Common use of Claims Review Clause in Contracts

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

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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

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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

Samples: Coverage and Health Service Agreement

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