Common use of Exception for Other Coverage Clause in Contracts

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. 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

Samples: Evidence of Coverage and Health Service Agreement, Evidence of Coverage and Health Service Agreement, Evidence of Coverage and Health Service Agreement

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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. 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: Blue Shield Minimum Coverage Ppo Plan Agreement, Blue Shield Minimum Coverage Ppo Plan Agreement, Blue Shield Platinum 90 Ppo Plan Agreement

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. 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: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

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. 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 4 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

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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 rendered under this planPlan. 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 1 contract

Samples: Group Health Service Contract

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