Claims Review. Blue Shield reserves the right to review all claims to determine whether any exclusions or limitations apply.
Appears in 19 contracts
Samples: Medicare Supplement Plan F Extra, Medicare Supplement Plan K, Evidence of Coverage and Health Service Agreement
Claims Review. Blue Shield reserves the right to review all claims to determine whether any exclusions or limitations limita- tions apply.
Appears in 17 contracts
Samples: Medicare Supplement Plan, Medicare Supplement Plan N, Medicare Supplement Plan G
Claims Review. Blue Shield reserves the right to review all claims to determine whether any exclusions or limitations apply, and may use the Services of Physician consultants, peer review committees of professional societies or hospitals, and other consultants.
Appears in 1 contract
Samples: Health Service Agreement
