Common use of Services to Members Clause in Contracts

Services to Members. Provider, within the limitations of any applicable state licensure laws, shall provide Covered Services to Members as set forth in Certificates. Provider certifies that all services billed or reported by Provider are within the scope of the rendering healthcare practitioner’s scope of practice or license, if applicable, and are performed personally by the healthcare practitioner, or under his/her direct supervision as defined by BCBSM, or except as otherwise authorized and communicated in writing by BCBSM, and are submitted in accordance with the terms and conditions of the Members' Certificates. Provider will adhere to all BCBSM published guidelines for the provision and billing of Covered Services to Members.

Appears in 2 contracts

Samples: Home Infusion Therapy Facility Participation Agreement, Ambulatory Infusion Center Participation Agreement

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Services to Members. Provider, within the limitations of any applicable state licensure laws, shall provide Covered Services to Members as set forth in Certificates. Provider certifies that all services billed or reported by Provider for its Professional Providers are within the scope of the rendering healthcare practitioner’s scope of practice or license, if applicable, and are performed personally by the healthcare practitioner, or under his/her direct supervision as defined by BCBSM, or except as otherwise authorized and communicated in writing by BCBSM, and are submitted in accordance with the terms and conditions of the Members' Certificates. Provider will adhere to all BCBSM published guidelines for the provision and billing of Covered Services to Members.

Appears in 1 contract

Samples: Outpatient Psychiatric Care Facility Participation Agreement

Services to Members. Provider, within the limitations of any applicable state licensure laws, shall provide Covered Services to Members as set forth in Certificates. Provider certifies that all services billed or reported by Provider are within the scope of the rendering healthcare practitionertherapist’s scope of practice or license, if applicable, license and are performed personally by the healthcare practitionertherapist, or under his/her direct supervision as defined by BCBSM, or except as otherwise authorized and communicated in writing by BCBSM, and are submitted in accordance with the terms and conditions of the Members' Certificates. Provider will adhere to all BCBSM published guidelines for the provision and billing of Covered Services to Members.

Appears in 1 contract

Samples: Outpatient Physical Therapy Facility Traditional Participation Agreement

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Services to Members. Provider, within the limitations of any applicable state licensure laws, shall provide Covered Services to Members as set forth in Certificates. Provider certifies that all services billed or reported by Provider are within the scope of the rendering healthcare practitioner’s scope of practice or license, if applicable, and are performed personally by the healthcare practitioner, or under his/her direct supervision as defined by BCBSM, or except as otherwise authorized and communicated in writing by BCBSM, and are submitted in accordance with the terms and conditions of the Members' Certificates. Provider will adhere to all BCBSM published guidelines for the provision and billing of Covered Services to Members.

Appears in 1 contract

Samples: Traditional Participation Agreement

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