Common use of PHYSICIANS, HOSPITALS AND OTHER PROVIDERS Clause in Contracts

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 4 contracts

Samples: Medical and Hospital Service Contract With Point of Service Rider, Medical and Hospital Service Contract, Medical and Hospital Service Contract

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PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Empower Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 3 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Empower Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 2 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Elite Choice™ Plan’s network of contracted Participating Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and NonOut-Participating of-Network Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract With Point of Service Rider

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Choice Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and NonOut-Participating of-Network Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Elite Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Elite Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

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PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Choice Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Flex Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Flex Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through the Agility Choice Plan’s network of contracted Physicians, Hospitals and other Health Professionals, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

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