Disabled Dependent Eligibility Review. HEBP will provide medical review to determine continued Dependent eligibility based on receipt of a completed Dependent Child’s Statement of Disability Form provided by the Subscriber. If medical records or supporting documentation are required, such requirements will be communicated to the Subscriber who will be responsible for obtaining that information (including payment of any fees that may be assessed by a third party to provide such records) and submitting the information to HEBP.
Appears in 7 contracts
Samples: Administrative Services Agreement, Administrative Services Agreement, Administrative Services Agreement