Common use of Continuity of Care; Referral to Other Health Professionals Clause in Contracts

Continuity of Care; Referral to Other Health Professionals. Provider shall furnish Covered Services in a manner providing continuity of care and ready referral of Members to other Participating Providers at times as may be appropriate and consistent with the standards of care in the community. If a Member requires additional services or evaluation, including Emergency Services, Provider agrees to refer Member to his/her primary care physician or another Participating Provider in accordance with the terms and conditions of Member's Benefit Plan. A Member requiring Emergency Services shall also be referred to the "9-1-1" emergency response system.

Continuity of Care; Referral to Other Health Professionals. Provider shall furnish Covered Services in a manner providing continuity of care and ready referral of Members to other Participating Providers at times as may be appropriate and consistent with the standards of care in the community. If a Member requires additional services or evaluation, including including, but not limited to radiology or laboratory tests and Emergency Services, Provider agrees to refer Member to his/her primary care physician or another Participating Provider other participating health professionals in accordance with the terms and conditions of Member's ’s Benefit PlanContract. A Member requiring Emergency Services shall also be referred to the "9-1-1911" emergency response system.