Common use of Provider Manual Clause in Contracts

Provider Manual. is the set of manuals developed by Health Plan that set forth the operational rules and procedures applicable to Provider and the performance of services hereunder, and such other documents used by Blue Shield to determine reimbursement rates under the terms of this Agreement, including, without limitation Blue Shield’s Medical Policy and Blue Shield Medication Policy, and, for physician providers, the Bylaws of Blue Shield.

Provider Manual. is the set of manuals developed by Health Plan Blue Shield that set forth the operational rules and procedures applicable to Provider and the performance of services hereunder, and such other documents used by Blue Shield to determine reimbursement rates under the terms of this Agreement, including, without limitation Blue Shield’s Medical Policy and Blue Shield Medication Policy, and, for physician providers, the Bylaws of Blue Shield.