Common use of Out-of-Network Services Clause in Contracts

Out-of-Network Services. In accordance with Benefit Program requirements, Covered Services provided as a result of a Member’s self-referral to a PPO or HMO Provider or to a non-Participating Provider. Out-of-Network Services may be provided in area or out of area.

Appears in 4 contracts

Samples: Dental Services (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc)

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Out-of-Network Services. In accordance with Benefit Program requirements, Covered Services provided as a result of a Member’s self-Members self referral to a PPO or HMO Provider Provider, or to a non-Participating Provider. Out-of-Network Services may be provided in in-area or out of out-of-area.

Appears in 3 contracts

Samples: Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc), Group Provider Services Agreement (Prospect Medical Holdings Inc)

Out-of-Network Services. In accordance with Benefit Program requirements, . Covered Services provided as a result of a Member’s self-referral to a PPO or HMO Provider or to a non-Participating Provider. Out-of-Network Services may be provided in area or out of area.

Appears in 2 contracts

Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc), Group Provider Services Agreement (Prospect Medical Holdings Inc)

Out-of-Network Services. In accordance with Benefit Program requirements, Covered Services provided as a result of a Member’s self-referral to a PPO PPG or HMO Provider or to a non-Participating Provider. Out-of-Network Services may be provided in area or out of area.

Appears in 2 contracts

Samples: Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc)

Out-of-Network Services. In accordance with Benefit Program requirements, Covered Services provided as a result of a Member’s self-Members self referral to a PPO or HMO Provider Provider, or to a non-Participating Provider. Out-of-Network Services may be provided in area or out of area.

Appears in 1 contract

Samples: Provider Services Agreement (Prospect Medical Holdings Inc)

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Out-of-Network Services. In accordance with Benefit Program requirements, . Covered Services provided as a result of a Member’s self-Members self referral to a PPO or HMO Provider Provider, or to a non-Participating Provider. Out-of-Out of Network Services may be provided in area or out of area.

Appears in 1 contract

Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc)

Out-of-Network Services. In accordance with Benefit Program requirements, . Covered Services provided as a result of a Member’s self-Members self referral to a PPO or HMO Provider Provider, or to a non-Participating Provider. Out-of-Network Services may be provided in in-area or out of area.

Appears in 1 contract

Samples: Dental Services (Prospect Medical Holdings Inc)

Out-of-Network Services. In accordance with Benefit Program requirements, requirements Covered Services provided as a result of a Member’s self-referral to a PPO or HMO Provider or to a non-Participating Provider. Out-of-Network Services may be provided in area or out of area.

Appears in 1 contract

Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc)

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