Special Claims Processing Sample Clauses

Special Claims Processing. To the extent that it can be arranged with the Carrier, special assistance will be provided to team members to facilitate claims payment and funds transfers. Such assistance will provide that the payment to a provider (i.e. physician or hospital) for Covered Services as defined herein, will be guaranteed by the Carrier when the provider or covered patient calls a pre-arranged toll-free number. In certain (1) Direct payment by the Carrier of eligible hospital and medical/surgical expenses to providers of service where those providers refuse to bill (2) Direct repayment by the Carrier to an eligible patient who has incurred eligible Out-of- Province expenses resulting in financial hardship to that patient.