Common use of Multiple Surgeries Clause in Contracts

Multiple Surgeries. When a doctor performs more than one procedure in a day, there are rules that may reduce our allowance for the additional procedure. Our allowance may also include post-operative care and other procedures provided within specified time periods. If More Than One Surgeon Operates In addition to the type and purpose of surgery, our allowance differs depending on the number of surgeons involved, including assistant surgeons. If two (2) surgeons perform separate operations during a single surgical session, each surgeon may submit a claim reporting the procedure performed and the circumstances involved. These claims will then be evaluated for payment on an individual basis.

Appears in 12 contracts

Samples: Subscriber        Agreement, Subscriber Agreement, Subscriber    Agreement

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