Claims Review. Blue Shield reserves the right to review all claims to determine whether any exclusions or limita- tions apply.
Appears in 16 contracts
Samples: Plan I Standard, Coverage and Health Service Agreement, Service Agreement
Claims Review. Blue Shield reserves the right to review all claims to determine whether any exclusions or limita- tions limitations apply.
Appears in 16 contracts
Samples: Coverage and Health Service Agreement, Coverage and Health Service Agreement, Coverage and Health Service Agreement
Claims Review. Blue Shield reserves the right to review all claims to determine whether any exclusions or limita- tions 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