Exception for Other Coverage. Participating Providers may seek reimbursement from other third party payers for the balance of their reasonable charges for services rendered under this plan. Claims Review Blue Shield reserves the right to review all claims to determine if any exclusions or limitations apply, and may use the services of Physician consultants, peer review committees of professional societies or hospitals, and other consultants. Reductions - Third Party Liability
Appears in 8 contracts
Exception for Other Coverage. Participating Providers A Plan Provider may seek reimbursement from other third party payers for the balance of their its reasonable charges for services rendered under this planPlan. Claims Review Blue Shield reserves the right to review all claims to determine if any exclusions or other limitations apply, and ap- ply. Blue Shield may use the services of Physician consultants, peer review committees of professional societies or hospitalsHospitals, and other consultants. Reductions - Third Party Liabilityconsultants to eval- uate claims.
Appears in 6 contracts
Samples: www.myihopbenefits.com, mrstaxbenefits.com, www.blueshieldca.com
Exception for Other Coverage. Participating Providers may seek reimbursement from other third party payers for the balance of their reasonable charges for services rendered under this plan. Claims Review Blue Shield reserves the right to review all claims to determine if any exclusions or limitations apply, and may use the services of Physician consultants, peer review committees of professional societies or hospitals, and other consultants. Reductions - Third Party Liability.
Appears in 6 contracts
Samples: Agreement, Agreement, www.blueshieldca.com
Exception for Other Coverage. Participating Providers may seek reimbursement from other third party payers for the balance of their reasonable charges for services rendered under un- der this planPlan. Claims Review Blue Shield reserves the right to review all claims to determine if any exclusions or other limitations apply, and . Blue Shield may use the services of Physician Physi- cian consultants, peer review committees of professional pro- fessional societies or hospitalsHospitals, and other consultants. Reductions - Third Party Liabilityconsul- tants to evaluate claims.
Appears in 5 contracts
Samples: myihopbenefits.com, www.cityofdelano.org, www.instantbenefits.com
Exception for Other Coverage. Participating Providers A Plan Provider may seek reimbursement from other third party payers for the balance of their reasonable its rea- sonable charges for services Services rendered under this planPlan. Claims and Services Review Blue Shield reserves the right to review all claims and services to determine if any exclusions or other limitations apply, and . Blue Shield may use the services of Physician consultants, peer review committees of professional societies or hospitalsHospitals, and other consultants. Reductions - Third Party Liabilityconsultants to evaluate claims.
Appears in 1 contract
Samples: www.instantbenefits.com