272540, XxxxxChico, XxxxxxxxxxCalifornia, 0000095927-00002540. No sums payable hereunder may be assigned without the written consent of Blue Shield. This prohibition shall not apply to ambulance Services or certain Medicare providers as required by sec- tion 4081 of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203) for which Blue Shield shall provide payment directly to the provider. PLEASE READ THE FOLLOWING INFORMATION SO YOU WILL KNOW FROM WHOM OR WHAT GROUP OF PROVIDERS HEALTH CARE MAY BE OBTAINED. An individual Subscriber may select any Hospital or Physician to provide covered Services hereun- der, including such providers outside of California that meet similar requirements as shown in the definitions of these terms.

Appears in 1 contract

Samples: Medicare Supplement Plan

Benefit Payments. Blue Shield may pay the benefits of this Agree- ment directly to the Physician, Hospital, or Sub- xxxxxxx. Providers do not receive financial incentives or bonuses from Blue Shield of Cali- fornia. Claims are submitted for payment after Services are received. Requests for payments must be submitted to Blue Shield by the Physician, Hospi- tal or the Subscriber within one (1) year after the month in which Services are rendered or the date of processing of Medicare Benefits. The claim must claimmust include itemized evidence of the charges in- curred incurred together with the documentary evidence of the action taken relative to such charges by the Department of Health and Human Services under Medicare. Benefits for Services not covered by Medicare (Part II.B.5.) are payable upon receipt of properly completed claim forms for medically necessary emergency care in a foreign country. All requests for payments and claim forms are to be sent to Blue Shield of California, X.X. Xxx 000000P.O. Box 272540, XxxxxChico, XxxxxxxxxxCalifornia, 0000095927-00002540. No sums payable hereunder may be assigned without the written consent of Blue Shield. This prohibition shall not apply to ambulance Services or certain Medicare providers as required by sec- tion 4081 of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203) for which Blue Shield shall provide payment directly to the provider. PLEASE READ THE FOLLOWING INFORMATION SO YOU WILL KNOW FROM WHOM OR WHAT GROUP OF PROVIDERS HEALTH CARE MAY BE OBTAINED. An individual Subscriber may select any Hospital or Physician to provide covered Services hereun- der, including such providers outside of California that meet similar requirements as shown in the definitions of these terms.

Appears in 1 contract

Samples: Medicare Supplement Plan

Benefit Payments. Blue Shield may pay the benefits of this Agree- ment directly to the Physician, Hospital, Hospital or Sub- xxxxxxx. Providers do not receive financial incentives or bonuses from Blue Shield of Cali- fornia. Claims are submitted for payment after Services are received. Requests for payments must be submitted to Blue Shield by the Physician, Hospi- tal tal, or the Subscriber within one (1) year after the month in which Services are rendered or the date of processing of Medicare Benefits. The claim must include itemized evidence of the charges in- curred curred, together with the documentary evidence of the action taken relative to such charges by the Department of Health and Human Services under Medicare. Benefits for Services not covered by Medicare (Part II.B.5II. B.4.) are payable upon receipt of properly completed claim forms for medically necessary emergency care in a foreign country. All requests for payments and claim forms are to be sent to Blue Shield of California, X.X. Xxx 000000P.O. Box 272540, XxxxxChico, XxxxxxxxxxCalifornia, 0000095927-00002540. No sums payable hereunder may be assigned without the written consent of Blue Shield. This prohibition shall not apply to ambulance Services or certain Medicare providers as required by sec- tion 4081 of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203) for which Blue Shield shall provide payment directly to the provider. PLEASE READ THE FOLLOWING INFORMATION SO YOU WILL KNOW FROM WHOM OR WHAT GROUP OF PROVIDERS HEALTH CARE MAY BE OBTAINED. An individual Subscriber may select any Hospital or Physician to provide covered Services hereun- der, including such providers outside of California that meet similar requirements as shown in the definitions of these terms.

Appears in 1 contract

Samples: Medicare Supplement Plan

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!