Emergency Services - Behavioral Health Services. a. In cases in which the Enrollee has no identification, or is unable to verbally identify himself/herself when presenting for Behavioral Health Services, the out-of-area, non-participating provider shall notify the Health Plan within twenty-four (24) hours of learning the Enrollee's identity. The out-of-area, non-participating provider shall deliver to the Health Plan the Medical Records that document that the identity of the Enrollee could not be ascertained at the time the Enrollee presented for Emergency Behavioral Health Services due to the Enrollee's condition.
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Samples: Contract (Wellcare Health Plans, Inc.), Wellcare Health Plans, Inc.
Emergency Services - Behavioral Health Services. a. In cases in which the Enrollee has no identification, or is unable to verbally identify himself/herself when presenting for Behavioral Health Services, the out-of-area, non-participating provider shall notify the Health Plan within twenty-four (24) hours of learning the Enrollee's ’s identity. The out-of-area, non-participating provider shall deliver to the Health Plan the Medical Records that document that the identity of the Enrollee could not be ascertained at the time the Enrollee presented for Emergency Behavioral Health Services due to the Enrollee's ’s condition.
Appears in 1 contract
Samples: Amerigroup Corp
Emergency Services - Behavioral Health Services. a. In cases in which the Enrollee has no identification, or is unable to verbally identify himself/herself when presenting for Behavioral Health Services, the out-out- of-area, non-participating provider shall notify the Health Plan within twenty-twenty- four (24) hours of learning the Enrollee's identity. The out-of-area, non-non- participating provider shall deliver to the Health Plan the Medical Records that document that the identity of the Enrollee could not be ascertained at the time the Enrollee presented for Emergency Behavioral Health Services due to the Enrollee's condition.
Appears in 1 contract
Samples: ahca.myflorida.com