Continued Stay Review. Network and Out-of-Network Services The medical progress of patients is reviewed to identify the continued Medical Necessity and Appropriateness of the Inpatient stay. If a Member elects to continue to receive Inpatient Services after receipt of written notification from the Plan that such level of care is no longer Medically Necessary and Appropriate, the Member will be financially responsible for the full amount of the Provider’s charges from the date appearing on the written notification.
Appears in 6 contracts
Samples: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement
