Common use of Covered Inpatient Hospital Services Clause in Contracts

Covered Inpatient Hospital Services. A Member will receive benefits for the Covered Services listed below when admitted to a Contracting Provider hospital under the care of a Primary Care Physician or other Contracting Physician. Coverage of inpatient hospital services is subject to certification by utilization management for Medical Necessity. Benefits are provided for:

Covered Inpatient Hospital Services. A Member will receive benefits for the Covered Services listed below when admitted to a Contracting Provider hospital under the care of a Primary Care Physician or other Contracting Physicianhospital. Coverage of inpatient hospital services is subject to certification by utilization management for Medical Necessity. Benefits are provided for:

Covered Inpatient Hospital Services. A Member will receive benefits for the Covered Services listed below when admitted to a Contracting Provider hospital under the care of a Primary Care Physician or other Contracting PhysicianProvider. Coverage of inpatient hospital services is subject to certification by utilization management for Medical Necessity. Except for maternity and Emergency admissions, prior authorization is required. Contracting Providers will obtain prior authorization on behalf of the Member. Benefits are provided for:

Covered Inpatient Hospital Services. A Member will receive benefits for the Covered Services listed below when admitted to a Contracting Provider hospital under the care of a Primary Care Physician or other Contracting Physicianhospital. Coverage of inpatient hospital services is subject to certification by utilization management Utilization Management for Medical Necessity. Except for maternity and Emergency admissions, prior authorization is required. Benefits are provided for:

Covered Inpatient Hospital Services. A Member will receive benefits for the Covered Services listed below when admitted to a Contracting Provider hospital under the care of a Primary Care Physician or other Contracting PhysicianProvider. Coverage of inpatient hospital services is subject to certification by utilization management for Medical Necessity. Except for maternity and Emergency admissions, pre-admission review is required. Contracting Providers will obtain prior authorization on behalf of the Member. Benefits are provided for: