Common use of Eligibility and Benefit Verification Clause in Contracts

Eligibility and Benefit Verification. BCBSM will provide Facility with a system and/or method to promptly verify eligibility and benefit coverages of Members; provided that any verification will be given as a service and not as a guarantee of payment.

Appears in 4 contracts

Samples: End Stage Renal Disease Facility Network Affiliation Agreement, End Stage Renal Disease Facility Participation Agreement, Hospice Provider Participation Agreement

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Eligibility and Benefit Verification. BCBSM will provide Facility Provider with a system and/or method to promptly verify Member eligibility and benefit coverages of Members; provided that benefits, however, any verification will be given as a service and not as a guarantee of payment.

Appears in 2 contracts

Samples: Provider Participation Agreement, Provider Participation Agreement

Eligibility and Benefit Verification. BCBSM will provide Facility Provider with a system and/or method to promptly verify eligibility and benefit coverages of Members; provided that any verification will be given as a service and not as a guarantee of payment.

Appears in 2 contracts

Samples: Provider Participation Agreement, Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement

Eligibility and Benefit Verification. BCBSM will provide Facility with make available to the Provider a system and/or method to promptly verify Member eligibility and benefit coverages of Memberscoverages; provided that however, any verification by BCBSM will be given as a service and not as a guarantee of payment.

Appears in 2 contracts

Samples: Provider Participation Agreement, Provider Participation Agreement

Eligibility and Benefit Verification. BCBSM and BCN will provide Facility Provider with a system and/or method to promptly verify eligibility and benefit coverages of Members; provided that any verification will be given as a service and not as a guarantee of payment. It is the Provider’s responsibility to bill the appropriate entity, as each entity is solely responsible for its own membership.

Appears in 1 contract

Samples: Ambulance Provider Participation Agreement

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Eligibility and Benefit Verification. BCBSM will provide Facility Provider with a system and/or method method, in accordance with Article II, Section 2.3, to promptly verify eligibility and benefit coverages of Members; provided that any such verification will be given as a service and not as a guarantee of payment.

Appears in 1 contract

Samples: Provider Participation Agreement

Eligibility and Benefit Verification. BCBSM will provide Facility with a system and/or method to promptly verify eligibility and benefit coverages of Members; provided that any verification will be given as a service and not as a guarantee of payment.

Appears in 1 contract

Samples: Long Term Acute Care Hospital Participation Agreement

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