Claims Review. Blue Shield reserves the right to review all claims to determine whether any exclusions or limitations apply.
Appears in 26 contracts
Sources: Medicare Supplement Plan Agreement, Health Service Agreement, Medicare Supplement Plan Agreement
Claims Review. Blue Shield reserves the right to review all claims to determine whether any exclusions or limitations limita- tions apply.
Appears in 21 contracts
Sources: Medicare Supplement Plan, Medicare Supplement Plan, Medicare Supplement Plan
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 2 contracts
Sources: Service Agreement, Health Service Agreement