Claims for Benefits. All Claims for benefits will be deemed to have been filed on the date received by AvMed. If a Claim is a Pre-Service or Urgent Care Claim, a Health Professional with knowledge of the Member’s Condition will be permitted to act as the Member’s authorized representative, and will be notified of all approvals on the Member’s behalf.
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Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider
Claims for Benefits. All Claims for benefits will be deemed to have been filed on the date received by AvMed. If a Claim is a an Urgent Care or Pre-Service or Urgent Care Claim, a Health Professional with knowledge of the Member’s Condition will shall be permitted to act as the Member’s authorized representative, and will be notified of all approvals on the Member’s behalf.
a. Pre-Service Claims.
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Claims for Benefits. All Claims for benefits will be deemed to have been filed on the date received by AvMed. If a Claim is a an Urgent Care or Pre-Service or Urgent Care Claim, a Health Professional with knowledge of the Member’s Condition will shall be permitted to act as the Member’s authorized representative, representative and will be notified of all approvals on the Member’s behalf.
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