Common use of Services Requiring Prior Authorization Clause in Contracts

Services Requiring Prior Authorization. Please refer to Attachment B, Services Requiring Prior Authorization. The list represents services that are commonly reviewed and may require additional clinical information in order for a determination of Prior Authorization to be made. SHL recommends that the Insured or the Insured’s Physician or practitioner making a specific request for services verify benefits under this Plan and the Prior Authorization requirements prior to providing services. The Attachment B, Services Requiring Prior Authorization list is subject to change periodically and may be modified at any time without notification.

Appears in 6 contracts

Samples: Group Health Insurance Certificate of Coverage, Epo Agreement of Coverage, Epo Agreement of Coverage

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Services Requiring Prior Authorization. Please refer to Attachment B, Services Requiring Prior Authorization. The list represents services that are commonly reviewed and may require additional clinical information in order for a determination of Prior Authorization to be made. SHL recommends that the Insured or the Insured’s Physician or practitioner making a specific request for services verify benefits under this Plan and the Prior Authorization requirements prior to providing services. The Attachment B, Services Requiring Prior Authorization list is subject to change periodically and may be modified at any time without notification.

Appears in 3 contracts

Samples: Agreement of Coverage, Group Health Insurance Certificate of Coverage, Ppo Agreement of Coverage

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Services Requiring Prior Authorization. Please refer to Attachment B, Services Requiring Prior Authorization. The list represents services that are commonly reviewed and may require additional clinical information in order for a determination of Prior Authorization to be made. SHL recommends that the Insured or the Insured’s Physician or practitioner making a specific request for services verify benefits under this Plan and the Prior Authorization requirements prior to providing services. The Attachment B, Services Requiring Prior Authorization list is subject to change periodically and may be modified at any time without notificationnotification .

Appears in 1 contract

Samples: Group Health Insurance Certificate of Coverage

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