Common use of INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT Clause in Contracts

INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT. 10 SECTION 2: ELIGIBILITY 14 SECTION 3: COVERED HEALTHCARE SERVICES 20 SECTION 4: EXCLUSIONS 43 SECTION 5: REQUESTS FOR AUTHORIZATION, DENIALS, COMPLAINTS, AND APPEALS 52 SECTION 6: CLAIM FILING AND PROVIDER PAYMENTS 60 SECTION 7: COORDINATION OF BENEFITS AND SUBROGATION 65 SECTION 8: GLOSSARY 71 SECTION 9: CONTACT INFORMATION 79 SECTION 10: NOTICES AND DISCLOSURES 81

INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT. 10 11 SECTION 2: ELIGIBILITY 14 15 SECTION 3: COVERED HEALTHCARE SERVICES 20 21 SECTION 4: EXCLUSIONS 43 49 SECTION 5: REQUESTS FOR AUTHORIZATION, DENIALS, COMPLAINTS, AND APPEALS 52 59 SECTION 6: CLAIM FILING AND PROVIDER PAYMENTS 60 67 SECTION 7: COORDINATION OF BENEFITS AND SUBROGATION 65 74 SECTION 8: GLOSSARY 71 80 SECTION 9: CONTACT INFORMATION 79 88 SECTION 10: NOTICES AND DISCLOSURES 8190

INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT. 10 15 SECTION 2: ELIGIBILITY 14 19 SECTION 3: COVERED HEALTHCARE SERVICES 20 25 SECTION 4: EXCLUSIONS 43 50 SECTION 5: REQUESTS FOR AUTHORIZATION, DENIALS, COMPLAINTS, AND APPEALS 52 SECTION 6: CLAIM FILING AND PROVIDER PAYMENTS 60 SECTION 7: COORDINATION OF BENEFITS AND SUBROGATION 65 SECTION 8: GLOSSARY 71 SECTION 9: CONTACT INFORMATION 79 SECTION 10: NOTICES AND DISCLOSURES 8160

INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT. 10 SECTION 2: ELIGIBILITY 14 SECTION 3: COVERED HEALTHCARE SERVICES 20 SECTION 4: EXCLUSIONS 43 44 SECTION 5: REQUESTS FOR AUTHORIZATION, DENIALS, COMPLAINTS, AND APPEALS 52 53 SECTION 6: CLAIM FILING AND PROVIDER PAYMENTS 60 61 SECTION 7: COORDINATION OF BENEFITS AND SUBROGATION 65 66 SECTION 8: GLOSSARY 71 72 SECTION 9: CONTACT INFORMATION 79 80 SECTION 10: NOTICES AND DISCLOSURES 8182