Common use of Enrollment Verification Clause in Contracts

Enrollment Verification. Participating Provider shall be responsible for verifying an individual’s enrollment under the applicable Health Benefits Plan. An individual’s possession or presentment of an identification card does not guarantee such individual’s enrollment in an applicable Plan. Moreover, Participating Provider’s verification of such enrollment shall not necessarily indicate that any health services being provided by Participating Provider are Medically Necessary or are Covered Services.

Appears in 4 contracts

Samples: Qualcare Provider Network, Qualcare Provider Network, Qualcare Provider Network

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