Common use of Shared Savings Service Authorization/Medical Policy Clause in Contracts

Shared Savings Service Authorization/Medical Policy. When authorization responsibility for Shared Savings Services is delegated to Group, Group shall pre-authorize Shared Savings Services (or, as appropriate, retroactively authorize Emergency Services) and shall provide a copy of such authorization to Blue Shield within seven (7) days following the authorization. Group shall provide to Blue Shield weekly reports setting forth authorizations granted and denied, as set forth in the Provider Manual. All utilization management and authorizations of Group shall be consistent with Blue Shield’s Medical Policy.